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17 Traosperler Acknowledgment of Receipi of Mafertala
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<br />U.S ENO() Nurrter
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<br />6540 S Austin Rd, Stockton, CA 95215
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<br />COLXZWOTE
<br />02/11/2022
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<br />Program: ER
<br />PHOTO 10:
<br />Manifest for the waste drum
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<br />15 GENERATOR SIOFFEROR S CEP TIFICATION: I heroby doebire Mat Ine contents of ha consIgnment are Istey and acturatety desmbed above by tne proper shipping name. ant ate otaaoftd. pass„, 0101,45 and lattelectlplasantool. and are atl respects In pow condmon tar transport accoodmg 40 apptr.bIe internationatand nabonal governmental regutabons II 111:9CRI sh7rtent and am the Pronaty E..yerw certify 4400411*0004401110104 onnsignment conform to Me terms 0040* attached EPA AcknowIedgment of Consent.
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<br />19 Hazattous Waste Report Management Method Codes (i s.,codes for hazardous waste treatment. disposal and recyct,ng systems)
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<br />29 Designated Wily Owner or Operator Certification of receipt ol hazardous mitten* mend by the manitsslonaept as Wed in Item 1 la
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<br />EPA Fyri 8700-22 (Rev 12-17) Previous editions are obsolete DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM
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<br />VICKY VANG-LEE, REHS
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<br />Page 10 of 10
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