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Address S/B Sunstate Equipment, 75 E. Equipment Court, French Camp, CA 95231 Record ID PR0527664 <br /> Date 5/4/2022 Program: HW <br /> PHOTO 9: <br /> Missing signature copies of the Uniform Hazardous Waste Manifests. <br /> SK SHIP# <br /> '46341,37 <br /> or1Yp¢. Lceneralor lO Npm <br /> NM MANIFEST her <br /> gTECRLO003290;,1 z. <br /> awPaa 1 <br /> on Nam'nalng Adareea <br /> Paten equipment 3a-tl1o8= �la� a.�,.,Tr .am w.zosaau _ <br /> F55c E. Hashl.yt on St. Galwamrsaim SKS --� <br /> 11�ptr1IX AttnHLilnnie Bodell Sunsata°"'t eM E"'ii^e+'�mml <br /> tyre pne: 463-1662 05034 79 E E <br /> Ph ^ <br /> rrtD�i°I_-Wr ansa RTjh, �ct <br /> SYSicT15 1NC FRENCH CAMP <br /> 2—P.rys CR 95231-44iL� <br /> EAN HARBORS ENV - us.¢ramwrear <br /> oVC 1MC. TX1:oaaealze5 f <br /> a netsa Faclliry Neme antl Slle AaaressLERN U9.EPAm Mel4a <br /> CNARBDR9 ENY IHONNENI'RL SERVICES, IN us.vnloNuros MR003932225a <br /> 2247 S HISHNRY 71 °ep <br /> 308-23=i-1 KJMBAI_L I "zas¢.00aa <br /> 1012 r N:=61145 SKS <br /> Ftp sPhane: ' <br /> Pe.U 5.D0T Descnp4on(Indutling Proper Shipping Name,Haeara Clans,ID Numher, NED90172351"s <br /> end PanWn9G,up(if enyl) tO.ConNiners o <br /> NM tt Ttel tz Ura la.wmucros <br /> Old 0.S. WASTEPErAGt_EUN DISTILLATES, T'1Pa aenlhy <br /> yo a N.0.S., 3, Nn/ DN �v P ➢0'31 D000 00101,4 <br /> 213 Na <br /> w F' <br /> 3. <br /> 4. <br /> 14.Spadal Handling mshon—and Ardis—lmle-11,t TSD KIP 86257Ob1 3631t"16 L--t <br /> BERG#1cL <br /> Z4ri "=r&a;3 NCY#800-468-1760-CH/SK1TFI-Contract retained by generator confers a ency author P.� <br /> y, r yan innsaaasNaa.redwa- <br /> 15, GENERATOR'S10FFEROR'SCERTIFICATION.Iherebyaeclam Nat NewdlenlsorNswnsgnmentarelul Nid i tl^ bei en�1 v xponsNprrentaMtarntla R'nary <br /> marked and labeletllplapNetl,antl are in all respects in proper mntlition for VansPOM1 aowrdng to applre an cent <br /> E,PI <br /> ort¢r,lcenify that the contents orchis consignment conform to the termsof the atpcheO EPAAcknowleagrrznlN f Il quantity generalor)is We. NunN Day Yam <br /> certify Nal the waste minimizahnnst..a,tiaeminea in 40 CFR 2e2.2I(a)(ill amalarge quantity generator) _ <br /> signal (o ZL 2 <br /> GBneralorslORerOrs Pnnled'"'an Name .: i <br /> 1 0 I r ,•: Pohor eathylexiC <br /> d irarnational Shipments 31re'rho Ds. LjExpor, - Oshe­ngu <br /> Transporter signature(tor expods only(: Monty Oay Yew r <br /> W 17.T_eorler Acknowledgmanl of Receipt or Meledals Signalw r �, }, e21 <br /> e Nam¢ l�a N Mnnm Dav near <br /> �Transp Neri PdmeeRYpe ,. `�.0-F�` 1 <br /> Slgnaluie <br /> - <br /> iTranavoher2Pdmearrrvee nine / <br /> F- QFvll Relaai°n <br /> t <br /> Dlscrapency ❑ ElT,,pa <br /> ❑Reseve ❑Padlal0.ejectlon <br /> 18a.Discrepancy lneication Spall puantity <br /> Manifest Relerence Number: Us.EPAIO Number <br /> 181,.Alternate Facillry(or Generalor) Year <br /> Monty 0ay <br /> J <br /> U <br /> tai Facilit(s Phone'. or Generator) <br /> W 18c.Signature of Alternate Facility( <br /> a <br /> Wdes for hazardous waste IreatmanI disposal,and rerycl'mg systems <br /> 9.Hazardous Waste Repo^Management Method Codes( I¢„ Year <br /> 1 Month Day <br /> 1 Cerlifwtion of rec¢ipt of hazardous malenals wvered by the ms'9natur¢cepl as nQed In Item lea <br /> u 2o.DesignatedFacililyowneroroperaoc GENERATOWSINITIALro" <br /> 1 Penhii-Y—Name <br /> Y t2.1]�PrS.vious editions are obsolete. <br /> EPA FQrrm.81-1- TvP1j, 677 FORM NO.01-90291(0111011) <br /> 111 <br /> _. GENE AToes/NiTi <br /> Gabriela Garcia-Mejia, EHS Page 9 of 9 <br />