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3460 Naglee Rd. Record ID# PR0517826
<br /> 12/7/2020 Program: HW
<br /> Photo 18: The following uniform ,hazardous waste manifest (020381971JJK) lacking signed designated facility copy.
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<br /> Fam Approved-Ofafi NO.2050U039
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<br /> UNIFORM HAZARDOUS t-r'0"c"p"xH""h° Y (fl00)A24-930D 020381971 JJK
<br /> WASTE MANIFEST CA L0003rR5003
<br /> 5.GePlIE41 Name ord MYup MM,u
<br /> DODEEnorm'.s�lsaeerem Ia a�neeol mn owre.dme+•f
<br /> 346,0 1ER CHRYSLER GE JP NAM OF TRACY
<br /> 3464 NRGLEE ROAD
<br /> TRACY CA 95394
<br /> eo°e—Pno,rm 20982D 1815 Vs.EPr,lo xwr.eer
<br /> s.sraaror l Fam ,Nemo CAD 0 2 6 2 7 7 0 36
<br /> WORLD OIL ENVIRONMENTAL SERVICES
<br /> u.s,EPAw Non�eer
<br /> ].Trarapad®r 2 Egnpaq Name
<br /> US.EPA X]xum8a
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<br /> WORLD OIL RECYCLING
<br /> _ 2000 N.ALAMEDA STREEfCAT 0 8 0 0 1 3 3 5 2
<br /> COMPTON C11 9o222
<br /> - Faall ePhone' 13101537-7.100 I1�
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<br /> ga 96.LLS,o0t9nalveon Ondodlaa Props ShypLnp Name.Hamra gaa.,P Nurror. TY o,unu[Y 'VaNd,
<br /> HM ane Packne OrouP(deny))
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<br /> Q {/ 'RQ,Ufl1993,WASTE FLAMMABLE LIQUID.N.O.S.,(GASOLINE),3.P o
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<br /> `RQ,UN19931 WASTE FLAMMABLE LIQUID.N.D.S.,(GASOLINE),3,P1 1 8
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<br /> 14.Spe yNandlin9 erswctiors anaaneh�irrfonnatian 1
<br /> -;::Fr►rAEF7GENGY CONTACT:CNEMTREC 1-800-424.9300 WOES TERMINAL:CERFS es NAERGN SRI:128.9B2:128*PROFILE
<br /> 9B1:464374 GASOLINE/DIESEL.9B2:46437 3 AS�S�DIESEL" *APPROPRIATE PPE EQUIPMENT x �
<br /> mora aM erar -0euabod above tithe proper sFapp'vg mm�a,and amtlassdad,pxL.Sed, '•
<br /> 75. GENER4TOR'SNFFEAOR'SCERTIFILAT1oN:Thereby BaCare tllaf R,e;wspxt IF— lto mhle�N1em34onalana ne11w131 gamrerranbl le9JatiGr2 R°Ypea shwmwtartlla"'tN°R°IK1y `
<br /> mathea acrd FabeleNplarxaed,and are m etl respects In PmP°rwndeWn Iw trenepoa emmdag m aPGtl 1
<br /> EI,puler,I rakLytlral the mMeM dthls ppvtlgnmanl CCNpm iPlhe,s+ms al Veaeatlied FP0.yvknowledgmemd CAPsent
<br /> I certify they the 1111 minanlvtlw salement Mpiehed I,4C CFR 262.270)10 lama large qu-'Ky B� � Jl ern rimae Vrmxah'9eneraier)hm,e. Monkt flay Y-
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<br /> 13a,01sacpanry lndxarlon Spare ❑Ouanl4y 11 Type 0Resldna 0Pv4al RelecL'nP ❑FOSRe}aJmn
<br /> MaNlesl Reference NumLer
<br /> U.S.FPA 10 Number
<br /> 1@b.AkePlale Fedf4y(a Generetor) '
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<br /> ua. Fatillfy's Phone: lAorNr Day Year ,
<br /> WJSO.Slgnalere orARemoW FacIty for Gen—,W)
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<br /> 'N 19: ous Wada Report Ma,,,Trent Method Codes(Le..cedes for h0 daus Yrasle beaanenl,disposal,aA IDOYcling Systems) 4
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<br /> 20.Designated FadGry Ormerar 4peralor.CeNflwGxnol rscelPt of ha2ardous matmfds covered by he manifesleccepl as ntled In Item lSa � - Y�
<br /> Panled/fyped Name Signature
<br /> :PA Form 871Hs-22)Rey-12-77)PfRvious editions are obsolete. UEMNATEO FACILITY TO EPA's e-MANIFE.T{ STEM
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<br /> JASON GAITAN, REHS Page 18 of 21
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