Agenda packet — Paso Robles City Council, March 18, 2025 (part 5 of 12)

TC7484275.8s Page 123
C26 PASO ROBLES WELL SITE #5 FINDS 1023256064
Target 1 S RIVER RD N/A
Property PASO ROBLES, CA 93446
Actual:
723 ft.

Focus Map:
5 Site 5 of 7 in cluster C
FINDS:

Registry ID: 110065450906
Click Here for FRS Facility Detail Report:

Environmental Interest/Information System:

The California Environmental Protection Agency (CalEPA) has recently implemented a new data warehouse system (nSite). This data warehouse combines and merges facility and site information from five different systems managed within CalEPA. The five systems are: California Environmental Reporting System (CERS),EnviroStor, GeoTracker, California Integrated Water Quality System (CIWQS), andToxic Release Inventory (TRI).

STAPLES THE OFFICE SUPERSTORE EAST INC STORE 0702 (Continued) 1024841798 Owner/Operator Indicator: Owner
Owner/Operator Name: STAPLES THE OFFICE SUPERSTORE E INC Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 500 STAPLES DR
Owner/Operator City,State,Zip: FRAMINGHAM, MA 01702
Owner/Operator Telephone: 508-253-1498
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Historic Generators:

Receive Date: 20131204
Handler Name: STAPLES THE OFFICE SUPERSTORE EAST INC STORE 0702 Federal Waste Generator Description: Not a generator, verified State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
List of NAICS Codes and Descriptions:

NAICS Code: 45321
NAICS Description: OFFICE SUPPLIES AND STATIONERY STORES Facility Has Received Notices of Violations:

Violations: No Violations Found
Evaluation Action Summary:

Evaluations: No Evaluations Found
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 654 of 1735 ends

TC7484275.8s Page 124
C28 HIDDEN CREEK CIWQS S121643960
Target 80 SOUTH RIVER RD N/A
Property PASO ROBLES, CA 93446
Actual:
725 ft.

Focus Map:
5 Site 7 of 7 in cluster C
CIWQS:

Name: HIDDEN CREEK
Address: 80 SOUTH RIVER RD
City,State,Zip: PASO ROBLES, CA 93446
Agency: Housing Authority of the City of San Luis Obispo Agency Address: 487 Leff St, San Luis Obispo, CA 93401
Place/Project Type: Construction - Other, Utility: sewer water sd, Residential SIC/NAICS: Not reported
Region: 3
Program: CONSTW
Regulatory Measure Status: Terminated
Regulatory Measure Type: Storm water construction
Order Number: 2009-0009-DWQ
WDID: 3 40C357371
C27 PASO ROBLES WELL SITE #5 CUPA Listings S110743573
Target 1 S RIVER RD N/A
Property PASO ROBLES, CA 93446
Actual:
723 ft.

Focus Map:
5 Site 6 of 7 in cluster C
CUPA SAN LUIS OBISPO:

Name: PASO ROBLES WELL SITE #5
Address: 1 S RIVER RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0001683
Program Element Code: 0705
Program Element: STATE SITE SURCHARGE
Record Id: PR0006528
Cross Street: Not reported
Status Code: 02
Status: Inactive, non-billable
Latitude: 35.60710
Longitude: -120.68212
Name: PASO ROBLES WELL SITE #5
Address: 1 S RIVER RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0001683
Program Element Code: 0749
Program Element: HAZMAT DISCLOSURE - EXEMPT FACILITY
Record Id: PR0001683
Cross Street: Not reported
Status Code: 02
Status: Inactive, non-billable
Latitude: 35.60710
Longitude: -120.68212
PASO ROBLES WELL SITE #5 (Continued) 1023256064
Click this hyperlink while viewing on your computer to access additional FINDS: detail in the EDR Site Report.

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 655 of 1735 ends

TC7484275.8s Page 125
D29 PLAZA CLEANERS RCRA NonGen / NLR 1025877711
163 NIBLICK RD CAL000450849
< 1/8 PASO ROBLES, CA 93446
Actual:
709 ft.

Focus Map:
5 0.001 mi.
3 ft. Site 1 of 6 in cluster D
RCRA Listings:

Date Form Received by Agency: 20191122
Handler Name: Plaza Cleaners
Handler Address: 163 NIBLICK RD
Handler City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAL000450849
Contact Name: MARK GOFORTH
Contact Address: 163 NIBLICK RD
Contact City,State,Zip: PASO ROBLES, CA 93446
Contact Telephone: 805-239-7879
Contact Fax: Not reported
Contact Email: Not reported
Contact Title: Not reported
EPA Region: 09
Land Type: Not reported
Federal Waste Generator Description: Not a generator, verified Non-Notifier: Not reported
Biennial Report Cycle: Not reported
Accessibility: Not reported
Active Site Indicator: Not reported
State District Owner: Not reported
State District: Not reported
Mailing Address: 163 NIBLICK RD
Mailing City,State,Zip: PASO ROBLES, CA 93446
Owner Name: Mark Goforth
Owner Type: Other
Operator Name: Mark Goforth
Operator Type: Other
Short-Term Generator Activity: No
Importer Activity: No
Mixed Waste Generator: No
Transporter Activity: No
Transfer Facility Activity: No
Recycler Activity with Storage: No
Small Quantity On-Site Burner Exemption: No
Smelting Melting and Refining Furnace Exemption: No
Underground Injection Control: No
Off-Site Waste Receipt: No
HIDDEN CREEK (Continued) S121643960
NPDES Number: CAS000002
Adoption Date: Not reported
Effective Date: 02/18/2010
Termination Date: 02/24/2012
Expiration/Review Date: Not reported
Design Flow: Not reported
Major/Minor: Not reported
Complexity: Not reported
TTWQ: Not reported
Enforcement Actions within 5 years: 0
Violations within 5 years: 0
Latitude: Not reported
Longitude: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 656 of 1735 ends

TC7484275.8s Page 126
PLAZA CLEANERS (Continued) 1025877711
Universal Waste Indicator: No
Universal Waste Destination Facility: No
Federal Universal Waste: No
Active Site State-Reg Handler: ---
Federal Facility Indicator: Not reported
Hazardous Secondary Material Indicator: N
Sub-Part K Indicator: Not reported
2018 GPRA Permit Baseline: Not on the Baseline
2018 GPRA Renewals Baseline: Not on the Baseline
202 GPRA Corrective Action Baseline: No
Subject to Corrective Action Universe: No
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Corrective Action Priority Ranking: No NCAPS ranking
Environmental Control Indicator: No
Institutional Control Indicator: No
Human Exposure Controls Indicator: N/A
Groundwater Controls Indicator: N/A
Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Addressed Significant Non-Complier Universe: No
Significant Non-Complier With a Compliance Schedule Universe: No Financial Assurance Required: Not reported
Handler Date of Last Change: 20191122
Recognized Trader-Importer: No
Recognized Trader-Exporter: No
Importer of Spent Lead Acid Batteries: No
Exporter of Spent Lead Acid Batteries: No
Recycler Activity Without Storage: No
Manifest Broker: No
Sub-Part P Indicator: No
Handler - Owner Operator:

Owner/Operator Indicator: Owner
Owner/Operator Name: MARK GOFORTH
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 163 NIBLICK RD
Owner/Operator City,State,Zip: PASO ROBLES, CA 93446
Owner/Operator Telephone: 805-239-7879
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Operator
Owner/Operator Name: MARK GOFORTH
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 163 NIBLICK RD
Owner/Operator City,State,Zip: PASO ROBLES, CA 93446
Owner/Operator Telephone: 805-239-7879
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 657 of 1735 ends

TC7484275.8s Page 127
D30 PLAZA CLEANERS EDR Hist Cleaner 1020064105
163 NIBLICK RD N/A
< 1/8 PASO ROBLES, CA 93446
Actual:
709 ft.

Focus Map:
5 0.001 mi.
3 ft. Site 2 of 6 in cluster D
EDR Hist Cleaner
Year: Name: Type:
2000 PLAZA CLNRS Drycleaning Plants, Except Rugs
2001 PLAZA CLNRS Drycleaning Plants, Except Rugs
2002 PLAZA CLNRS Drycleaning Plants, Except Rugs
2003 PLAZA CLNRS Drycleaning Plants, Except Rugs
2004 PLAZA CLNRS Drycleaning Plants, Except Rugs
2005 PLAZA CLNRS Drycleaning Plants, Except Rugs
2006 PLAZA CLNRS Drycleaning Plants, Except Rugs
2007 PLAZA CLEANERS Drycleaning Plants, Except Rugs
2008 PLAZA CLEANERS Drycleaning Plants, Except Rugs
2009 PLAZA CLEANERS Drycleaning Plants, Except Rugs
2010 PLAZA CLEANERS Drycleaning Plants, Except Rugs
2011 PLAZA CLEANERS Drycleaning Plants, Except Rugs
2012 PLAZA CLEANERS Drycleaning Plants, Except Rugs
2013 PLAZA CLEANERS Drycleaning Plants, Except Rugs
2014 PLAZA CLEANERS Drycleaning Plants, Except Rugs
PLAZA CLEANERS (Continued) 1025877711
Historic Generators:

Receive Date: 20191122
Handler Name: PLAZA CLEANERS
Federal Waste Generator Description: Not a generator, verified State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
List of NAICS Codes and Descriptions:

NAICS Code: 812320
NAICS Description: DRYCLEANING AND LAUNDRY SERVICES (EXCEPT COIN-OPERATED) Facility Has Received Notices of Violations:

Violations: No Violations Found
Evaluation Action Summary:

Evaluations: No Evaluations Found
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 658 of 1735 ends

TC7484275.8s Page 128
D32 PLAZA CLEANERS RCRA-SQG 1000819417
163 NIBLICK RD CERS HAZ WASTE CAD983653999
< 1/8 PASO ROBLES, CA 93446 FINDS
Actual:
709 ft.

Focus Map:
5 0.001 mi. ECHO
3 ft. Site 4 of 6 in cluster D CUPA Listings

DRYCLEANERS
EMI
HWTS
HAZNET
CERS
RCRA Listings:

Date Form Received by Agency: 19970418
Handler Name: Plaza Cleaners
Handler Address: 163 NIBLICK RD
Handler City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAD983653999
Contact Name: CHESTER ZINN
Contact Address: 163 NIBLICK RD
Contact City,State,Zip: PASO ROBLES, CA 93446
Contact Telephone: 805-239-7879
Contact Fax: Not reported
Contact Email: Not reported
Contact Title: Not reported
EPA Region: 09
Land Type: Private
Federal Waste Generator Description: Small Quantity Generator D31 PASO ROBLES PHOTO STOP, INC CUPA Listings S110743718 185 NIBLICK RD N/A
< 1/8 PASO ROBLES, CA 93446
Actual:
709 ft.

Focus Map:
5 0.001 mi.
3 ft. Site 3 of 6 in cluster D
CUPA SAN LUIS OBISPO:

Name: PASO ROBLES PHOTO STOP, INC
Address: 185 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0002410
Program Element Code: 0705
Program Element: STATE SITE SURCHARGE
Record Id: PR0006944
Cross Street: Not reported
Status Code: 02
Status: Inactive, non-billable
Latitude: 35.61503
Longitude: -120.68160
Name: PASO ROBLES PHOTO STOP, INC
Address: 185 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0002410
Program Element Code: 1125
Program Element: HAZWASTE GEN (1 WS <27 GAL/MO, SELF REPORTER) Record Id: PR0002410
Cross Street: Not reported
Status Code: 02
Status: Inactive, non-billable
Latitude: 35.61503
Longitude: -120.68160
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 659 of 1735 ends

TC7484275.8s Page 129
PLAZA CLEANERS (Continued) 1000819417
Non-Notifier: Not reported
Biennial Report Cycle: Not reported
Accessibility: Not reported
Active Site Indicator: Handler Activities
State District Owner: Not reported
State District: Not reported
Mailing Address: 163 NIBLICK RD
Mailing City,State,Zip: PASO ROBLES, CA 93446
Owner Name: Chester Zinn
Owner Type: Private
Operator Name: Not reported
Operator Type: Not reported
Short-Term Generator Activity: No
Importer Activity: No
Mixed Waste Generator: No
Transporter Activity: No
Transfer Facility Activity: No
Recycler Activity with Storage: No
Small Quantity On-Site Burner Exemption: No
Smelting Melting and Refining Furnace Exemption: No
Underground Injection Control: No
Off-Site Waste Receipt: No
Universal Waste Indicator: No
Universal Waste Destination Facility: No
Federal Universal Waste: No
Active Site State-Reg Handler: ---
Federal Facility Indicator: Not reported
Hazardous Secondary Material Indicator: NN
Sub-Part K Indicator: Not reported
2018 GPRA Permit Baseline: Not on the Baseline
2018 GPRA Renewals Baseline: Not on the Baseline
202 GPRA Corrective Action Baseline: No
Subject to Corrective Action Universe: No
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Corrective Action Priority Ranking: No NCAPS ranking
Environmental Control Indicator: No
Institutional Control Indicator: No
Human Exposure Controls Indicator: N/A
Groundwater Controls Indicator: N/A
Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Addressed Significant Non-Complier Universe: No
Significant Non-Complier With a Compliance Schedule Universe: No Financial Assurance Required: Not reported
Handler Date of Last Change: 20020627
Recognized Trader-Importer: No
Recognized Trader-Exporter: No
Importer of Spent Lead Acid Batteries: No
Exporter of Spent Lead Acid Batteries: No
Recycler Activity Without Storage: Not reported
Manifest Broker: Not reported
Sub-Part P Indicator: No
Handler - Owner Operator:

Owner/Operator Indicator: Owner
Owner/Operator Name: CHESTER ZINN
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 660 of 1735 ends

TC7484275.8s Page 130
PLAZA CLEANERS (Continued) 1000819417
Legal Status: Private
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 8546 EL CAMINO REAL
Owner/Operator City,State,Zip: ATASCADERO, CA 93422
Owner/Operator Telephone: 805-466-6868
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Historic Generators:

Receive Date: 19970418
Handler Name: PLAZA CLEANERS
Federal Waste Generator Description: Small Quantity Generator State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
List of NAICS Codes and Descriptions:

NAICS Codes: No NAICS Codes Found
Facility Has Received Notices of Violations:

Violations: No Violations Found
Evaluation Action Summary:

Evaluations: No Evaluations Found
CERS HAZ WASTE:

Name: PLAZA CLEANERS
Address: 163 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Site ID: 57937
CERS ID: 10437952
CERS Description: Hazardous Waste Generator
FINDS:

Registry ID: 110002888518
Click Here for FRS Facility Detail Report:

Environmental Interest/Information System:

THE EMISSION INVENTORY SYSTEM (EIS) MAINTAINS AN INVENTORY OF LARGE

STATIONARY SOURCES AND VOLUNTARILY-REPORTED SMALLER SOURCES OF AIR POINT POLLUTANT EMITTERS. IT CONTAINS INFORMATION ABOUT FACILITY SITES

AND THEIR PHYSICAL LOCATION, EMISSIONS UNITS, EMISSIONS PROCESSES, RELEASE POINTS, CONTROL APPROACHES, AND REGULATIONS. FACILITY

INVENTORY DATA ARE KEPT SEPARATE FROM THE EMISSIONS DATA AND HAVE

STABLE IDENTIFIERS TO IMPROVE CONTINUITY FROM YEAR TO YEAR AND TO HELP Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 661 of 1735 ends

TC7484275.8s Page 131
PLAZA CLEANERS (Continued) 1000819417

IDENTIFY DUPLICATE OR MISSING FACILITIES
The Resource Conservation and Recovery Act Information System (RCRAInfo) is EPA’s comprehensive information system in support of the Resource Conservation and Recovery Act (RCRA) of 1976 and the Hazardous and Solid Waste Amendments (HSWA) of 1984. It tracks many types of information about generators, transporters, treaters, storers, and disposers of hazardous waste.

California’s Hazardous Waste Tracking System Data Mart (HWTS-DATAMART) provides information on hazardous waste shipments for generators, transporters, and treatment, storage, and disposal facilities.

Click this hyperlink while viewing on your computer to access additional FINDS: detail in the EDR Site Report.

ECHO:

Envid: 1000819417
Registry ID: 110002888518
DFR URL: http://echo.epa.gov/detailed-facility-report?fid=110002888518 Name: PLAZA CLEANERS
Address: 163 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
CUPA SAN LUIS OBISPO:

Name: PLAZA CLEANERS
Address: 163 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0002340
Program Element Code: 0726
Program Element: HAZMAT DISCLOSURE - 1-4 HAZARDOUS MATERIALS Record Id: PR0006883
Cross Street: Not reported
Status Code: 01
Status: Active, billable
Latitude: 35.61643
Longitude: -120.68265
Name: PLAZA CLEANERS
Address: 163 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0002340
Program Element Code: 1125
Program Element: HAZWASTE GEN (1 WS <27 GAL/MO, SELF REPORTER) Record Id: PR0002340
Cross Street: Not reported
Status Code: 01
Status: Active, billable
Latitude: 35.61643
Longitude: -120.68265
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 662 of 1735 ends

TC7484275.8s Page 132
PLAZA CLEANERS (Continued) 1000819417
DRYCLEANERS:

Name: PLAZA CLEANERS
Address: 163 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
EPA Id: CAL000450849
NAICS Code: 812320
NAICS Description: Drycleaning and Laundry Services (except Coin-Operated) SIC Code: 7211
SIC Description: Power Laundries, Family and Commercial Create Date: 11/22/2019
Facility Active: Yes
Inactive Date: Not reported
Facility Addr2: Not reported
Owner Name: MARK GOFORTH
Owner Address: 8546 EL CAMINO REAL
Owner Address 2: Not reported
Owner Telephone: 8054666868
Contact Name: MARK GOFORTH
Contact Address: 8546 EL CAMINO REAL
Contact Address 2: Not reported
Contact Telephone: 8054415962
Contact Fax: 8052399167
Mailing Name: Not reported
Mailing Address 1: 8546 EL CAMINO REAL
Mailing Address 2: Not reported
Mailing City: ATASCADERO
Mailing State: CA
Mailing Zip: 934220000
Owner Fax: Not reported
Region Code: 1
Latitude: 0
Longitude: 0
DRYCLEAN SAN LUIS OB CO DIST:

Name: PLAZA CLEANERS
Address: 163 NIBLICK ROAD
City,State,Zip: PASO ROBLES, CA 93446
County: Not reported
Telephone: 238-7879
Facility ID: 122
Permit Number: 322
Facility Status: O - Operating
Contact Name: Mark and Sherry Goforth
Owner Name: Mark Goforth
Owner Company: Goforth Enterprises LLC
Owner Address: 4190 Jardine Road
Owner City,State,Zip: Paso Robles, CA 93446
Owner Telephone: 805-441-5962
Owner Email: [email protected]
EMI:

Name: PLAZA CLEANERS
Address: 163 NIBLICK
City,State,Zip: PASO ROBLES, CA 934460000
Year: 1997
County Code: 40
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 663 of 1735 ends

TC7484275.8s Page 133
PLAZA CLEANERS (Continued) 1000819417
Air Basin: SCC
Facility ID: 122
Air District Name: SLO
SIC Code: 7216
Air District Name: SAN LUIS OBISPO COUNTY APCD
Community Health Air Pollution Info System: Not reported Consolidated Emission Reporting Rule: Not reported
Total Organic Hydrocarbon Gases Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
Particulate Matter Tons/Yr: 0
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
Name: PLAZA CLEANERS
Address: 163 NIBLICK
City,State,Zip: PASO ROBLES, CA 934460000
Year: 1998
County Code: 40
Air Basin: SCC
Facility ID: 122
Air District Name: SLO
SIC Code: 7216
Air District Name: SAN LUIS OBISPO COUNTY APCD
Community Health Air Pollution Info System: Not reported Consolidated Emission Reporting Rule: Not reported
Total Organic Hydrocarbon Gases Tons/Yr: 0
Reactive Organic Gases Tons/Yr: 0
Carbon Monoxide Emissions Tons/Yr: 0
NOX - Oxides of Nitrogen Tons/Yr: 0
SOX - Oxides of Sulphur Tons/Yr: 0
Particulate Matter Tons/Yr: 0
Part. Matter 10 Micrometers and Smllr Tons/Yr: 0
HWTS:

Name: PLAZA CLEANERS
Address: 163 NIBLICK RD
Address 2: Not reported
City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAL000450849
Inactive Date: Not reported
Create Date: 11/22/2019
Last Act Date: Not reported
Mailing Name: Not reported
Mailing Address: 8546 EL CAMINO REAL
Mailing Address 2: Not reported
Mailing City,State,Zip: ATASCADERO, CA 934220000
Owner Name: MARK GOFORTH
Owner Address: 8546 EL CAMINO REAL
Owner Address 2: Not reported
Owner City,State,Zip: ATASCADERO, CA 934220000
Owner Phone: Not reported
Owner Fax: Not reported
Contact Name: MARK GOFORTH
Contact Address: 8546 EL CAMINO REAL
Contact Address 2: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 664 of 1735 ends

TC7484275.8s Page 134
PLAZA CLEANERS (Continued) 1000819417
City,State,Zip: ATASCADERO, CA 93422
Contact Phone: Not reported
Contact Fax: Not reported
Facility Status: Active
Facility Type: PERMANENT
Category: STATE
Latitude: 35.61511219
Longitude: -120.6819993
NAICS:

EPA ID: CAL000450849
Create Date: 2019-11-22 13:41:48.323
NAICS Code: 812320
NAICS Description: Drycleaning and Laundry Services (except Coin-Operated) Issued EPA ID Date: 2019-11-22 13:41:48.29300
Inactive Date: Not reported
Facility Name: PLAZA CLEANERS
Facility Address: 163 NIBLICK RD
Facility Address 2: Not reported
Facility City: PASO ROBLES
Facility County: Not reported
Facility State: CA
Facility Zip: 93446
EPA ID: CAL000450849
Create Date: 2019-11-22 13:41:48.323
NAICS Code: 812320
NAICS Description: Drycleaning and Laundry Services (except Coin-Operated) Issued EPA ID Date: 2019-11-22 13:41:48.29300
Inactive Date: Not reported
Facility Name: PLAZA CLEANERS
Facility Address: 163 NIBLICK RD
Facility Address 2: Not reported
Facility City: PASO ROBLES
Facility County: Not reported
Facility State: CA
Facility Zip: 93446
Name: PLAZA CLEANERS
Address: 163 NIBLICK RD
Address 2: Not reported
City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAD983653999
Inactive Date: 06/30/2014
Create Date: 12/01/1992
Last Act Date: Not reported
Mailing Name: Not reported
Mailing Address: 163 NIBLICK RD
Mailing Address 2: Not reported
Mailing City,State,Zip: PASO ROBLES, CA 934460000
Owner Name: MARK GOFORTH
Owner Address: 163 NIBLICK RD
Owner Address 2: Not reported
Owner City,State,Zip: PASO ROBLES, CA 934460000
Owner Phone: Not reported
Owner Fax: Not reported
Contact Name: MARK GOFORTH/OWNER
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 665 of 1735 ends

TC7484275.8s Page 135
PLAZA CLEANERS (Continued) 1000819417
Contact Address: 163 NIBLICK RD
Contact Address 2: Not reported
City,State,Zip: PASO ROBLES, CA 934460000
Contact Phone: Not reported
Contact Fax: Not reported
Facility Status: Inactive
Facility Type: PERMANENT
Category: FEDERAL
Latitude: 35.615181
Longitude: -120.687166
Name: PLAZA CLEANERS
Address: 163 NIBLICK RD
Address 2: Not reported
City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAC001071544
Inactive Date: 10/25/2000
Create Date: 08/21/1995
Last Act Date: Not reported
Mailing Name: Not reported
Mailing Address: 163 NIBLICK RD
Mailing Address 2: Not reported
Mailing City,State,Zip: PASO ROBLES, CA 934460000
Owner Name: JAMES CUTCHIN
Owner Address: Not reported
Owner Address 2: Not reported
Owner City,State,Zip: Not reported
Owner Phone: Not reported
Owner Fax: Not reported
Contact Name: JAMES CUTCHIN
Contact Address: Not reported
Contact Address 2: Not reported
City,State,Zip: 999990000
Contact Phone: Not reported
Contact Fax: Not reported
Facility Status: Inactive
Facility Type: TEMPORARY
Category: STATE
Latitude: 35.615508
Longitude: -120.686698
HAZNET:

Name: PLAZA CLEANERS
Address: 163 NIBLICK RD
Address 2: Not reported
City,State,Zip: PASO ROBLES, CA 934460000
Contact: MARK GOFORTH/OWNER
Telephone: 8054415962
Mailing Name: Not reported
Mailing Address: 163 NIBLICK RD
Year: 1999
Gepaid: CAD983653999
TSD EPA ID: CAT000613976
CA Waste Code: 741 - Liquids with halogenated organic compounds >= 1,000 Mg./L Disposal Method: H01 - Transfer Station
Tons: 0.8275
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 666 of 1735 ends

TC7484275.8s Page 136
PLAZA CLEANERS (Continued) 1000819417
Year: 1999
Gepaid: CAD983653999
TSD EPA ID: CAD981397417
CA Waste Code: 211 - Halogenated solvents (chloroforms, methyl chloride, perchloroethylene, etc)
Disposal Method: R01 - Recycler
Tons: 0.3316
Year: 1998
Gepaid: CAD983653999
TSD EPA ID: CAT000613893
CA Waste Code: 741 - Liquids with halogenated organic compounds >= 1,000 Mg./L Disposal Method: H01 - Transfer Station
Tons: 0.3825
Year: 1998
Gepaid: CAD983653999
TSD EPA ID: CAT000613976
CA Waste Code: 741 - Liquids with halogenated organic compounds >= 1,000 Mg./L Disposal Method: H01 - Transfer Station
Tons: 0.6375
Year: 1997
Gepaid: CAD983653999
TSD EPA ID: CAT000613893
CA Waste Code: 211 - Halogenated solvents (chloroforms, methyl chloride, perchloroethylene, etc)
Disposal Method: H01 - Transfer Station
Tons: 0.3
Year: 1997
Gepaid: CAD983653999
TSD EPA ID: CAT000613893
CA Waste Code: 741 - Liquids with halogenated organic compounds >= 1,000 Mg./L Disposal Method: H01 - Transfer Station
Tons: 0.695
Year: 1996
Gepaid: CAD983653999
TSD EPA ID: CAT000613893
CA Waste Code: 741 - Liquids with halogenated organic compounds >= 1,000 Mg./L Disposal Method: H01 - Transfer Station
Tons: 0.955
Year: 1995
Gepaid: CAD983653999
TSD EPA ID: CAT000613893
CA Waste Code: 741 - Liquids with halogenated organic compounds >= 1,000 Mg./L Disposal Method: H01 - Transfer Station
Tons: 1.7725
Year: 1994
Gepaid: CAD983653999
TSD EPA ID: CAT000613893
CA Waste Code: 741 - Liquids with halogenated organic compounds >= 1,000 Mg./L Disposal Method: -
Tons: 0.1675
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 667 of 1735 ends

TC7484275.8s Page 137
PLAZA CLEANERS (Continued) 1000819417
Year: 1994
Gepaid: CAD983653999
TSD EPA ID: CAT000613893
CA Waste Code: 741 - Liquids with halogenated organic compounds >= 1,000 Mg./L Disposal Method: H01 - Transfer Station
Tons: 1.945
Click this hyperlink while viewing on your computer to access 3 additional CA HAZNET: record(s) in the EDR Site Report.

Additional Info:

Year: 1999
Gen EPA ID: CAD983653999
Shipment Date: 19991012
Creation Date: 5/1/2000 0:00:00
Receipt Date: 19991028
Manifest ID: 99309720
Trans EPA ID: CAR000030841
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD981397417
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 211 - Halogenated solvents (chloroform, methyl chloride, perchloroethylene, etc.

RCRA Code: F002
Meth Code: R01 - Recycler
Quantity Tons: 0.2107
Waste Quantity: 0.25
Quantity Unit: Y
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19991012
Creation Date: 5/1/2000 0:00:00
Receipt Date: 19991028
Manifest ID: 99309720
Trans EPA ID: CAR000030841
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAD981397417
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 211 - Halogenated solvents (chloroform, methyl chloride, perchloroethylene, etc.

RCRA Code: F002
Meth Code: R01 - Recycler
Quantity Tons: 0.1209
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 668 of 1735 ends

TC7484275.8s Page 138
PLAZA CLEANERS (Continued) 1000819417
Waste Quantity: 29
Quantity Unit: G
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19990728
Creation Date: 10/12/1999 0:00:00
Receipt Date: 19990802
Manifest ID: 99034202
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613976
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19990625
Creation Date: 8/24/1999 0:00:00
Receipt Date: 19990630
Manifest ID: 99229996
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: SCD987574647
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613976
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.025
Waste Quantity: 50
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19990528
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 669 of 1735 ends

TC7484275.8s Page 139
PLAZA CLEANERS (Continued) 1000819417
Creation Date: 7/30/1999 0:00:00
Receipt Date: 19990603
Manifest ID: 99221587
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: SCD987574647
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613976
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.03
Waste Quantity: 60
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19990528
Creation Date: 7/30/1999 0:00:00
Receipt Date: 19990603
Manifest ID: 99221587
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: SCD987574647
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613976
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19990505
Creation Date: 7/7/1999 0:00:00
Receipt Date: 19990510
Manifest ID: 98806101
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 670 of 1735 ends

TC7484275.8s Page 140
PLAZA CLEANERS (Continued) 1000819417
TSDF Alt EPA ID: CAT000613976
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19990331
Creation Date: 5/27/1999 0:00:00
Receipt Date: 19990406
Manifest ID: 98792569
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613976
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19990331
Creation Date: 5/27/1999 0:00:00
Receipt Date: 19990406
Manifest ID: 98792569
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613976
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.03
Waste Quantity: 60
Quantity Unit: P
Additional Code 1: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 671 of 1735 ends

TC7484275.8s Page 141
PLAZA CLEANERS (Continued) 1000819417
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19990303
Creation Date: 5/17/1999 0:00:00
Receipt Date: 19990308
Manifest ID: 98862362
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613976
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.03
Waste Quantity: 60
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 1998
Gen EPA ID: CAD983653999
Shipment Date: 19981111
Creation Date: 1/21/1999 0:00:00
Receipt Date: 19981116
Manifest ID: 98562478
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613976
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 672 of 1735 ends

TC7484275.8s Page 142
PLAZA CLEANERS (Continued) 1000819417
Shipment Date: 19981111
Creation Date: 1/21/1999 0:00:00
Receipt Date: 19981116
Manifest ID: 98562478
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613976
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.06
Waste Quantity: 120
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19980821
Creation Date: 11/2/1998 0:00:00
Receipt Date: 19980825
Manifest ID: 98272055
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613976
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19980729
Creation Date: 10/1/1998 0:00:00
Receipt Date: 19980731
Manifest ID: 98170719
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 673 of 1735 ends

TC7484275.8s Page 143
PLAZA CLEANERS (Continued) 1000819417
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19980729
Creation Date: 10/1/1998 0:00:00
Receipt Date: 19980731
Manifest ID: 98170719
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.09
Waste Quantity: 180
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19980529
Creation Date: 8/3/1998 0:00:00
Receipt Date: 19980602
Manifest ID: 98182050
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613976
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.195
Waste Quantity: 390
Quantity Unit: P
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 674 of 1735 ends

TC7484275.8s Page 144
PLAZA CLEANERS (Continued) 1000819417
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19980501
Creation Date: 6/26/1998 0:00:00
Receipt Date: 19980505
Manifest ID: 97366574
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19980304
Creation Date: 4/16/1998 0:00:00
Receipt Date: 19980309
Manifest ID: 97406734
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.06
Waste Quantity: 120
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19980304
Creation Date: 4/16/1998 0:00:00
Receipt Date: 19980309
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 675 of 1735 ends

TC7484275.8s Page 145
PLAZA CLEANERS (Continued) 1000819417
Manifest ID: 97406734
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19980205
Creation Date: 4/16/1998 0:00:00
Receipt Date: 19980210
Manifest ID: 97404271
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.03
Waste Quantity: 60
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 1997
Gen EPA ID: CAD983653999
Shipment Date: 19971211
Creation Date: 7/23/1998 0:00:00
Receipt Date: 19971216
Manifest ID: 97354933
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 676 of 1735 ends

TC7484275.8s Page 146
PLAZA CLEANERS (Continued) 1000819417
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19971113
Creation Date: 7/23/1998 0:00:00
Receipt Date: 19971118
Manifest ID: 97343253
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.06
Waste Quantity: 120
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19971017
Creation Date: 7/23/1998 0:00:00
Receipt Date: 19971021
Manifest ID: 96601021
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 677 of 1735 ends

TC7484275.8s Page 147
PLAZA CLEANERS (Continued) 1000819417
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19970919
Creation Date: 7/23/1998 0:00:00
Receipt Date: 19970923
Manifest ID: 96842254
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19970919
Creation Date: 7/23/1998 0:00:00
Receipt Date: 19970923
Manifest ID: 96842254
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.02
Waste Quantity: 40
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19970820
Creation Date: 12/11/1997 0:00:00
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 678 of 1735 ends

TC7484275.8s Page 148
PLAZA CLEANERS (Continued) 1000819417
Receipt Date: 19970825
Manifest ID: 96762669
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.03
Waste Quantity: 60
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19970723
Creation Date: 12/4/1997 0:00:00
Receipt Date: 19970728
Manifest ID: 96608022
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.195
Waste Quantity: 390
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19970402
Creation Date: 6/26/1997 0:00:00
Receipt Date: 19970407
Manifest ID: 96818245
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 679 of 1735 ends

TC7484275.8s Page 149
PLAZA CLEANERS (Continued) 1000819417
TSDF Alt Name: Not reported
Waste Code Description: 211 - Halogenated solvents (chloroform, methyl chloride, perchloroethylene, etc.

RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.105
Waste Quantity: 210
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19970402
Creation Date: 6/26/1997 0:00:00
Receipt Date: 19970407
Manifest ID: 96818245
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 211 - Halogenated solvents (chloroform, methyl chloride, perchloroethylene, etc.

RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.195
Waste Quantity: 390
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19970109
Creation Date: 5/20/1997 0:00:00
Receipt Date: 19970110
Manifest ID: 96469226
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 680 of 1735 ends

TC7484275.8s Page 150
PLAZA CLEANERS (Continued) 1000819417
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 1996
Gen EPA ID: CAD983653999
Shipment Date: 19960918
Creation Date: 5/21/1997 0:00:00
Receipt Date: 19960919
Manifest ID: 96510665
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19960627
Creation Date: 5/30/1997 0:00:00
Receipt Date: 19960628
Manifest ID: 96097861
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 681 of 1735 ends

TC7484275.8s Page 151
PLAZA CLEANERS (Continued) 1000819417
Shipment Date: 19960627
Creation Date: 5/30/1997 0:00:00
Receipt Date: 19960628
Manifest ID: 96097861
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.07
Waste Quantity: 140
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19960530
Creation Date: 5/30/1997 0:00:00
Receipt Date: 19960603
Manifest ID: 96140711
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19960501
Creation Date: 10/16/1996 0:00:00
Receipt Date: 19960503
Manifest ID: 96087565
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 682 of 1735 ends

TC7484275.8s Page 152
PLAZA CLEANERS (Continued) 1000819417
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19960501
Creation Date: 10/16/1996 0:00:00
Receipt Date: 19960503
Manifest ID: 96087565
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.035
Waste Quantity: 70
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19960306
Creation Date: 10/16/1996 0:00:00
Receipt Date: 19960307
Manifest ID: 96255729
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.195
Waste Quantity: 390
Quantity Unit: P
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 683 of 1735 ends

TC7484275.8s Page 153
PLAZA CLEANERS (Continued) 1000819417
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19960206
Creation Date: 10/10/1996 0:00:00
Receipt Date: 19960208
Manifest ID: 95964657
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.07
Waste Quantity: 140
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19960110
Creation Date: 9/18/1996 0:00:00
Receipt Date: 19960112
Manifest ID: 95829759
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.195
Waste Quantity: 390
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 1995
Gen EPA ID: CAD983653999
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 684 of 1735 ends

TC7484275.8s Page 154
PLAZA CLEANERS (Continued) 1000819417
Shipment Date: 19951213
Creation Date: 7/26/1996 0:00:00
Receipt Date: 19951214
Manifest ID: 95812981
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19951116
Creation Date: 7/26/1996 0:00:00
Receipt Date: 19951120
Manifest ID: 95773306
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.1
Waste Quantity: 200
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19951116
Creation Date: 7/26/1996 0:00:00
Receipt Date: 19951120
Manifest ID: 95773306
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 685 of 1735 ends

TC7484275.8s Page 155
PLAZA CLEANERS (Continued) 1000819417
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.195
Waste Quantity: 390
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19951019
Creation Date: 7/26/1996 0:00:00
Receipt Date: 19951020
Manifest ID: 93774497
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19950824
Creation Date: 4/1/1996 0:00:00
Receipt Date: 19950825
Manifest ID: 95558419
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.195
Waste Quantity: 390
Quantity Unit: P
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 686 of 1735 ends

TC7484275.8s Page 156
PLAZA CLEANERS (Continued) 1000819417
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19950728
Creation Date: 3/29/1996 0:00:00
Receipt Date: 19950801
Manifest ID: 95633710
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19950629
Creation Date: 4/2/1996 0:00:00
Receipt Date: 19950703
Manifest ID: 95430858
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.035
Waste Quantity: 70
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19950629
Creation Date: 4/2/1996 0:00:00
Receipt Date: 19950703
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 687 of 1735 ends

TC7484275.8s Page 157
PLAZA CLEANERS (Continued) 1000819417
Manifest ID: 95430858
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19950602
Creation Date: 4/2/1996 0:00:00
Receipt Date: 19950606
Manifest ID: 93683561
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.195
Waste Quantity: 390
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19950602
Creation Date: 4/2/1996 0:00:00
Receipt Date: 19950606
Manifest ID: 93683561
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 688 of 1735 ends

TC7484275.8s Page 158
PLAZA CLEANERS (Continued) 1000819417
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.07
Waste Quantity: 140
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 1994
Gen EPA ID: CAD983653999
Shipment Date: 19941222
Creation Date: 3/28/1996 0:00:00
Receipt Date: 19941227
Manifest ID: 95037539
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.035
Waste Quantity: 70
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19941222
Creation Date: 3/28/1996 0:00:00
Receipt Date: 19941227
Manifest ID: 95037539
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.195
Waste Quantity: 390
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 689 of 1735 ends

TC7484275.8s Page 159
PLAZA CLEANERS (Continued) 1000819417
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19941122
Creation Date: 3/28/1996 0:00:00
Receipt Date: 19941129
Manifest ID: 95028108
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19941026
Creation Date: 3/28/1996 0:00:00
Receipt Date: 19941027
Manifest ID: 93798646
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.07
Waste Quantity: 140
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19941026
Creation Date: 3/28/1996 0:00:00
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 690 of 1735 ends

TC7484275.8s Page 160
PLAZA CLEANERS (Continued) 1000819417
Receipt Date: 19941027
Manifest ID: 93798646
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.195
Waste Quantity: 390
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19940930
Creation Date: 3/26/1996 0:00:00
Receipt Date: 19941003
Manifest ID: 95058556
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19940930
Creation Date: 3/26/1996 0:00:00
Receipt Date: 19941003
Manifest ID: 95058556
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 691 of 1735 ends

TC7484275.8s Page 161
PLAZA CLEANERS (Continued) 1000819417
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.035
Waste Quantity: 70
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19940829
Creation Date: 3/26/1996 0:00:00
Receipt Date: 19940831
Manifest ID: 93795404
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.195
Waste Quantity: 390
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19940801
Creation Date: 3/26/1996 0:00:00
Receipt Date: 19940803
Manifest ID: 93678829
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 692 of 1735 ends

TC7484275.8s Page 162
PLAZA CLEANERS (Continued) 1000819417
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19940801
Creation Date: 3/26/1996 0:00:00
Receipt Date: 19940803
Manifest ID: 93678829
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.07
Waste Quantity: 140
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 1993
Gen EPA ID: CAD983653999
Shipment Date: 19931221
Creation Date: 9/14/1995 0:00:00
Receipt Date: 19931222
Manifest ID: 93021186
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.1325
Waste Quantity: 265
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19931123
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 693 of 1735 ends

TC7484275.8s Page 163
PLAZA CLEANERS (Continued) 1000819417
Creation Date: 9/14/1995 0:00:00
Receipt Date: 19931129
Manifest ID: 93118188
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.1325
Waste Quantity: 265
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19931029
Creation Date: 9/12/1995 0:00:00
Receipt Date: Not reported
Manifest ID: 93086447
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: - Not reported
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19930928
Creation Date: 9/13/1995 0:00:00
Receipt Date: 19930930
Manifest ID: 93035786
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 694 of 1735 ends

TC7484275.8s Page 164
PLAZA CLEANERS (Continued) 1000819417
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.1675
Waste Quantity: 335
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19930831
Creation Date: 9/12/1995 0:00:00
Receipt Date: 19930903
Manifest ID: 93032687
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19930803
Creation Date: 9/11/1995 0:00:00
Receipt Date: 19930806
Manifest ID: 93225095
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 695 of 1735 ends

TC7484275.8s Page 165
PLAZA CLEANERS (Continued) 1000819417
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19930707
Creation Date: 9/11/1995 0:00:00
Receipt Date: 19930712
Manifest ID: 92622606
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: CAT000613893
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.1325
Waste Quantity: 265
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19930608
Creation Date: 3/28/1996 0:00:00
Receipt Date: 19930611
Manifest ID: 92624466
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: - Not reported
Quantity Tons: 0.0975
Waste Quantity: 195
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19930608
Creation Date: 3/28/1996 0:00:00
Receipt Date: 19930611
Manifest ID: 92624466
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 696 of 1735 ends

TC7484275.8s Page 166
PLAZA CLEANERS (Continued) 1000819417
Trans EPA ID: ILD984908202
Trans Name: Not reported
Trans 2 EPA ID: ILD984908202
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H01 - Transfer Station
Quantity Tons: 0
Waste Quantity: 0
Quantity Unit: Not reported
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 19930513
Creation Date: 9/8/1995 0:00:00
Receipt Date: 19930521
Manifest ID: 92389217
Trans EPA ID: ILD051060408
Trans Name: Not reported
Trans 2 EPA ID: ILD051060408
Trans 2 Name: Not reported
TSDF EPA ID: CAT000613893
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 741 - Liquids with halogenated organic compounds > 1000 mg/l RCRA Code: F002
Meth Code: H01 - Transfer Station
Quantity Tons: 0.1325
Waste Quantity: 265
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
CERS:

Name: PLAZA CLEANERS
Address: 163 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Site ID: 57937
CERS ID: 10437952
CERS Description: Chemical Storage Facilities
Violations:

Site ID: 57937
Site Name: PLAZA CLEANERS
Violation Date: 12-09-2021
Citation: 22 CCR 12 66262.40(a) - California Code of Regulations, Title 22, Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 697 of 1735 ends

TC7484275.8s Page 167
PLAZA CLEANERS (Continued) 1000819417
Chapter 12, Section(s) 66262.40(a)
Violation Description: Failure to keep a copy of each properly signed manifest for at least three years from the date the waste was accepted by the initial transporter. The manifest signed at the time the waste was accepted for transport shall be kept until receiving a signed copy from the designated facility which received the waste.

Violation Notes: Returned to compliance on 05/14/2022. Facility has not submitted hazardous waste manifests for the 2020 calendar year. Annual submission of waste manifests to this Agency is a condition of the Conditionally Exempt Small Quantity Generator program and a requirement to remain eligible for this program. Submit hazardous waste manifests from 2020 for DF-2000 disposal to your inspector at [email protected] within 30 days.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HW
Violation Source: CERS,
Site ID: 57937
Site Name: PLAZA CLEANERS
Violation Date: 09-19-2017
Citation: HSC 6.95 25505(a)(4) - California Health and Safety Code, Chapter

6.95, Section(s) 25505(a)(4)
Violation Description: Failure to provide initial and annual training to all employees in safety procedures in the event of a release or threatened release of a hazardous material or failure to document and maintain training records for a minimum of three years.

Violation Notes: Returned to compliance on 09/28/2017. Conduct annual employee training on hazard communication and emergency response plan. Document training with an employee sign-in sheet and send a copy to your inspector at [email protected] by 10/19/2017.

6.95, Section(s) 25508(a)(1)
Violation Description: Failure to complete and electronically submit a site map with all required content.

Violation Notes: Returned to compliance on 11/09/2016. Please upload or email me an updated site map.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Site ID: 57937
Site Name: PLAZA CLEANERS
Violation Date: 09-19-2017
Citation: 22 CCR 12 66262.12 - California Code of Regulations, Title 22, Chapter 12, Section(s) 66262.12
Violation Description: Failure to obtain an Identification Number prior to treating, storing, disposing of, transporting or offering for transportation any hazardous waste.

Violation Notes: Returned to compliance on 12/05/2017. Immediately re-activate EPA ID number.

Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 698 of 1735 ends

TC7484275.8s Page 168
PLAZA CLEANERS (Continued) 1000819417
Violation Division: San Luis Obispo County Environmental Health Violation Program: HW
Violation Source: CERS,
Site ID: 57937
Site Name: PLAZA CLEANERS
Violation Date: 09-15-2016
Citation: HSC 6.95 25508(a)(1) - California Health and Safety Code, Chapter

6.95, Section(s) 25508(a)(1)
Violation Description: Failure to complete and electronically submit hazardous material inventory information for all reportable hazardous materials on site at or above reportable quantities.

Violation Notes: Returned to compliance on 11/09/2016. Please update your chemical inventory. Perc no longer used.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Site ID: 57937
Site Name: PLAZA CLEANERS
Violation Date: 05-06-2014
Citation: HSC 6.95 25505(a) - California Health and Safety Code, Chapter 6.95, Section(s) 25505(a)
Violation Description: Owner/Operator failed to complete and/or submit a Hazardous Materials Business Plan when storing hazardous materials at or above the thresholds quantities of 55 gallons/500 lbs/200 cubic feet.

Violation Notes: Returned to compliance on 05/15/2014.

6.95, Section(s) 25508(a)(1)
Violation Description: Failure to complete and electronically submit a business plan when storing/handling a hazardous material at or above reportable quantities.

Violation Notes: Returned to compliance on 11/09/2016. Please change the date in the "Certification" tab of the Form S Owner Operator page to the current year (this is required annually at all sites).

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Site ID: 57937
Site Name: PLAZA CLEANERS
Violation Date: 11-21-2018
Citation: HSC 6.95 25505(a)(4) - California Health and Safety Code, Chapter

Violation Notes: Returned to compliance on 12/19/2018. Conduct annual employee training on hazard communication and emergency response plan. Document training Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 699 of 1735 ends

TC7484275.8s Page 169
PLAZA CLEANERS (Continued) 1000819417
with an employee sign-in sheet and send a copy to your inspector at [email protected] by 12/21/2018.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Evaluation:

Eval General Type: Compliance Evaluation Inspection
Eval Date: 05-06-2014
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-04-2015
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Thank you.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 12-09-2021
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for Angelica Plasconcia.

Page 700 of 1735 ends

TC7484275.8s Page 170
PLAZA CLEANERS (Continued) 1000819417
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-27-2016
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 09-19-2017
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not reviewed during inspection. Business Plan update in progress.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 09-28-2017
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 12-08-2020
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for Magaly Aguilar.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 01-03-2019
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: 2018 manifest review for CESQG facility.

Page 701 of 1735 ends

TC7484275.8s Page 171
PLAZA CLEANERS (Continued) 1000819417
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 07-15-2020
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Reviewing CESQG form and manifests.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 09-15-2016
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 09-19-2017
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 11-09-2016
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 11-21-2018
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Business Plan update in progress. Immediately re-activate CAL EPA ID number at www.dtsc.ca.gov/IDManifest/ReactivateID.com via email and CC your inspector at [email protected].

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 11-26-2019
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection.

Eval Division: San Luis Obispo County Environmental Health Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 702 of 1735 ends

TC7484275.8s Page 172
PLAZA CLEANERS (Continued) 1000819417
Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 12-09-2022
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for Angelica Plasconcia.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 05-15-2014
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 05-26-2022
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Violation corrected. Received haz waste manifest. Owner states manifest was faxed previously. Fax likely not received due to broken EHS fax machine.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-04-2015
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Coordinates:

Site ID: 57937
Facility Name: PLAZA CLEANERS
Env Int Type Code: HMBP
Program ID: 10437952
Coord Name: Not reported
Ref Point Type Desc: Center of a facility or station.,
Latitude: 35.615080
Longitude: -120.681900
Affiliation:

Affiliation Type Desc: Environmental Contact
Entity Name: CHESTER ZINN
Entity Title: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 703 of 1735 ends

TC7484275.8s Page 173
PLAZA CLEANERS (Continued) 1000819417
Affiliation Address: 163 NIBLICK ROAD
Affiliation City: PASOROBLES
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Operator
Entity Name: Mark Goforth
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: (805) 239-7879,
Affiliation Type Desc: Environmental Contact
Entity Name: Mark Goforth
Entity Title: Not reported
Affiliation Address: 4190 jardine rd
Affiliation City: paso robles
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 93446
Affiliation Phone: ,
Affiliation Type Desc: Document Preparer
Entity Name: Mark Goforth
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Parent Corporation
Entity Name: PLAZA CLEANERS
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: CUPA District
Entity Name: SLO County Env Health
Entity Title: Not reported
Affiliation Address: 2156 Sierra Way
Affiliation City: San Luis Obispo
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 93406
Affiliation Phone: (805) 781-5544,
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 704 of 1735 ends

TC7484275.8s Page 174
PLAZA CLEANERS (Continued) 1000819417
Affiliation Type Desc: Facility Mailing Address
Entity Name: Mailing Address
Entity Title: Not reported
Affiliation Address: 4190 Jardine Rd
Affiliation City: PASO ROBLES
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 93446
Affiliation Phone: ,
Affiliation Type Desc: Identification Signer
Entity Name: Mark Goforth
Entity Title: Owner
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Legal Owner
Entity Name: GOFORTH, MARK
Entity Title: Not reported
Affiliation Address: 4190 Jardine Rd
Affiliation City: PASO ROBLES
Affiliation State: CA
Affiliation Country: United States
Affiliation Zip: 93446
Affiliation Phone: (805) 441-5962,
Name: PLAZA CLEANERS
Address: 163 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Site ID: 57937
CERS ID: 110002888518
CERS Description: US EPA Air Emission Inventory System (EIS) Violations:

Site ID: 57937
Site Name: PLAZA CLEANERS
Violation Date: 12-09-2021
Citation: 22 CCR 12 66262.40(a) - California Code of Regulations, Title 22, Chapter 12, Section(s) 66262.40(a)
Violation Description: Failure to keep a copy of each properly signed manifest for at least three years from the date the waste was accepted by the initial transporter. The manifest signed at the time the waste was accepted for transport shall be kept until receiving a signed copy from the designated facility which received the waste.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HW
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 705 of 1735 ends

TC7484275.8s Page 175
PLAZA CLEANERS (Continued) 1000819417
Violation Source: CERS,
Site ID: 57937
Site Name: PLAZA CLEANERS
Violation Date: 09-19-2017
Citation: HSC 6.95 25505(a)(4) - California Health and Safety Code, Chapter

6.95, Section(s) 25508(a)(1)
Violation Description: Failure to complete and electronically submit a site map with all required content.

Violation Notes: Returned to compliance on 11/09/2016. Please upload or email me an updated site map.

Violation Notes: Returned to compliance on 12/05/2017. Immediately re-activate EPA ID number.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HW
Violation Source: CERS,
Site ID: 57937
Site Name: PLAZA CLEANERS
Violation Date: 09-15-2016
Citation: HSC 6.95 25508(a)(1) - California Health and Safety Code, Chapter

Violation Notes: Returned to compliance on 11/09/2016. Please update your chemical inventory. Perc no longer used.

Violation Division: San Luis Obispo County Environmental Health Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 706 of 1735 ends

TC7484275.8s Page 176
PLAZA CLEANERS (Continued) 1000819417
Violation Program: HMRRP
Violation Source: CERS,
Site ID: 57937
Site Name: PLAZA CLEANERS
Violation Date: 05-06-2014
Citation: HSC 6.95 25505(a) - California Health and Safety Code, Chapter 6.95, Section(s) 25505(a)
Violation Description: Owner/Operator failed to complete and/or submit a Hazardous Materials Business Plan when storing hazardous materials at or above the thresholds quantities of 55 gallons/500 lbs/200 cubic feet.

Violation Notes: Returned to compliance on 05/15/2014.

6.95, Section(s) 25508(a)(1)
Violation Description: Failure to complete and electronically submit a business plan when storing/handling a hazardous material at or above reportable quantities.

Violation Notes: Returned to compliance on 12/19/2018. Conduct annual employee training on hazard communication and emergency response plan. Document training with an employee sign-in sheet and send a copy to your inspector at [email protected] by 12/21/2018.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Evaluation:

Eval General Type: Compliance Evaluation Inspection
Eval Date: 05-06-2014
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 707 of 1735 ends

TC7484275.8s Page 177
PLAZA CLEANERS (Continued) 1000819417
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-04-2015
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Thank you.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 12-09-2021
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for Angelica Plasconcia.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 12-09-2021
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 12-09-2022
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 12-11-2017
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-27-2016
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 09-19-2017
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 708 of 1735 ends

TC7484275.8s Page 178
PLAZA CLEANERS (Continued) 1000819417
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not reviewed during inspection. Business Plan update in progress.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 05-06-2014
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 07-15-2020
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Reviewing CESQG form and manifests.

Page 709 of 1735 ends

TC7484275.8s Page 179
PLAZA CLEANERS (Continued) 1000819417
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 09-19-2017
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 11-09-2016
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 11-21-2018
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Business Plan update in progress. Immediately re-activate CAL EPA ID number at www.dtsc.ca.gov/IDManifest/ReactivateID.com via email and CC your inspector at [email protected].

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 12-09-2022
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for Angelica Plasconcia.

Page 710 of 1735 ends

TC7484275.8s Page 180
PLAZA CLEANERS (Continued) 1000819417
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 05-26-2022
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Violation corrected. Received haz waste manifest. Owner states manifest was faxed previously. Fax likely not received due to broken EHS fax machine.

Affiliation Type Desc: Environmental Contact
Entity Name: CHESTER ZINN
Entity Title: Not reported
Affiliation Address: 163 NIBLICK ROAD
Affiliation City: PASOROBLES
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Operator
Entity Name: Mark Goforth
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: (805) 239-7879,
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 711 of 1735 ends

TC7484275.8s Page 181
PLAZA CLEANERS (Continued) 1000819417
Affiliation Type Desc: Environmental Contact
Entity Name: Mark Goforth
Entity Title: Not reported
Affiliation Address: 4190 jardine rd
Affiliation City: paso robles
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 93446
Affiliation Phone: ,
Affiliation Type Desc: Document Preparer
Entity Name: Mark Goforth
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Parent Corporation
Entity Name: PLAZA CLEANERS
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: CUPA District
Entity Name: SLO County Env Health
Entity Title: Not reported
Affiliation Address: 2156 Sierra Way
Affiliation City: San Luis Obispo
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 93406
Affiliation Phone: (805) 781-5544,
Affiliation Type Desc: Facility Mailing Address
Entity Name: Mailing Address
Entity Title: Not reported
Affiliation Address: 4190 Jardine Rd
Affiliation City: PASO ROBLES
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 93446
Affiliation Phone: ,
Affiliation Type Desc: Identification Signer
Entity Name: Mark Goforth
Entity Title: Owner
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 712 of 1735 ends

TC7484275.8s Page 182
E33 J C PENNY STORE #2755 RCRA NonGen / NLR 1024817758
120 NIBLICK RD CAL000322578
< 1/8 PASO ROBLES, CA 93446
Actual:
702 ft.

Focus Map:
5 0.001 mi.
3 ft. Site 1 of 7 in cluster E
RCRA Listings:

Date Form Received by Agency: 20070724
Handler Name: J C Penny Store #2755
Handler Address: 120 NIBLICK RD
Handler City,State,Zip: PASO ROBLES, CA 93446-4842
EPA ID: CAL000322578
Contact Name: STEVE GREEN
Contact Address: 6501 LEGACY DRIVE
Contact City,State,Zip: PLANO, TX 75024
Contact Telephone: 972-431-3177
Contact Fax: 972-531-3177
Contact Email: [email protected]
Contact Title: Not reported
EPA Region: 09
Land Type: Not reported
Federal Waste Generator Description: Not a generator, verified Non-Notifier: Not reported
Biennial Report Cycle: Not reported
Accessibility: Not reported
Active Site Indicator: Handler Activities
State District Owner: Not reported
State District: Not reported
Mailing Address: 6501 LEGACY DR
Mailing City,State,Zip: PLANO, TX 75024-3612
Owner Name: Jcpenney Costa Comm College Dist
Owner Type: Other
Operator Name: Steve Green
Operator Type: Other
Short-Term Generator Activity: No
Importer Activity: No
Mixed Waste Generator: No
Transporter Activity: No
Transfer Facility Activity: No
Recycler Activity with Storage: No
Small Quantity On-Site Burner Exemption: No
Smelting Melting and Refining Furnace Exemption: No
Underground Injection Control: No
Off-Site Waste Receipt: No
PLAZA CLEANERS (Continued) 1000819417
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Legal Owner
Entity Name: GOFORTH, MARK
Entity Title: Not reported
Affiliation Address: 4190 Jardine Rd
Affiliation City: PASO ROBLES
Affiliation State: CA
Affiliation Country: United States
Affiliation Zip: 93446
Affiliation Phone: (805) 441-5962,
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 713 of 1735 ends

TC7484275.8s Page 183
J C PENNY STORE #2755 (Continued) 1024817758
Universal Waste Indicator: Yes
Universal Waste Destination Facility: Yes
Federal Universal Waste: No
Active Site State-Reg Handler: ---
Federal Facility Indicator: Not reported
Hazardous Secondary Material Indicator: N
Sub-Part K Indicator: Not reported
2018 GPRA Permit Baseline: Not on the Baseline
2018 GPRA Renewals Baseline: Not on the Baseline
202 GPRA Corrective Action Baseline: No
Subject to Corrective Action Universe: No
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Corrective Action Priority Ranking: No NCAPS ranking
Environmental Control Indicator: No
Institutional Control Indicator: No
Human Exposure Controls Indicator: N/A
Groundwater Controls Indicator: N/A
Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Addressed Significant Non-Complier Universe: No
Significant Non-Complier With a Compliance Schedule Universe: No Financial Assurance Required: Not reported
Handler Date of Last Change: 20180905
Recognized Trader-Importer: No
Recognized Trader-Exporter: No
Importer of Spent Lead Acid Batteries: No
Exporter of Spent Lead Acid Batteries: No
Recycler Activity Without Storage: No
Manifest Broker: No
Sub-Part P Indicator: No
Handler - Owner Operator:

Owner/Operator Indicator: Owner
Owner/Operator Name: JCPENNEY COSTA COMM COLLEGE DIST
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 6501 LEGACY DR
Owner/Operator City,State,Zip: PLANO, TX 75024-3612
Owner/Operator Telephone: 972-431-3177
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Operator
Owner/Operator Name: STEVE GREEN
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 6501 LEGACY DRIVE
Owner/Operator City,State,Zip: PLANO, TX 75024
Owner/Operator Telephone: 972-431-3177
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 714 of 1735 ends

TC7484275.8s Page 184
E34 HARRINGTON DDS, DOUG CUPA Listings S120703351
118 NIBLICK RD N/A
< 1/8 PASO ROBLES, CA 93446
Actual:
702 ft.

Focus Map:
5 0.001 mi.
3 ft. Site 2 of 7 in cluster E
CUPA SAN LUIS OBISPO:

Name: HARRINGTON DDS, DOUG
Address: 118 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0012764
Program Element Code: 1125
Program Element: HAZWASTE GEN (1 WS <27 GAL/MO, SELF REPORTER) Record Id: PR0018264
Cross Street: Not reported
Status Code: 01
Status: Active, billable
Latitude: Not reported
Longitude: Not reported
J C PENNY STORE #2755 (Continued) 1024817758
Historic Generators:

Receive Date: 20070724
Handler Name: J C PENNY STORE #2755
Federal Waste Generator Description: Not a generator, verified State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
List of NAICS Codes and Descriptions:

NAICS Code: 45211
NAICS Description: DEPARTMENT STORES
Facility Has Received Notices of Violations:

Violations: No Violations Found
Evaluation Action Summary:

Evaluations: No Evaluations Found
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 715 of 1735 ends

TC7484275.8s Page 185
E37 J C PENNY STORE #2755 CUPA Listings S113148726
120 NIBLICK RD HWTS N/A
< 1/8 PASO ROBLES, CA 93446 HAZNET
Actual:
702 ft.

Focus Map:
5 0.001 mi.
3 ft. Site 5 of 7 in cluster E
CUPA SAN LUIS OBISPO:

Name: JC PENNEY #2755
Address: 120 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0007787
Program Element Code: 0705
Program Element: STATE SITE SURCHARGE
Record Id: PR0015494
Cross Street: Not reported
Status Code: 02
Status: Inactive, non-billable
Latitude: 35.61235
E36 CHIPOTLE MEXICAN GRILL #2260 CUPA Listings S118397413 98 NIBLICK RD N/A
< 1/8 PASO ROBLES, CA 93446
Actual:
702 ft.

Focus Map:
5 0.001 mi.
3 ft. Site 4 of 7 in cluster E
CUPA SAN LUIS OBISPO:

Name: CHIPOTLE MEXICAN GRILL #2260
Address: 98 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0012033
Program Element Code: 0726
Program Element: HAZMAT DISCLOSURE - 1-4 HAZARDOUS MATERIALS Record Id: PR0017426
Cross Street: Not reported
Status Code: 02
Status: Inactive, non-billable
Latitude: 35.61508
Longitude: -120.68534
E35 AT&T AUTHORIZED DEALER CUPA Listings S117845622
92 NIBLICK RD N/A
< 1/8 PASO ROBLES, CA 93446
Actual:
702 ft.

Focus Map:
5 0.001 mi.
3 ft. Site 3 of 7 in cluster E
CUPA SAN LUIS OBISPO:

Name: AT&T AUTHORIZED DEALER
Address: 92 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0007799
Program Element Code: 1110
Program Element: UNIV WASTE GENERATOR (CESQUWG)
Record Id: PR0011887
Cross Street: Not reported
Status Code: 02
Status: Inactive, non-billable
Latitude: Not reported
Longitude: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 716 of 1735 ends

TC7484275.8s Page 186
J C PENNY STORE #2755 (Continued) S113148726
Longitude: -120.68425
Name: JC PENNEY #2755
Address: 120 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0007787
Program Element Code: 0711
Program Element: HAZMAT DISCLOSURE/WASTE GEN ONLY > TQ
Record Id: PR0015446
Cross Street: Not reported
Status Code: 02
Status: Inactive, non-billable
Latitude: 35.61235
Longitude: -120.68425
Name: JC PENNEY #2755
Address: 120 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0007787
Program Element Code: 1126
Program Element: HAZWASTE GEN (1-5 WASTE STREAMS)
Record Id: PR0011875
Cross Street: Not reported
Status Code: 02
Status: Inactive, non-billable
Latitude: 35.61235
Longitude: -120.68425
HWTS:

Name: J C PENNY STORE #2755
Address: 120 NIBLICK RD
Address 2: Not reported
City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAL000322578
Inactive Date: Not reported
Create Date: 07/24/2007
Last Act Date: Not reported
Mailing Name: Not reported
Mailing Address: 2401 S STEMMONS FREEWAY
Mailing Address 2: Not reported
Mailing City,State,Zip: LEWISVILLE, TX 75067
Owner Name: JCPENNEY CO INC #2414
Owner Address: PO BOX 45057
Owner Address 2: Not reported
Owner City,State,Zip: SALT LAKE CITY, UT 841450057
Owner Phone: Not reported
Owner Fax: Not reported
Contact Name: SCOTT F SMITH
Contact Address: 2401 S STEMMONS FREEWAY
Contact Address 2: Not reported
City,State,Zip: LEWISVILLE, TX 75067
Contact Phone: Not reported
Contact Fax: Not reported
Facility Status: Active
Facility Type: PERMANENT
Category: STATE
Latitude: 35.615106
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 717 of 1735 ends

TC7484275.8s Page 187
J C PENNY STORE #2755 (Continued) S113148726
Longitude: -120.687734
NAICS:

EPA ID: CAL000322578
Create Date: 2007-07-24 14:29:41.313
NAICS Code: 45211
NAICS Description: Department Stores
Issued EPA ID Date: 2007-07-24 14:29:41.29700
Inactive Date: Not reported
Facility Name: J C PENNY STORE #2755
Facility Address: 120 NIBLICK RD
Facility Address 2: Not reported
Facility City: PASO ROBLES
Facility County: Not reported
Facility State: CA
Facility Zip: 934464842
HAZNET:

Name: J C PENNY STORE #2755
Address: 120 NIBLICK RD
Address 2: Not reported
City,State,Zip: PASO ROBLES, CA 934464842
Contact: SCOTT F SMITH
Telephone: 9724317921
Mailing Name: Not reported
Mailing Address: 2401 S STEMMONS FREEWAY
Year: 2020
Gepaid: CAL000322578
TSD EPA ID: AZD081705402
CA Waste Code: 141 - Off-specification, aged or surplus inorganics Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.04
Year: 2020
Gepaid: CAL000322578
TSD EPA ID: AZD081705402
CA Waste Code: 791 - Liquids with pH <= 2
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.0075
Year: 2020
Gepaid: CAL000322578
TSD EPA ID: AZD081705402
CA Waste Code: 331 - Off-specification, aged or surplus organics Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.241
Year: 2020
Gepaid: CAL000322578
TSD EPA ID: AZD081705402
CA Waste Code: 214 - Unspecified solvent mixture
Disposal Method: H061 - Fuel Blending Prior To Energy Recovery At Another Site Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 718 of 1735 ends

TC7484275.8s Page 188
J C PENNY STORE #2755 (Continued) S113148726
Tons: 0.015
Year: 2020
Gepaid: CAL000322578
TSD EPA ID: AZD081705402
CA Waste Code: 331 - Off-specification, aged or surplus organics Disposal Method: H061 - Fuel Blending Prior To Energy Recovery At Another Site Tons: 0.24
Year: 2020
Gepaid: CAL000322578
TSD EPA ID: AZD081705402
CA Waste Code: 181 - Other inorganic solid waste
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.0035
Year: 2020
Gepaid: CAL000322578
TSD EPA ID: AZD081705402
CA Waste Code: 123 - Unspecified alkaline solution
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.025
Year: 2019
Gepaid: CAL000322578
TSD EPA ID: AZD081705402
CA Waste Code: 141 - Off-specification, aged or surplus inorganics Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.00250
Year: 2019
Gepaid: CAL000322578
TSD EPA ID: AZD081705402
CA Waste Code: 214 - Unspecified solvent mixture
Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.04750
Year: 2019
Gepaid: CAL000322578
TSD EPA ID: AZD081705402
CA Waste Code: 331 - Off-specification, aged or surplus organics Disposal Method: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Tons: 0.10100
Click this hyperlink while viewing on your computer to access 20 additional CA HAZNET: record(s) in the EDR Site Report.

Additional Info:

Year: 2020
Gen EPA ID: CAL000322578
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 719 of 1735 ends

TC7484275.8s Page 189
J C PENNY STORE #2755 (Continued) S113148726
Shipment Date: 9/17/2020
Creation Date: 10/9/2020
Receipt Date: 9/29/2020
Manifest ID: 001046374WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.01
Waste Quantity: 20
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/17/2020
Creation Date: 10/9/2020
Receipt Date: 9/29/2020
Manifest ID: 001046374WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0025
Waste Quantity: 5
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/17/2020
Creation Date: 10/9/2020
Receipt Date: 9/29/2020
Manifest ID: 001046374WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC
Trans 2 EPA ID: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 720 of 1735 ends

TC7484275.8s Page 190
J C PENNY STORE #2755 (Continued) S113148726
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.004
Waste Quantity: 8
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/17/2020
Creation Date: 10/9/2020
Receipt Date: 9/29/2020
Manifest ID: 001046374WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.015
Waste Quantity: 30
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 9/17/2020
Creation Date: 10/9/2020
Receipt Date: 9/29/2020
Manifest ID: 001046374WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 141 - Off-specification, aged, or surplus inorganics RCRA Code: D001
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 721 of 1735 ends

TC7484275.8s Page 191
J C PENNY STORE #2755 (Continued) S113148726
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.015
Waste Quantity: 30
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 10/21/2020
Creation Date: 11/8/2020
Receipt Date: 10/29/2020
Manifest ID: 001046294WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 181 - Other inorganic solid waste Organics RCRA Code: D009
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0035
Waste Quantity: 7
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 10/21/2020
Creation Date: 11/8/2020
Receipt Date: 10/29/2020
Manifest ID: 001046294WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.4
Waste Quantity: 800
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 722 of 1735 ends

TC7484275.8s Page 192
J C PENNY STORE #2755 (Continued) S113148726
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 10/21/2020
Creation Date: 11/8/2020
Receipt Date: 10/29/2020
Manifest ID: 001046294WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H061 - Fuel Blending Prior To Energy Recovery At Another Site Quantity Tons: 0.24
Waste Quantity: 480
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 10/21/2020
Creation Date: 11/8/2020
Receipt Date: 10/29/2020
Manifest ID: 001046294WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0025
Waste Quantity: 5
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 10/21/2020
Creation Date: 11/8/2020
Receipt Date: 10/29/2020
Manifest ID: 001046294WAS
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 723 of 1735 ends

TC7484275.8s Page 193
J C PENNY STORE #2755 (Continued) S113148726
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES LLC
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 791 - Liquids with pH < 2 792 Liquids with pH < 2 with metals RCRA Code: D002
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0075
Waste Quantity: 15
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Detail Two:

Year: 2019
EM Manifest ID: 527036
Shipment Date: 7/30/2019
Receipt Date: 8/13/2019
Manifest Number: 000916334WAS
Generator EPA ID: CAL000322578
Name: J C PENNY STORE #2755
Address: 120 NIBLICK RD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446-4842
Telephone: 800-326-1221
Contact: Not reported
Contact Telephone: 805-237-2373
Transporter 1 EPA ID: IND058484114
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: AZR000516211
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: AZD081705402
TSDF Name: HERITAGE ENVIRONMENTAL SERVICES LLC
TSDF Address 1: 284 EAST STOREY ROAD
TSDF Address 2: Not reported
TSDF City: COOLIDGE
TSDF Zip: 85128-9205
TSDF Telephone: Not reported
Federal:

Page 724 of 1735 ends

TC7484275.8s Page 194
J C PENNY STORE #2755 (Continued) S113148726
Quantity Waste: 10.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
Federal Code: D001
Year: 2019
EM Manifest ID: 527036
Generator EPA ID: CAL000322578
Shipment Date: 2019-07-30
Manifest Number: 000916334WAS
Line Number: 2
Method Code: H141
Quantity Tons: 0.02500
Quantity Waste: 50.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
Federal Code: D001
State:

Year: 2019
EM Manifest ID: 527036
Generator EPA ID: CAL000322578
Shipment Date: 2019-07-30
Manifest Number: 000916334WAS
Line Number: 1
Method Code: H141
Quantity Tons: 0.00500
Quantity Waste: 10.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2019
EM Manifest ID: 527036
Generator EPA ID: CAL000322578
Shipment Date: 2019-07-30
Manifest Number: 000916334WAS
Line Number: 2
Method Code: H141
Quantity Tons: 0.02500
Quantity Waste: 50.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 214
Year: 2019
EM Manifest ID: 527036
Generator EPA ID: CAL000322578
Shipment Date: 2019-07-30
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 725 of 1735 ends

TC7484275.8s Page 195
J C PENNY STORE #2755 (Continued) S113148726
Manifest Number: 000916334WAS
Line Number: 14
Method Code: H141
Quantity Tons: 0.00350
Quantity Waste: 7.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2019
EM Manifest ID: 278921
Shipment Date: 2/1/2019
Receipt Date: 2/13/2019
Manifest Number: 000964641WAS
Generator EPA ID: CAL000322578
Name: J C PENNY STORE #2755
Address: 120 NIBLICK RD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446-4842
Telephone: 800-326-1221
Contact: Not reported
Contact Telephone: 805-237-2373
Transporter 1 EPA ID: IND058484114
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: AZR000516211
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: AZD081705402
TSDF Name: HERITAGE ENVIRONMENTAL SERVICES LLC
TSDF Address 1: 284 EAST STOREY ROAD
TSDF Address 2: Not reported
TSDF City: COOLIDGE
TSDF Zip: 85128-9205
TSDF Telephone: Not reported
Federal:

Page 726 of 1735 ends

TC7484275.8s Page 196
J C PENNY STORE #2755 (Continued) S113148726
Manifest Number: 000964641WAS
Line Number: 18
Method Code: H141
Quantity Tons: 0.00250
Quantity Waste: 5.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
Federal Code: D001
State:

Year: 2019
EM Manifest ID: 278921
Generator EPA ID: CAL000322578
Shipment Date: 2019-02-01
Manifest Number: 000964641WAS
Line Number: 1
Method Code: H141
Quantity Tons: 0.00250
Quantity Waste: 5.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2019
EM Manifest ID: 278921
Generator EPA ID: CAL000322578
Shipment Date: 2019-02-01
Manifest Number: 000964641WAS
Line Number: 16
Method Code: H141
Quantity Tons: 0.02500
Quantity Waste: 50.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2019
EM Manifest ID: 278921
Generator EPA ID: CAL000322578
Shipment Date: 2019-02-01
Manifest Number: 000964641WAS
Line Number: 17
Method Code: H141
Quantity Tons: 0.00500
Quantity Waste: 10.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 727 of 1735 ends

TC7484275.8s Page 197
J C PENNY STORE #2755 (Continued) S113148726
Year: 2019
EM Manifest ID: 278921
Generator EPA ID: CAL000322578
Shipment Date: 2019-02-01
Manifest Number: 000964641WAS
Line Number: 18
Method Code: H141
Quantity Tons: 0.00250
Quantity Waste: 5.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 141
Detail Two:

Year: 2018
EM Manifest ID: 000799031WAS20170522_D_1
Shipment Date: 5/22/2017
Receipt Date: 6/2/2017
Manifest Number: 000799031WAS
Generator EPA ID: CAL000322578
Name: JCPENNEY #2755 / GENERAL/STORE MANAGER
Address: Not reported
Address 2: Not reported
City: Not reported
Zip: Not reported
Telephone: Not reported
Contact: Not reported
Contact Telephone: Not reported
Transporter 1 EPA ID: IND058484114
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: AZR000516211
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: AZD081705402
TSDF Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Address 1: Not reported
TSDF Address 2: Not reported
TSDF City: Not reported
TSDF Zip: Not reported
TSDF Telephone: Not reported
Federal:

Page 728 of 1735 ends

TC7484275.8s Page 198
J C PENNY STORE #2755 (Continued) S113148726
Federal Code: D001
Year: 2018
EM Manifest ID: 000799031WAS20170522_D_1
Generator EPA ID: CAL000322578
Shipment Date: 2017-05-22
Manifest Number: 000799031WAS
Line Number: 2
Method Code: H141
Quantity Tons: 0.00250
Quantity Waste: 5.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
Federal Code: D001
State:

Year: 2018
EM Manifest ID: 000799031WAS20170522_D_1
Generator EPA ID: CAL000322578
Shipment Date: 2017-05-22
Manifest Number: 000799031WAS
Line Number: 1
Method Code: H141
Quantity Tons: 0.00200
Quantity Waste: 4.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
State Code: 331
Year: 2018
EM Manifest ID: 000799031WAS20170522_D_1
Generator EPA ID: CAL000322578
Shipment Date: 2017-05-22
Manifest Number: 000799031WAS
Line Number: 2
Method Code: H141
Quantity Tons: 0.00250
Quantity Waste: 5.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
State Code: 214
Year: 2018
EM Manifest ID: 000799031WAS20170522_D_1
Generator EPA ID: CAL000322578
Shipment Date: 2017-05-22
Manifest Number: 000799031WAS
Line Number: 6
Method Code: H141
Quantity Tons: 0.01200
Quantity Waste: 24.000000
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 729 of 1735 ends

TC7484275.8s Page 199
J C PENNY STORE #2755 (Continued) S113148726
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
State Code: 331
Year: 2018
EM Manifest ID: 000799031WAS20170522_D_1
Generator EPA ID: CAL000322578
Shipment Date: 2017-05-22
Manifest Number: 000799031WAS
Line Number: 7
Method Code: H141
Quantity Tons: 0.01000
Quantity Waste: 20.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
State Code: 331
Year: 2018
EM Manifest ID: 000828222WAS20180326_D_1
Shipment Date: 3/26/2018
Receipt Date: 4/6/2018
Manifest Number: 000828222WAS
Generator EPA ID: CAL000322578
Name: JCPENNEY #2755 / GENERAL/STORE MANAGER
Address: Not reported
Address 2: Not reported
City: Not reported
Zip: Not reported
Telephone: Not reported
Contact: Not reported
Contact Telephone: Not reported
Transporter 1 EPA ID: IND058484114
Transporter 1 Emergency Number: Not reported
Transporter 2 EPA ID: AZR000516211
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: AZD081705402
TSDF Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Address 1: Not reported
TSDF Address 2: Not reported
TSDF City: Not reported
TSDF Zip: Not reported
TSDF Telephone: Not reported
Federal:

Year: 2018
EM Manifest ID: 000828222WAS20180326_D_1
Generator EPA ID: CAL000322578
Shipment Date: 2018-03-26
Manifest Number: 000828222WAS
Line Number: 1
Method Code: H141
Quantity Tons: 0.00400
Quantity Waste: 8.000000
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 730 of 1735 ends

TC7484275.8s Page 200
J C PENNY STORE #2755 (Continued) S113148726
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
Federal Code: D001
Year: 2018
EM Manifest ID: 000828222WAS20180326_D_1
Generator EPA ID: CAL000322578
Shipment Date: 2018-03-26
Manifest Number: 000828222WAS
Line Number: 2
Method Code: H141
Quantity Tons: 0.00900
Quantity Waste: 18.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
Federal Code: D001
Year: 2018
EM Manifest ID: 000828222WAS20180326_D_1
Generator EPA ID: CAL000322578
Shipment Date: 2018-03-26
Manifest Number: 000828222WAS
Line Number: 7
Method Code: H141
Quantity Tons: 0.01250
Quantity Waste: 25.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
Federal Code: D001
State:

Year: 2018
EM Manifest ID: 000828222WAS20180326_D_1
Generator EPA ID: CAL000322578
Shipment Date: 2018-03-26
Manifest Number: 000828222WAS
Line Number: 1
Method Code: H141
Quantity Tons: 0.00400
Quantity Waste: 8.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
State Code: 331
Year: 2018
EM Manifest ID: 000828222WAS20180326_D_1
Generator EPA ID: CAL000322578
Shipment Date: 2018-03-26
Manifest Number: 000828222WAS
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 731 of 1735 ends

TC7484275.8s Page 201
J C PENNY STORE #2755 (Continued) S113148726
Line Number: 2
Method Code: H141
Quantity Tons: 0.00900
Quantity Waste: 18.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
State Code: 214
Year: 2018
EM Manifest ID: 000828222WAS20180326_D_1
Generator EPA ID: CAL000322578
Shipment Date: 2018-03-26
Manifest Number: 000828222WAS
Line Number: 6
Method Code: H141
Quantity Tons: 0.01000
Quantity Waste: 20.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
State Code: 331
Year: 2018
EM Manifest ID: 000828222WAS20180326_D_1
Generator EPA ID: CAL000322578
Shipment Date: 2018-03-26
Manifest Number: 000828222WAS
Line Number: 7
Method Code: H141
Quantity Tons: 0.01250
Quantity Waste: 25.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: NULL
Quantity Type: NULL
State Code: 141
Year: 2018
EM Manifest ID: 211887
Shipment Date: 11/6/2018
Receipt Date: 11/20/2018
Manifest Number: 000880895WAS
Generator EPA ID: CAL000322578
Name: J C PENNY STORE #2755
Address: 120 NIBLICK RD
Address 2: Not reported
City: PASO ROBLES
Zip: 93446-4842
Telephone: 800-326-1221
Contact: Not reported
Contact Telephone: 805-237-2373
Transporter 1 EPA ID: IND058484114
Transporter 1 Emergency Number: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 732 of 1735 ends

TC7484275.8s Page 202
J C PENNY STORE #2755 (Continued) S113148726
Transporter 2 EPA ID: AZR000516211
Transporter 2 Emergency Number: Not reported
TSDF EPA ID: AZD081705402
TSDF Name: HERITAGE ENVIRONMENTAL SERVICES LLC
TSDF Address 1: 284 EAST STOREY ROAD
TSDF Address 2: Not reported
TSDF City: COOLIDGE
TSDF Zip: 85128-9205
TSDF Telephone: Not reported
Federal:

Year: 2018
EM Manifest ID: 211887
Generator EPA ID: CAL000322578
Shipment Date: 2018-11-06
Manifest Number: 000880895WAS
Line Number: 1
Method Code: H141
Quantity Tons: 0.00100
Quantity Waste: 2.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
Federal Code: D001
Year: 2018
EM Manifest ID: 211887
Generator EPA ID: CAL000322578
Shipment Date: 2018-11-06
Manifest Number: 000880895WAS
Line Number: 6
Method Code: H141
Quantity Tons: 0.00150
Quantity Waste: 3.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
Federal Code: D002
State:

Page 733 of 1735 ends

TC7484275.8s Page 203
J C PENNY STORE #2755 (Continued) S113148726
Year: 2018
EM Manifest ID: 211887
Generator EPA ID: CAL000322578
Shipment Date: 2018-11-06
Manifest Number: 000880895WAS
Line Number: 6
Method Code: H141
Quantity Tons: 0.00150
Quantity Waste: 3.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 123
Year: 2018
EM Manifest ID: 211887
Generator EPA ID: CAL000322578
Shipment Date: 2018-11-06
Manifest Number: 000880895WAS
Line Number: 15
Method Code: H141
Quantity Tons: 0.01250
Quantity Waste: 25.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Year: 2018
EM Manifest ID: 211887
Generator EPA ID: CAL000322578
Shipment Date: 2018-11-06
Manifest Number: 000880895WAS
Line Number: 16
Method Code: H141
Quantity Tons: 0.01250
Quantity Waste: 25.000000
Quantity Unit: P
Number of Containers: 1
Type of Container: Fiberboard or plastic drums, barrels, kegs Quantity Type: Pounds
State Code: 331
Additional Info:

Year: 2017
Gen EPA ID: CAL000322578
Shipment Date: 20171026
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000785227WAS
Trans EPA ID: Not reported
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 734 of 1735 ends

TC7484275.8s Page 204
J C PENNY STORE #2755 (Continued) S113148726
Trans 2 Name: Not reported
TSDF EPA ID: Not reported
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0125
Waste Quantity: 25
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20171026
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000785227WAS
Trans EPA ID: Not reported
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: Not reported
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.005
Waste Quantity: 10
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20170817
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000784734WAS
Trans EPA ID: Not reported
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: Not reported
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 735 of 1735 ends

TC7484275.8s Page 205
J C PENNY STORE #2755 (Continued) S113148726
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: Not reported
Waste Quantity: Not reported
Quantity Unit: Not reported
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20170817
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000784734WAS
Trans EPA ID: Not reported
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: Not reported
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: Not reported
Waste Quantity: Not reported
Quantity Unit: Not reported
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20170817
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000784734WAS
Trans EPA ID: Not reported
Trans Name: Not reported
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: Not reported
Trans Name: Not reported
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.01
Waste Quantity: 20
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 736 of 1735 ends

TC7484275.8s Page 206
J C PENNY STORE #2755 (Continued) S113148726
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20170522
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000799031WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: AZR000516211
Trans 2 Name: SALT RIVER EXTRACTION
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.01
Waste Quantity: 20
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20170522
Creation Date: 9/27/2018 18:30:17
Receipt Date: 20170602
Manifest ID: 000799031WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: AZR000516211
Trans 2 Name: SALT RIVER EXTRACTION
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.002
Waste Quantity: 4
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20170522
Creation Date: Not reported
Receipt Date: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 737 of 1735 ends

TC7484275.8s Page 207
J C PENNY STORE #2755 (Continued) S113148726
Manifest ID: 000799031WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: AZR000516211
Trans 2 Name: SALT RIVER EXTRACTION
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.01
Waste Quantity: 20
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20170522
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000799031WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: AZR000516211
Trans 2 Name: SALT RIVER EXTRACTION
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.012
Waste Quantity: 24
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20170522
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000799031WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: AZR000516211
Trans 2 Name: SALT RIVER EXTRACTION
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 738 of 1735 ends

TC7484275.8s Page 208
J C PENNY STORE #2755 (Continued) S113148726
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.008
Waste Quantity: 16
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 2016
Gen EPA ID: CAL000322578
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.002
Waste Quantity: 4
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: 4/7/2016 22:15:27
Receipt Date: 20150929
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 214 - Unspecified solvent mixture Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 739 of 1735 ends

TC7484275.8s Page 209
J C PENNY STORE #2755 (Continued) S113148726
RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.015
Waste Quantity: 30
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0025
Waste Quantity: 5
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0125
Waste Quantity: 25
Quantity Unit: P
Additional Code 1: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 740 of 1735 ends

TC7484275.8s Page 210
J C PENNY STORE #2755 (Continued) S113148726
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0025
Waste Quantity: 5
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.025
Waste Quantity: 50
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 741 of 1735 ends

TC7484275.8s Page 211
J C PENNY STORE #2755 (Continued) S113148726
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.004
Waste Quantity: 8
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 141 - Off-specification, aged, or surplus inorganics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.04
Waste Quantity: 80
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 742 of 1735 ends

TC7484275.8s Page 212
J C PENNY STORE #2755 (Continued) S113148726
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.002
Waste Quantity: 4
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.005
Waste Quantity: 10
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 2015
Gen EPA ID: CAL000322578
Shipment Date: 20150916
Creation Date: 4/7/2016 22:15:27
Receipt Date: 20150929
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 743 of 1735 ends

TC7484275.8s Page 213
J C PENNY STORE #2755 (Continued) S113148726
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0075
Waste Quantity: 15
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 141 - Off-specification, aged, or surplus inorganics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.04
Waste Quantity: 80
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.002
Waste Quantity: 4
Quantity Unit: P
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 744 of 1735 ends

TC7484275.8s Page 214
J C PENNY STORE #2755 (Continued) S113148726
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.005
Waste Quantity: 10
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0025
Waste Quantity: 5
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 745 of 1735 ends

TC7484275.8s Page 215
J C PENNY STORE #2755 (Continued) S113148726
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0125
Waste Quantity: 25
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0025
Waste Quantity: 5
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 746 of 1735 ends

TC7484275.8s Page 216
J C PENNY STORE #2755 (Continued) S113148726
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.025
Waste Quantity: 50
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.004
Waste Quantity: 8
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20150916
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000585632WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 141 - Off-specification, aged, or surplus inorganics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 747 of 1735 ends

TC7484275.8s Page 217
J C PENNY STORE #2755 (Continued) S113148726
Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.04
Waste Quantity: 80
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 2014
Gen EPA ID: CAL000322578
Shipment Date: 20141105
Creation Date: 4/1/2015 22:15:06
Receipt Date: 20141119
Manifest ID: 000626468WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0075
Waste Quantity: 15
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20141105
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000626468WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.004
Waste Quantity: 8
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 748 of 1735 ends

TC7484275.8s Page 218
J C PENNY STORE #2755 (Continued) S113148726
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20141105
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000626468WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.006
Waste Quantity: 12
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20141105
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000626468WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 141 - Off-specification, aged, or surplus inorganics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0125
Waste Quantity: 25
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 749 of 1735 ends

TC7484275.8s Page 219
J C PENNY STORE #2755 (Continued) S113148726
Shipment Date: 20141105
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000626468WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.004
Waste Quantity: 8
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20141105
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000626468WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.006
Waste Quantity: 12
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20141105
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000626468WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 750 of 1735 ends

TC7484275.8s Page 220
J C PENNY STORE #2755 (Continued) S113148726
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 141 - Off-specification, aged, or surplus inorganics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0125
Waste Quantity: 25
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20140520
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000586993WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: AZR000512343
Trans 2 Name: SRE TRANSPORTATION
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.005
Waste Quantity: 10
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20140520
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000586993WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: AZR000512343
Trans 2 Name: SRE TRANSPORTATION
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 751 of 1735 ends

TC7484275.8s Page 221
J C PENNY STORE #2755 (Continued) S113148726
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.003
Waste Quantity: 6
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20140520
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000586993WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: AZR000512343
Trans 2 Name: SRE TRANSPORTATION
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.002
Waste Quantity: 4
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 2013
Gen EPA ID: CAL000322578
Shipment Date: 20131106
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000389539WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0065
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 752 of 1735 ends

TC7484275.8s Page 222
J C PENNY STORE #2755 (Continued) S113148726
Waste Quantity: 13
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20131106
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000389539WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 141 - Off-specification, aged, or surplus inorganics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.035
Waste Quantity: 70
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20131106
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000389539WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0065
Waste Quantity: 13
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 753 of 1735 ends

TC7484275.8s Page 223
J C PENNY STORE #2755 (Continued) S113148726
Shipment Date: 20131106
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000389539WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 141 - Off-specification, aged, or surplus inorganics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.035
Waste Quantity: 70
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20131106
Creation Date: 4/24/2014 22:14:56
Receipt Date: 20131116
Manifest ID: 000389539WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.006
Waste Quantity: 12
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20131106
Creation Date: 4/24/2014 22:14:56
Receipt Date: 20131116
Manifest ID: 000389539WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 754 of 1735 ends

TC7484275.8s Page 224
J C PENNY STORE #2755 (Continued) S113148726
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.01
Waste Quantity: 20
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20130604
Creation Date: 10/25/2013 22:15:23
Receipt Date: 20130624
Manifest ID: 005998869FLE
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0025
Waste Quantity: 5
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20130604
Creation Date: 10/25/2013 22:15:23
Receipt Date: 20130624
Manifest ID: 005998869FLE
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 755 of 1735 ends

TC7484275.8s Page 225
J C PENNY STORE #2755 (Continued) S113148726
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.002
Waste Quantity: 4
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20130604
Creation Date: 10/25/2013 22:15:23
Receipt Date: 20130624
Manifest ID: 005998869FLE
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.002
Waste Quantity: 4
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20130604
Creation Date: 10/25/2013 22:15:23
Receipt Date: 20130624
Manifest ID: 005998869FLE
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0285
Waste Quantity: 57
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 756 of 1735 ends

TC7484275.8s Page 226
J C PENNY STORE #2755 (Continued) S113148726
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 2012
Gen EPA ID: CAL000322578
Shipment Date: 20121227
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000489195WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 141 - Off-specification, aged, or surplus inorganics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.029
Waste Quantity: 58
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20121227
Creation Date: 6/27/2013 22:15:15
Receipt Date: 20130109
Manifest ID: 000489195WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0065
Waste Quantity: 13
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 757 of 1735 ends

TC7484275.8s Page 227
J C PENNY STORE #2755 (Continued) S113148726
Shipment Date: 20121227
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000489195WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.005
Waste Quantity: 10
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20121227
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000489195WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC-TS SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0065
Waste Quantity: 13
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20120717
Creation Date: 12/24/2012 22:15:22
Receipt Date: 20120803
Manifest ID: 005742038FLE
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: CAD982523433
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 758 of 1735 ends

TC7484275.8s Page 228
J C PENNY STORE #2755 (Continued) S113148726
Trans 2 Name: DILLARD ENVIRONMENTAL
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0055
Waste Quantity: 11
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20120717
Creation Date: 12/24/2012 22:15:22
Receipt Date: 20120803
Manifest ID: 005742038FLE
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: CAD982523433
Trans 2 Name: DILLARD ENVIRONMENTAL
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.024
Waste Quantity: 48
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20120717
Creation Date: 12/24/2012 22:15:22
Receipt Date: 20120803
Manifest ID: 005742038FLE
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: CAD982523433
Trans 2 Name: DILLARD ENVIRONMENTAL
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 759 of 1735 ends

TC7484275.8s Page 229
J C PENNY STORE #2755 (Continued) S113148726
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.009
Waste Quantity: 18
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20120717
Creation Date: 12/24/2012 22:15:22
Receipt Date: 20120803
Manifest ID: 005742038FLE
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: CAD982523433
Trans 2 Name: DILLARD ENVIRONMENTAL
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0135
Waste Quantity: 27
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20120117
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000460240WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: OKD981588791
Trans 2 Name: TRIAD TRANSPORT INC
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: Not reported
Waste Quantity: Not reported
Quantity Unit: Not reported
Additional Code 1: Not reported
Additional Code 2: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 760 of 1735 ends

TC7484275.8s Page 230
J C PENNY STORE #2755 (Continued) S113148726
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20120117
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000460240WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: OKD981588791
Trans 2 Name: TRIAD TRANSPORT INC
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: Not reported
Meth Code: - Not reported
Quantity Tons: 0.0085
Waste Quantity: 17
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Additional Info:

Year: 2011
Gen EPA ID: CAL000322578
Shipment Date: 20111025
Creation Date: 4/11/2012 20:30:30
Receipt Date: 20111105
Manifest ID: 000442928WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 331 - Off-specification, aged, or surplus organics RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.004
Waste Quantity: 8
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 761 of 1735 ends

TC7484275.8s Page 231
J C PENNY STORE #2755 (Continued) S113148726
Shipment Date: 20110801
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000390445WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.022
Waste Quantity: 44
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20110801
Creation Date: 11/20/2012 22:15:16
Receipt Date: 20110811
Manifest ID: 000390445WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: 214 - Unspecified solvent mixture RCRA Code: D001
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.002
Waste Quantity: 4
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20110801
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000390445WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 762 of 1735 ends

TC7484275.8s Page 232
J C PENNY STORE #2755 (Continued) S113148726
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: Not reported
Waste Quantity: Not reported
Quantity Unit: Not reported
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20110801
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000390445WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.016
Waste Quantity: 32
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20110801
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000390445WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 763 of 1735 ends

TC7484275.8s Page 233
J C PENNY STORE #2755 (Continued) S113148726
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.002
Waste Quantity: 4
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20110801
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000390445WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.002
Waste Quantity: 4
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20110801
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000390445WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: Not reported
Trans 2 Name: Not reported
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.002
Waste Quantity: 4
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 764 of 1735 ends

TC7484275.8s Page 234
J C PENNY STORE #2755 (Continued) S113148726
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20110511
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000367387WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: CAD982030173
Trans 2 Name: ECOLOGY CONTROL IND
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.002
Waste Quantity: 4
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Shipment Date: 20110511
Creation Date: Not reported
Receipt Date: Not reported
Manifest ID: 000367387WAS
Trans EPA ID: IND058484114
Trans Name: HERITAGE TRANSPORT LLC / SIGNAL HILL
Trans 2 EPA ID: CAD982030173
Trans 2 Name: ECOLOGY CONTROL IND
TSDF EPA ID: AZD081705402
Trans Name: HERITAGE ENVIRONMENTAL SERVICES
TSDF Alt EPA ID: Not reported
TSDF Alt Name: Not reported
Waste Code Description: - Not reported
RCRA Code: Not reported
Meth Code: H141 - Storage, Bulking, And/Or Transfer Off Site--No Treatment/Reovery (H010-H129) Or (H131-H135)
Quantity Tons: 0.0105
Waste Quantity: 21
Quantity Unit: P
Additional Code 1: Not reported
Additional Code 2: Not reported
Additional Code 3: Not reported
Additional Code 4: Not reported
Additional Code 5: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 765 of 1735 ends

TC7484275.8s Page 235
E38 PANDA EXPRESS #1070 CUPA Listings S130390363
90 NIBLICK RD CERS N/A
< 1/8 PASO ROBLES, CA 93446
Actual:
702 ft.

Focus Map:
5 0.001 mi.
3 ft. Site 6 of 7 in cluster E
CUPA SAN LUIS OBISPO:

Name: PANDA EXPRESS #1070
Address: 90 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0016331
Program Element Code: 0726
Program Element: HAZMAT DISCLOSURE - 1-4 HAZARDOUS MATERIALS Record Id: PR0021903
Cross Street: Not reported
Status Code: 01
Status: Active, billable
Latitude: Not reported
Longitude: Not reported
CERS:

Name: PANDA EXPRESS #1070
Address: 90 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Site ID: 701317
CERS ID: 10928599
CERS Description: Chemical Storage Facilities
Affiliation:

Affiliation Type Desc: Identification Signer
Entity Name: Lauren Rios
Entity Title: Utilities Coordinator
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Document Preparer
Entity Name: Diana M. Shinn
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Environmental Contact
Entity Name: Melissa Martinez
Entity Title: Not reported
Affiliation Address: 1683 Walnut Grove Ave.

Affiliation City: Rosemead
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 91770
Affiliation Phone: ,
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 766 of 1735 ends

TC7484275.8s Page 236
PANDA EXPRESS #1070 (Continued) S130390363
Affiliation Type Desc: Operator
Entity Name: Jerry Pung
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: (626) 201-2846,
Affiliation Type Desc: Parent Corporation
Entity Name: Panda Restaurant Group
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: CUPA District
Entity Name: SLO County Env Health
Entity Title: Not reported
Affiliation Address: 2156 Sierra Way
Affiliation City: San Luis Obispo
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 93406
Affiliation Phone: (805) 781-5544,
Affiliation Type Desc: Facility Mailing Address
Entity Name: Mailing Address
Entity Title: Not reported
Affiliation Address: Panda Restaurant Group, Attn: Utilities Dept, 1683 WALNUT GROVE AVE.

Affiliation City: Rosemead
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 91770
Affiliation Phone: ,
Affiliation Type Desc: Legal Owner
Entity Name: Panda Restaurant Group, Inc.

Entity Title: Not reported
Affiliation Address: 1683 Walnut Grove Ave
Affiliation City: Rosemead
Affiliation State: CA
Affiliation Country: United States
Affiliation Zip: 91770
Affiliation Phone: (626) 799-9898,
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 767 of 1735 ends

TC7484275.8s Page 237
E39 DOUGLAS J HARRINGTON DDS A PROFESSIONAL DENTAL COR 1024871418 RCRA NonGen / NLR 118 NIBLICK RD CAL000440062
< 1/8 PASO ROBLES, CA 93446
Actual:
702 ft.

Focus Map:
5 0.001 mi.
3 ft. Site 7 of 7 in cluster E
RCRA Listings:

Date Form Received by Agency: 20181023
Handler Name: Douglas J Harrington Dds A Professional Dental Corporatic Handler Address: 118 NIBLICK RD
Handler City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAL000440062
Contact Name: WENDI HOBBS
Contact Address: 118 NIBLICK RD
Contact City,State,Zip: PASO ROBLES, CA 93446
Contact Telephone: 805-226-8508
Contact Fax: 805-226-8576
Contact Email: [email protected]
Contact Title: Not reported
EPA Region: 09
Land Type: Not reported
Federal Waste Generator Description: Not a generator, verified Non-Notifier: Not reported
Biennial Report Cycle: Not reported
Accessibility: Not reported
Active Site Indicator: Handler Activities
State District Owner: Not reported
State District: Not reported
Mailing Address: 118 NIBLICK RD
Mailing City,State,Zip: PASO ROBLES, CA 93446
Owner Name: Douglas J Harrington
Owner Type: Other
Operator Name: Wendi Hobbs
Operator Type: Other
Short-Term Generator Activity: No
Importer Activity: No
Mixed Waste Generator: No
Transporter Activity: No
Transfer Facility Activity: No
Recycler Activity with Storage: No
Small Quantity On-Site Burner Exemption: No
Smelting Melting and Refining Furnace Exemption: No
Underground Injection Control: No
Off-Site Waste Receipt: No
Universal Waste Indicator: Yes
Universal Waste Destination Facility: Yes
Federal Universal Waste: No
Active Site State-Reg Handler: ---
Federal Facility Indicator: Not reported
Hazardous Secondary Material Indicator: N
Sub-Part K Indicator: Not reported
2018 GPRA Permit Baseline: Not on the Baseline
2018 GPRA Renewals Baseline: Not on the Baseline
202 GPRA Corrective Action Baseline: No
Subject to Corrective Action Universe: No
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Corrective Action Priority Ranking: No NCAPS ranking
Environmental Control Indicator: No
Institutional Control Indicator: No
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 768 of 1735 ends

TC7484275.8s Page 238
DOUGLAS J HARRINGTON DDS A PROFESSIONAL DENTAL CORPORATIC (Continued) 1024871418 Human Exposure Controls Indicator: N/A
Groundwater Controls Indicator: N/A
Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Addressed Significant Non-Complier Universe: No
Significant Non-Complier With a Compliance Schedule Universe: No Financial Assurance Required: Not reported
Handler Date of Last Change: 20181120
Recognized Trader-Importer: No
Recognized Trader-Exporter: No
Importer of Spent Lead Acid Batteries: No
Exporter of Spent Lead Acid Batteries: No
Recycler Activity Without Storage: No
Manifest Broker: No
Sub-Part P Indicator: No
Handler - Owner Operator:

Owner/Operator Indicator: Owner
Owner/Operator Name: DOUGLAS J HARRINGTON
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 118 NIBLICK RD
Owner/Operator City,State,Zip: PASO ROBLES, CA 93446
Owner/Operator Telephone: 805-226-8508
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Operator
Owner/Operator Name: WENDI HOBBS
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 118 NIBLICK RD
Owner/Operator City,State,Zip: PASO ROBLES, CA 93446
Owner/Operator Telephone: 805-226-8508
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Historic Generators:

Receive Date: 20181023
Handler Name: DOUGLAS J HARRINGTON DDS A PROFESSIONAL DENTAL CORPORATIC Federal Waste Generator Description: Not a generator, verified State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 769 of 1735 ends

TC7484275.8s Page 239
40 ABL MADADI RCRA NonGen / NLR 1024776870
North 102 SPRING STREET CAC002996807
< 1/8 PASO ROBLES, CA 93446
Actual:
765 ft.

Focus Map:
1 0.002 mi.
8 ft.

RCRA Listings:

Date Form Received by Agency: 20190116
Handler Name: Abl Madadi
Handler Address: 102 SPRING STREET
Handler City,State,Zip: PASO ROBLES, CA 93446
EPA ID: CAC002996807
Contact Name: ABL MADADI
Contact Address: 5950 ENCINO ROAD #2
Contact City,State,Zip: GOLETA, CA 93117
Contact Telephone: 805-698-5335
Contact Fax: Not reported
Contact Email: [email protected]
Contact Title: Not reported
EPA Region: 09
Land Type: Not reported
Federal Waste Generator Description: Not a generator, verified Non-Notifier: Not reported
Biennial Report Cycle: Not reported
Accessibility: Not reported
Active Site Indicator: Handler Activities
State District Owner: Not reported
State District: Not reported
Mailing Address: 5950 ENCINO ROAD #2
Mailing City,State,Zip: GOLETA, CA 93117
Owner Name: Abl Madadi
Owner Type: Other
Operator Name: Abl Madadi
Operator Type: Other
Short-Term Generator Activity: No
Importer Activity: No
Mixed Waste Generator: No
Transporter Activity: No
Transfer Facility Activity: No
Recycler Activity with Storage: No
Small Quantity On-Site Burner Exemption: No
Smelting Melting and Refining Furnace Exemption: No
Underground Injection Control: No
Off-Site Waste Receipt: No
Universal Waste Indicator: Yes
DOUGLAS J HARRINGTON DDS A PROFESSIONAL DENTAL CORPORATIC (Continued) 1024871418 List of NAICS Codes and Descriptions:

NAICS Code: 621210
NAICS Description: OFFICES OF DENTISTS
Facility Has Received Notices of Violations:

Violations: No Violations Found
Evaluation Action Summary:

Evaluations: No Evaluations Found
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 770 of 1735 ends

TC7484275.8s Page 240
ABL MADADI (Continued) 1024776870
Universal Waste Destination Facility: Yes
Federal Universal Waste: No
Active Site State-Reg Handler: ---
Federal Facility Indicator: Not reported
Hazardous Secondary Material Indicator: N
Sub-Part K Indicator: Not reported
2018 GPRA Permit Baseline: Not on the Baseline
2018 GPRA Renewals Baseline: Not on the Baseline
202 GPRA Corrective Action Baseline: No
Subject to Corrective Action Universe: No
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Corrective Action Priority Ranking: No NCAPS ranking
Environmental Control Indicator: No
Institutional Control Indicator: No
Human Exposure Controls Indicator: N/A
Groundwater Controls Indicator: N/A
Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Addressed Significant Non-Complier Universe: No
Significant Non-Complier With a Compliance Schedule Universe: No Financial Assurance Required: Not reported
Handler Date of Last Change: 20190222
Recognized Trader-Importer: No
Recognized Trader-Exporter: No
Importer of Spent Lead Acid Batteries: No
Exporter of Spent Lead Acid Batteries: No
Recycler Activity Without Storage: No
Manifest Broker: No
Sub-Part P Indicator: No
Handler - Owner Operator:

Owner/Operator Indicator: Owner
Owner/Operator Name: ABL MADADI
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 5950 ENCINO ROAD #2
Owner/Operator City,State,Zip: GOLETA, CA 93117
Owner/Operator Telephone: 805-698-5335
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Operator
Owner/Operator Name: ABL MADADI
Legal Status: Other
Date Became Current: Not reported
Date Ended Current: Not reported
Owner/Operator Address: 5950 ENCINO ROAD #2
Owner/Operator City,State,Zip: GOLETA, CA 93117
Owner/Operator Telephone: 805-698-5335
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 771 of 1735 ends

TC7484275.8s Page 241
D41 CVS PHARMACY NO 9925 RCRA-LQG 1016168136
North 187 NIBLICK RD FINDS CAR000240366
< 1/8 PASO ROBLES, CA 93447 ECHO
Actual:
709 ft.

Focus Map:
5 0.004 mi.
19 ft. Site 5 of 6 in cluster D
RCRA Listings:

Date Form Received by Agency: 20220228
Handler Name: Cvs Pharmacy #9925
Handler Address: NIBLICK RD
Handler City,State,Zip: PASO ROBLES, CA 93447
EPA ID: CAR000240366
Contact Name: NICOLE WILKINSON
Contact Address: CVS DR 2340
Contact City,State,Zip: WOONSOCKET, RI 02895
Contact Telephone: 401-770-7132
Contact Fax: 401-652-1901
Contact Email: [email protected]
Contact Title: SENIOR DIRECTOR, CORPORATE ENVIRONMENTAL HEAL EPA Region: 09
Land Type: Private
Federal Waste Generator Description: Large Quantity Generator Non-Notifier: Not reported
Biennial Report Cycle: 2021
Accessibility: Not reported
Active Site Indicator: Handler Activities
State District Owner: Not reported
State District: Not reported
Mailing Address: CVS DR 2340
Mailing City,State,Zip: WOONSOCKET, RI 02895
Owner Name: Longs Drug Stores California, L.L.C
ABL MADADI (Continued) 1024776870
Historic Generators:

Receive Date: 20190116
Handler Name: ABL MADADI
Federal Waste Generator Description: Not a generator, verified State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
List of NAICS Codes and Descriptions:

NAICS Code: 56299
NAICS Description: ALL OTHER WASTE MANAGEMENT SERVICES
Facility Has Received Notices of Violations:

Violations: No Violations Found
Evaluation Action Summary:

Evaluations: No Evaluations Found
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 772 of 1735 ends

TC7484275.8s Page 242
CVS PHARMACY NO 9925 (Continued) 1016168136
Owner Type: Private
Operator Name: Longs Drug Stores California, L.L.C.

Operator Type: Private
Short-Term Generator Activity: No
Importer Activity: No
Mixed Waste Generator: No
Transporter Activity: No
Transfer Facility Activity: No
Recycler Activity with Storage: No
Small Quantity On-Site Burner Exemption: No
Smelting Melting and Refining Furnace Exemption: No
Underground Injection Control: No
Off-Site Waste Receipt: No
Universal Waste Indicator: No
Universal Waste Destination Facility: No
Federal Universal Waste: No
Active Site State-Reg Handler: ---
Federal Facility Indicator: Not reported
Hazardous Secondary Material Indicator: N
Sub-Part K Indicator: Not reported
2018 GPRA Permit Baseline: Not on the Baseline
2018 GPRA Renewals Baseline: Not on the Baseline
202 GPRA Corrective Action Baseline: No
Subject to Corrective Action Universe: No
Non-TSDFs Where RCRA CA has Been Imposed Universe: No
Corrective Action Priority Ranking: No NCAPS ranking
Environmental Control Indicator: No
Institutional Control Indicator: No
Human Exposure Controls Indicator: N/A
Groundwater Controls Indicator: N/A
Significant Non-Complier Universe: No
Unaddressed Significant Non-Complier Universe: No
Addressed Significant Non-Complier Universe: No
Significant Non-Complier With a Compliance Schedule Universe: No Financial Assurance Required: Not reported
Handler Date of Last Change: 20220630
Recognized Trader-Importer: No
Recognized Trader-Exporter: No
Importer of Spent Lead Acid Batteries: No
Exporter of Spent Lead Acid Batteries: No
Recycler Activity Without Storage: No
Manifest Broker: No
Sub-Part P Indicator: No
Biennial: List of Years
Year: 2021
Click Here for Biennial Reporting System Data:

Year: 2015
Click Here for Biennial Reporting System Data:

Hazardous Waste Summary:

Waste Code: D001
Waste Description: Ignitable Waste
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 773 of 1735 ends

TC7484275.8s Page 243
CVS PHARMACY NO 9925 (Continued) 1016168136
Waste Code: D002
Waste Description: Corrosive Waste
Waste Code: D003
Waste Description: Reactive Waste
Waste Code: D005
Waste Description: Barium
Waste Code: D007
Waste Description: Chromium
Waste Code: D009
Waste Description: Mercury
Waste Code: D010
Waste Description: Selenium
Waste Code: D011
Waste Description: Silver
Waste Code: D024
Waste Description: M-Cresol
Waste Code: P001
Waste Description: 2h-1-Benzopyran-2-One, 4-Hydroxy-3-(3-Oxo-1-Phenylbutyl)-, & Salts, When Present At Concentrations Greater Than 0.3% (Or) Warfarin, & Salts, When Present At Concentrations Greater Than 0.3% Waste Code: P042
Waste Description: 1,2-Benzenediol, 4-[1-Hydroxy-2-(Methylamino)Ethyl]-, (R)- (Or) Epinephrine
Waste Code: P075
Waste Description: Nicotine, & Salts (Or) Pyridine, 3-(1-Methyl-2-Pyrrolidinyl)-,(S)-, & Salts
Waste Code: P081
Waste Description: 1,2,3-Propanetriol, Trinitrate (R) (Or) Nitroglycerine (R) Waste Code: U002
Waste Description: 2-Propanone (I) (Or) Acetone (I)
Waste Code: U034
Waste Description: Acetaldehyde, Trichloro- (Or) Chloral Waste Code: U129
Waste Description: Cyclohexane, 1,2,3,4,5,6-Hexachloro-, (1alpha, 2alpha, 3beta, 4alpha, 5alpha, 6beta)- (Or) Lindane
Waste Code: U165
Waste Description: Naphthalene
Waste Code: U188
Waste Description: Phenol
Waste Code: U205
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 774 of 1735 ends

TC7484275.8s Page 244
CVS PHARMACY NO 9925 (Continued) 1016168136
Waste Description: Selenium Sulfide (Or) Selenium Sulfide Ses2 (R,T) Handler - Owner Operator:

Owner/Operator Indicator: Operator
Owner/Operator Name: LONGS DRUG STORES CALIFORNIA, L.L.C.

Legal Status: Private
Date Became Current: 20081022
Date Ended Current: Not reported
Owner/Operator Address: Not reported
Owner/Operator City,State,Zip: Not reported
Owner/Operator Telephone: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Owner
Owner/Operator Name: LONGS DRUG STORES CALIFORNIA LLC
Legal Status: Private
Date Became Current: 20091211
Date Ended Current: Not reported
Owner/Operator Address: ONE CVS DR
Owner/Operator City,State,Zip: WOONSOCKET, RI 02895
Owner/Operator Telephone: 401-765-1500
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Operator
Owner/Operator Name: LONGS DRUG STORES CALIFORNIA, L.L.C.

Legal Status: Private
Date Became Current: 20081022
Date Ended Current: Not reported
Owner/Operator Address: 1 CVS DR 2340
Owner/Operator City,State,Zip: WOONSOCKET, RI 02895
Owner/Operator Telephone: 401-765-1500
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: [email protected] Owner/Operator Indicator: Owner
Owner/Operator Name: LONGS DRUG STORES CALIFORNIA, L.L.C Legal Status: Private
Date Became Current: 20091211
Date Ended Current: Not reported
Owner/Operator Address: 1 CVS DR
Owner/Operator City,State,Zip: WOONSOCKET, RI 02895
Owner/Operator Telephone: 401-765-1500
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: [email protected] Owner/Operator Indicator: Owner
Owner/Operator Name: LONGS DRUG STORES CALIFORNIA, L.L.C Legal Status: Private
Date Became Current: 20091211
Date Ended Current: Not reported
Owner/Operator Address: 1 CVS DR
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 775 of 1735 ends

TC7484275.8s Page 245
CVS PHARMACY NO 9925 (Continued) 1016168136
Owner/Operator City,State,Zip: WOONSOCKET, RI 02895
Owner/Operator Telephone: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Owner/Operator Indicator: Operator
Owner/Operator Name: LONGS DRUG STORES CALIFORNIA LLC
Legal Status: Private
Date Became Current: 20081022
Date Ended Current: Not reported
Owner/Operator Address: Not reported
Owner/Operator City,State,Zip: Not reported
Owner/Operator Telephone: Not reported
Owner/Operator Telephone Ext: Not reported
Owner/Operator Fax: Not reported
Owner/Operator Email: Not reported
Historic Generators:

Receive Date: 20160831
Handler Name: CVS PHARMACY #9925
Federal Waste Generator Description: Large Quantity Generator State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: No
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
Receive Date: 20220228
Handler Name: CVS PHARMACY #9925
Federal Waste Generator Description: Large Quantity Generator State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: Yes
Non Storage Recycler Activity: No
Electronic Manifest Broker: No
Receive Date: 20130619
Handler Name: CVS PHARMACY NO 9925
Federal Waste Generator Description: Large Quantity Generator State District Owner: Not reported
Large Quantity Handler of Universal Waste: No
Recognized Trader Importer: No
Recognized Trader Exporter: No
Spent Lead Acid Battery Importer: No
Spent Lead Acid Battery Exporter: No
Current Record: No
Non Storage Recycler Activity: Not reported
Electronic Manifest Broker: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 776 of 1735 ends

TC7484275.8s Page 246
CVS PHARMACY NO 9925 (Continued) 1016168136
List of NAICS Codes and Descriptions:

NAICS Code: 44611
NAICS Description: PHARMACIES AND DRUG STORES
Has the Facility Received Notices of Violations:

Found Violation: No
Agency Which Determined Violation: Not reported
Violation Short Description: Not reported
Date Violation was Determined: Not reported
Actual Return to Compliance Date: Not reported
Return to Compliance Qualifier: Not reported
Violation Responsible Agency: Not reported
Scheduled Compliance Date: Not reported
Enforcement Identifier: Not reported
Date of Enforcement Action: Not reported
Enforcement Responsible Agency: Not reported
Enforcement Docket Number: Not reported
Enforcement Attorney: Not reported
Corrective Action Component: Not reported
Appeal Initiated Date: Not reported
Appeal Resolution Date: Not reported
Disposition Status Date: Not reported
Disposition Status: Not reported
Disposition Status Description: Not reported
Consent/Final Order Sequence Number: Not reported
Consent/Final Order Respondent Name: Not reported
Consent/Final Order Lead Agency: Not reported
Enforcement Type: Not reported
Enforcement Responsible Person: Not reported
Enforcement Responsible Sub-Organization: Not reported
SEP Sequence Number: Not reported
SEP Expenditure Amount: Not reported
SEP Scheduled Completion Date: Not reported
SEP Actual Date: Not reported
SEP Defaulted Date: Not reported
SEP Type: Not reported
SEP Type Description: Not reported
Proposed Amount: Not reported
Final Monetary Amount: Not reported
Paid Amount: Not reported
Final Count: Not reported
Final Amount: Not reported
Found Violation: No
Agency Which Determined Violation: Not reported
Violation Short Description: Not reported
Date Violation was Determined: Not reported
Actual Return to Compliance Date: Not reported
Return to Compliance Qualifier: Not reported
Violation Responsible Agency: Not reported
Scheduled Compliance Date: Not reported
Enforcement Identifier: Not reported
Date of Enforcement Action: Not reported
Enforcement Responsible Agency: Not reported
Enforcement Docket Number: Not reported
Enforcement Attorney: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 777 of 1735 ends

TC7484275.8s Page 247
CVS PHARMACY NO 9925 (Continued) 1016168136
Corrective Action Component: Not reported
Appeal Initiated Date: Not reported
Appeal Resolution Date: Not reported
Disposition Status Date: Not reported
Disposition Status: Not reported
Disposition Status Description: Not reported
Consent/Final Order Sequence Number: Not reported
Consent/Final Order Respondent Name: Not reported
Consent/Final Order Lead Agency: Not reported
Enforcement Type: Not reported
Enforcement Responsible Person: Not reported
Enforcement Responsible Sub-Organization: Not reported
SEP Sequence Number: Not reported
SEP Expenditure Amount: Not reported
SEP Scheduled Completion Date: Not reported
SEP Actual Date: Not reported
SEP Defaulted Date: Not reported
SEP Type: Not reported
SEP Type Description: Not reported
Proposed Amount: Not reported
Final Monetary Amount: Not reported
Paid Amount: Not reported
Final Count: Not reported
Final Amount: Not reported
Found Violation: No
Agency Which Determined Violation: Not reported
Violation Short Description: Not reported
Date Violation was Determined: Not reported
Actual Return to Compliance Date: Not reported
Return to Compliance Qualifier: Not reported
Violation Responsible Agency: Not reported
Scheduled Compliance Date: Not reported
Enforcement Identifier: Not reported
Date of Enforcement Action: Not reported
Enforcement Responsible Agency: Not reported
Enforcement Docket Number: Not reported
Enforcement Attorney: Not reported
Corrective Action Component: Not reported
Appeal Initiated Date: Not reported
Appeal Resolution Date: Not reported
Disposition Status Date: Not reported
Disposition Status: Not reported
Disposition Status Description: Not reported
Consent/Final Order Sequence Number: Not reported
Consent/Final Order Respondent Name: Not reported
Consent/Final Order Lead Agency: Not reported
Enforcement Type: Not reported
Enforcement Responsible Person: Not reported
Enforcement Responsible Sub-Organization: Not reported
SEP Sequence Number: Not reported
SEP Expenditure Amount: Not reported
SEP Scheduled Completion Date: Not reported
SEP Actual Date: Not reported
SEP Defaulted Date: Not reported
SEP Type: Not reported
SEP Type Description: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 778 of 1735 ends

TC7484275.8s Page 248
CVS PHARMACY NO 9925 (Continued) 1016168136
Proposed Amount: Not reported
Final Monetary Amount: Not reported
Paid Amount: Not reported
Final Count: Not reported
Final Amount: Not reported
Evaluation Action Summary:

Evaluation Date: 20150723
Evaluation Responsible Agency: State
Found Violation: No
Evaluation Type Description: COMPLIANCE EVALUATION INSPECTION ON-SITE Evaluation Responsible Person Identifier: Not reported
Evaluation Responsible Sub-Organization: Not reported
Actual Return to Compliance Date: Not reported
Scheduled Compliance Date: Not reported
Date of Request: Not reported
Date Response Received: Not reported
Request Agency: Not reported
Former Citation: Not reported
Evaluation Date: 20140707
Evaluation Responsible Agency: State
Found Violation: No
Evaluation Type Description: COMPLIANCE EVALUATION INSPECTION ON-SITE Evaluation Responsible Person Identifier: Not reported
Evaluation Responsible Sub-Organization: Not reported
Actual Return to Compliance Date: Not reported
Scheduled Compliance Date: Not reported
Date of Request: Not reported
Date Response Received: Not reported
Request Agency: Not reported
Former Citation: Not reported
Evaluation Date: 20210702
Evaluation Responsible Agency: State
Found Violation: No
Evaluation Type Description: COMPLIANCE EVALUATION INSPECTION ON-SITE Evaluation Responsible Person Identifier: CUPA
Evaluation Responsible Sub-Organization: Not reported
Actual Return to Compliance Date: Not reported
Scheduled Compliance Date: Not reported
Date of Request: Not reported
Date Response Received: Not reported
Request Agency: Not reported
Former Citation: Not reported
FINDS:

Registry ID: 110055522974
Click Here for FRS Facility Detail Report:

Environmental Interest/Information System:

The California Environmental Reporting System (CERS) is a statewide web-based user and information exchange system to support over 140,000 regulated businesses and over 130 local agencies in electronically collecting and reporting significant hazardous materials, hazardous Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 779 of 1735 ends

TC7484275.8s Page 249
D42 CVS PHARMACY #9925 CERS HAZ WASTE S103637956
North 187 NIBLICK RD CUPA Listings N/A
< 1/8 PASO ROBLES, CA 93446
Actual:
709 ft.

Focus Map:
5 0.004 mi.
19 ft. Site 6 of 6 in cluster D
CERS HAZ WASTE:

Name: CVS PHARMACY #9925
Address: 187 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Site ID: 23391
CERS ID: 10438747
CERS Description: Hazardous Waste Generator
Violations:

Site ID: 23391
Site Name: CVS Pharmacy #9925
Violation Date: 07-07-2014
Citation: HSC 6.95 25508(d) - California Health and Safety Code, Chapter 6.95, Section(s) 25508(d)
Violation Description: Failure to complete and/or electronically submit a business plan when storing/handling a hazardous material at or above reportable quantities.

CVS PHARMACY NO 9925 (Continued) 1016168136
waste and compliance and enforcement data as mandated by California law. Under oversight by Cal/EPA, certified local governing agencies (Unified Program Agencies - UPAs) consolidate, coordinate and provide consistent regulatory activities for six state and federal environmental programs.

All generators and treatment, storage, and disposal (TSD) facilities who handle hazardous waste are required to report to the EPA Administrator at least once every two years. The data collected is used to create the National Biennial Resource Conservation and Recovery Act (RCRA) Hazardous Waste Report. This data is processed within the RCRA Information (RCRAInfo) database
The California Environmental Protection Agency (CalEPA) has recently implemented a new data warehouse system (nSite). This data warehouse combines and merges facility and site information from five different systems managed within CalEPA. The five systems are: California Environmental Reporting System (CERS),EnviroStor, GeoTracker, California Integrated Water Quality System (CIWQS), andToxic Release Inventory (TRI).

The Resource Conservation and Recovery Act Information System (RCRAInfo) is EPA’s comprehensive information system in support of the Resource Conservation and Recovery Act (RCRA) of 1976 and the Hazardous and Solid Waste Amendments (HSWA) of 1984. It tracks many types of information about generators, transporters, treaters, storers, and disposers of hazardous waste.

Click this hyperlink while viewing on your computer to access additional FINDS: detail in the EDR Site Report.

ECHO:

Envid: 1016168136
Registry ID: 110055522974
DFR URL: http://echo.epa.gov/detailed-facility-report?fid=110055522974 Name: CVS PHARMACY NO 9925
Address: 187 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93447
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 780 of 1735 ends

TC7484275.8s Page 250
CVS PHARMACY #9925 (Continued) S103637956
Violation Notes: Returned to compliance on 07/17/2014.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Evaluation:

Eval General Type: Compliance Evaluation Inspection
Eval Date: 04-01-2019
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-02-2021
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for Cindy Aghazadeh.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-03-2013
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-23-2015
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-23-2015
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HWLQG
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-18-2020
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 781 of 1735 ends

TC7484275.8s Page 251
CVS PHARMACY #9925 (Continued) S103637956
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-02-2021
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-02-2021
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HWLQG
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-03-2013
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-07-2014
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-07-2014
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HWLQG
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 07-17-2014
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 782 of 1735 ends

TC7484275.8s Page 252
CVS PHARMACY #9925 (Continued) S103637956
Eval General Type: Compliance Evaluation Inspection
Eval Date: 08-11-2022
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for Cindy Aghazadeh.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-22-2017
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-22-2017
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-18-2020
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COIVD19, CUPA Inspector signing for Cynthia Aghazadeh.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-07-2014
Violations Found: Yes
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-23-2015
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Facility does not handle hazardous materials above reporting thresholds.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 783 of 1735 ends

TC7484275.8s Page 253
CVS PHARMACY #9925 (Continued) S103637956
Eval General Type: Compliance Evaluation Inspection
Eval Date: 08-11-2022
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-30-2018
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-30-2018
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked Na not reviewed during inspection. Please send me a copy of the last hazardous waste pick up manifest (March 2018) at [email protected] or fax to (805)781-4211 Attn Mattie.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 04-01-2019
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Update Business phone number on Business Owner Operator form of Hazardous Materials Business Plan using CERS website. Current phone number is for the pharmacy. Items marked N/A not addressed during inspection.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Coordinates:

Site ID: 23391
Facility Name: CVS Pharmacy #9925
Env Int Type Code: HWG
Program ID: 10438747
Coord Name: Not reported
Ref Point Type Desc: Center of a facility or station.,
Latitude: 35.616210
Longitude: -120.682100
Affiliation:

Affiliation Type Desc: Property Owner
Entity Name: Longs Drug Stores California, L.L.C.

Entity Title: Not reported
Affiliation Address: One CVS Drive
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 784 of 1735 ends

TC7484275.8s Page 254
CVS PHARMACY #9925 (Continued) S103637956
Affiliation City: Woonsocket
Affiliation State: RI
Affiliation Country: United States
Affiliation Zip: 02895
Affiliation Phone: (401) 765-1500,
Affiliation Type Desc: Facility Mailing Address
Entity Name: Mailing Address
Entity Title: Not reported
Affiliation Address: CVS Health Attn: Erin Chilinski, CS Legal, One CVS Drive MC 1160 Affiliation City: Woonsocket
Affiliation State: RI
Affiliation Country: Not reported
Affiliation Zip: 02895
Affiliation Phone: ,
Affiliation Type Desc: CUPA District
Entity Name: SLO County Env Health
Entity Title: Not reported
Affiliation Address: 2156 Sierra Way
Affiliation City: San Luis Obispo
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 93406
Affiliation Phone: (805) 781-5544,
Affiliation Type Desc: Identification Signer
Entity Name: Crystalyn Dogui-is, Agent for Longs Drug Stores California, L.L.C.

Entity Title: Regulatory Compliance Specialist, 3E
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Operator
Entity Name: Longs Drug Stores California, L.L.C.

Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: (401) 765-1500,
Affiliation Type Desc: Parent Corporation
Entity Name: CVS Health
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Document Preparer
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 785 of 1735 ends

TC7484275.8s Page 255
CVS PHARMACY #9925 (Continued) S103637956
Entity Name: Crystalyn Dogui-is, Agent for Longs Drug Stores California, L.L.C.

Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Environmental Contact
Entity Name: 3E, Regulatory Services/CVS
Entity Title: Not reported
Affiliation Address: 3207 Grey Hawk Ct., Ste. 200
Affiliation City: Carlsbad
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 92010
Affiliation Phone: ,
Affiliation Type Desc: Legal Owner
Entity Name: Longs Drug Stores California, L.L.C.

Entity Title: Not reported
Affiliation Address: One CVS Drive
Affiliation City: Woonsocket
Affiliation State: RI
Affiliation Country: United States
Affiliation Zip: 02895
Affiliation Phone: (401) 765-1500,
Name: CVS PHARMACY #9925
Address: 187 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Site ID: 23391
CERS ID: 10438747
CERS Description: RCRA LQ HW Generator
Violations:

Violation Notes: Returned to compliance on 07/17/2014.

Violation Division: San Luis Obispo County Environmental Health Violation Program: HMRRP
Violation Source: CERS,
Evaluation:

Eval General Type: Compliance Evaluation Inspection
Eval Date: 04-01-2019
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 786 of 1735 ends

TC7484275.8s Page 256
CVS PHARMACY #9925 (Continued) S103637956
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-02-2021
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for Cindy Aghazadeh.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-03-2013
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-23-2015
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-23-2015
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HWLQG
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-18-2020
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-02-2021
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 787 of 1735 ends

TC7484275.8s Page 257
CVS PHARMACY #9925 (Continued) S103637956
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-02-2021
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HWLQG
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-03-2013
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-07-2014
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 07-07-2014
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HWLQG
Eval Source: CERS,
Eval General Type: Other/Unknown
Eval Date: 07-17-2014
Violations Found: No
Eval Type: Other, not routine, done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 08-11-2022
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COVID19, CUPA Inspector signing for Cindy Aghazadeh.

Page 788 of 1735 ends

TC7484275.8s Page 258
CVS PHARMACY #9925 (Continued) S103637956
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-22-2017
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-22-2017
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 06-18-2020
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked N/A not addressed during inspection. In light of COIVD19, CUPA Inspector signing for Cynthia Aghazadeh.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 08-11-2022
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 789 of 1735 ends

TC7484275.8s Page 259
CVS PHARMACY #9925 (Continued) S103637956
Eval Date: 03-30-2018
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Not reported
Eval Division: San Luis Obispo County Environmental Health Eval Program: HW
Eval Source: CERS,
Eval General Type: Compliance Evaluation Inspection
Eval Date: 03-30-2018
Violations Found: No
Eval Type: Routine done by local agency
Eval Notes: Items marked Na not reviewed during inspection. Please send me a copy of the last hazardous waste pick up manifest (March 2018) at [email protected] or fax to (805)781-4211 Attn Mattie.

Eval Division: San Luis Obispo County Environmental Health Eval Program: HMRRP
Eval Source: CERS,
Coordinates:

Affiliation Type Desc: Property Owner
Entity Name: Longs Drug Stores California, L.L.C.

Entity Title: Not reported
Affiliation Address: One CVS Drive
Affiliation City: Woonsocket
Affiliation State: RI
Affiliation Country: United States
Affiliation Zip: 02895
Affiliation Phone: (401) 765-1500,
Affiliation Type Desc: Facility Mailing Address
Entity Name: Mailing Address
Entity Title: Not reported
Affiliation Address: CVS Health Attn: Erin Chilinski, CS Legal, One CVS Drive MC 1160 Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 790 of 1735 ends

TC7484275.8s Page 260
CVS PHARMACY #9925 (Continued) S103637956
Affiliation City: Woonsocket
Affiliation State: RI
Affiliation Country: Not reported
Affiliation Zip: 02895
Affiliation Phone: ,
Affiliation Type Desc: CUPA District
Entity Name: SLO County Env Health
Entity Title: Not reported
Affiliation Address: 2156 Sierra Way
Affiliation City: San Luis Obispo
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 93406
Affiliation Phone: (805) 781-5544,
Affiliation Type Desc: Identification Signer
Entity Name: Crystalyn Dogui-is, Agent for Longs Drug Stores California, L.L.C.

Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: (401) 765-1500,
Affiliation Type Desc: Parent Corporation
Entity Name: CVS Health
Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Document Preparer
Entity Name: Crystalyn Dogui-is, Agent for Longs Drug Stores California, L.L.C.

Entity Title: Not reported
Affiliation Address: Not reported
Affiliation City: Not reported
Affiliation State: Not reported
Affiliation Country: Not reported
Affiliation Zip: Not reported
Affiliation Phone: ,
Affiliation Type Desc: Environmental Contact
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 791 of 1735 ends

TC7484275.8s Page 261
CVS PHARMACY #9925 (Continued) S103637956
Entity Name: 3E, Regulatory Services/CVS
Entity Title: Not reported
Affiliation Address: 3207 Grey Hawk Ct., Ste. 200
Affiliation City: Carlsbad
Affiliation State: CA
Affiliation Country: Not reported
Affiliation Zip: 92010
Affiliation Phone: ,
Affiliation Type Desc: Legal Owner
Entity Name: Longs Drug Stores California, L.L.C.

Name: CVS PHARMACY #9925
Address: 187 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0000782
Program Element Code: 0711
Program Element: HAZMAT DISCLOSURE/WASTE GEN ONLY > TQ
Record Id: PR0018316
Cross Street: Not reported
Status Code: 04
Status: Active, exempt from billing
Latitude: 35.61621
Longitude: -120.68210
Name: CVS PHARMACY #9925
Address: 187 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0000782
Program Element Code: 0726
Program Element: HAZMAT DISCLOSURE - 1-4 HAZARDOUS MATERIALS Record Id: PR0011409
Cross Street: Not reported
Status Code: 02
Status: Inactive, non-billable
Latitude: 35.61621
Longitude: -120.68210
Name: CVS PHARMACY #9925
Address: 187 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0000782
Program Element Code: 1010
Program Element: HAZWASTE GEN (RCRA-SQG)
Record Id: PR0016452
Cross Street: Not reported
Status Code: 04
Status: Active, exempt from billing
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 792 of 1735 ends

TC7484275.8s Page 262
F43 FILL & SAVE UST U004264799
North 1493 CRESTON RD N/A
< 1/8 PASO ROBLES, CA 93446
Actual:
807 ft.

Focus Map:
3 0.004 mi.
19 ft. Site 1 of 9 in cluster F
UST:

Name: FILL & SAVE
Address: 1493 CRESTON RD
City,State,Zip: PASO ROBLES, CA 93446
Facility ID: 220716_006632
Permitting Agency: San Luis Obispo County Environmental Health CERSID: 10437304
Latitude: 35.6160200
Longitude: -120.659080
Owner type: Non-Government
CVS PHARMACY #9925 (Continued) S103637956
Latitude: 35.61621
Longitude: -120.68210
Name: CVS PHARMACY #9925
Address: 187 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0000782
Program Element Code: 1110
Program Element: UNIV WASTE GENERATOR (CESQUWG)
Record Id: PR0011594
Cross Street: Not reported
Status Code: 02
Status: Inactive, non-billable
Latitude: 35.61621
Longitude: -120.68210
Name: CVS PHARMACY #9925
Address: 187 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0000782
Program Element Code: 1126
Program Element: HAZWASTE GEN (1-5 WASTE STREAMS)
Record Id: PR0002367
Cross Street: Not reported
Status Code: 01
Status: Active, billable
Latitude: 35.61621
Longitude: -120.68210
Name: CVS PHARMACY #9925
Address: 187 NIBLICK RD
City,State,Zip: PASO ROBLES, CA 93446
Facility Id: FA0000782
Program Element Code: 1135
Program Element: CUPA FINE - HAZWASTE GEN
Record Id: PR0006422
Cross Street: Not reported
Status Code: 02
Status: Inactive, non-billable
Latitude: 35.61621
Longitude: -120.68210
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 793 of 1735 ends

TC7484275.8s Page 263
FILL & SAVE (Continued) U004264799
Facility type: Motor Vehicle Fueling
Num of inuse ust: Not reported
Num of closed ust: 0
Num of oos ust: 0
Epa region: 9
Tribal lands: No
Tank owner name: MILT SOUZA
Tank owner mailing address: 2150 Heritage Loop Rd
Tank owner mailing city: Paso robles
Tank owner mailing zip: 93446
Tank owner mailing state: CA
Tank operator name: MILT SOUZA
Tank operator mailing address: 2150 Heritage Loop Rd
Tank operator mailing city: Paso Robles
Tank operator mailing zip: 93446
Tank operator mailing state: CA
Tankidnumber: 2
Tank status: Confirmed/Updated Information
Tank configuration: One in a Compartmented Unit
Tank closure date: Not reported
Tank installation date: 6/30/2003 12:00:00 AM
Tank num of compartments: 2
Tank contents: Premium Unleaded
Tank capacity gallons: 6000
Tank type: Double Wall
Tank pc construction: Steel
Tank pwpiping construction: Fiberglass
Tank piping type: Pressure
Tank piping construction: Double Walled
Tank sacrificial anode: No
Tank cp impressed current: No
Tank cp shutoff: No
Tank alarms: Yes
Tank ball float: No
Tank spill bucket: Yes
Name: FILL & SAVE
Address: 1493 CRESTON RD
City,State,Zip: PASO ROBLES, CA 93446
Facility ID: 220716_006632
Permitting Agency: San Luis Obispo County Environmental Health CERSID: 10437304
Latitude: 35.6160200
Longitude: -120.659080
Owner type: Non-Government
Facility type: Motor Vehicle Fueling
Num of inuse ust: Not reported
Num of closed ust: 0
Num of oos ust: 0
Epa region: 9
Tribal lands: No
Tank owner name: MILT SOUZA
Tank owner mailing address: 2150 Heritage Loop Rd
Tank owner mailing city: Paso robles
Tank owner mailing zip: 93446
Tank owner mailing state: CA
Tank operator name: MILT SOUZA
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 794 of 1735 ends

TC7484275.8s Page 264
FILL & SAVE (Continued) U004264799
Tank operator mailing address: 2150 Heritage Loop Rd
Tank operator mailing city: Paso Robles
Tank operator mailing zip: 93446
Tank operator mailing state: CA
Tankidnumber: 3
Tank status: Confirmed/Updated Information
Tank configuration: One in a Compartmented Unit
Tank closure date: Not reported
Tank installation date: 6/30/2003 12:00:00 AM
Tank num of compartments: 2
Tank contents: Diesel
Tank capacity gallons: 6000
Tank type: Double Wall
Tank pc construction: Steel
Tank pwpiping construction: Fiberglass
Tank piping type: Pressure
Tank piping construction: Double Walled
Tank sacrificial anode: No
Tank cp impressed current: No
Tank cp shutoff: No
Tank alarms: Yes
Tank ball float: No
Tank spill bucket: Yes
Name: FILL & SAVE
Address: 1493 CRESTON RD
City,State,Zip: PASO ROBLES, CA 93446
Facility ID: 220716_006632
Permitting Agency: San Luis Obispo County Environmental Health CERSID: 10437304
Latitude: 35.6160200
Longitude: -120.659080
Owner type: Non-Government
Facility type: Motor Vehicle Fueling
Num of inuse ust: Not reported
Num of closed ust: 0
Num of oos ust: 0
Epa region: 9
Tribal lands: No
Tank owner name: MILT SOUZA
Tank owner mailing address: 2150 Heritage Loop Rd
Tank owner mailing city: Paso robles
Tank owner mailing zip: 93446
Tank owner mailing state: CA
Tank operator name: MILT SOUZA
Tank operator mailing address: 2150 Heritage Loop Rd
Tank operator mailing city: Paso Robles
Tank operator mailing zip: 93446
Tank operator mailing state: CA
Tankidnumber: 1
Tank status: Confirmed/Updated Information
Tank configuration: Stand Alone Tank
Tank closure date: Not reported
Tank installation date: 6/30/2003 12:00:00 AM
Tank num of compartments: 1
Tank contents: Regular Unleaded
Tank capacity gallons: 20000
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 795 of 1735 ends

TC7484275.8s Page 265
FILL & SAVE (Continued) U004264799
Tank type: Double Wall
Tank pc construction: Steel
Tank pwpiping construction: Fiberglass
Tank piping type: Pressure
Tank piping construction: Double Walled
Tank sacrificial anode: No
Tank cp impressed current: No
Tank cp shutoff: No
Tank alarms: Yes
Tank ball float: No
Tank spill bucket: Yes
Name: FILL & SAVE
Address: 1493 CRESTON RD
City,State,Zip: PASO ROBLES, CA 93446
Facility ID: Not reported
Permitting Agency: San Luis Obispo County Environmental Hea CERSID: Not reported
Latitude: 35.61602
Longitude: -120.65908
Owner type: Not reported
Facility type: Not reported
Num of inuse ust: Not reported
Num of closed ust: Not reported
Num of oos ust: Not reported
Epa region: Not reported
Tribal lands: Not reported
Tank owner name: Not reported
Tank owner mailing address: Not reported
Tank owner mailing city: Not reported
Tank owner mailing zip: Not reported
Tank owner mailing state: Not reported
Tank operator name: Not reported
Tank operator mailing address: Not reported
Tank operator mailing city: Not reported
Tank operator mailing zip: Not reported
Tank operator mailing state: Not reported
Tankidnumber: Not reported
Tank status: Not reported
Tank configuration: Not reported
Tank closure date: Not reported
Tank installation date: Not reported
Tank num of compartments: Not reported
Tank contents: Not reported
Tank capacity gallons: Not reported
Tank type: Not reported
Tank pc construction: Not reported
Tank pwpiping construction: Not reported
Tank piping type: Not reported
Tank piping construction: Not reported
Tank sacrificial anode: Not reported
Tank cp impressed current: Not reported
Tank cp shutoff: Not reported
Tank alarms: Not reported
Tank ball float: Not reported
Tank spill bucket: Not reported
Map ID MAP FINDINGS
Direction
Distance EDR ID Number
Elevation Site Database(s) EPA ID Number
Exhibit A

Page 796 of 1735 ends

Paso Robles City CouncilMarch 18, 2025

Paso Robles City Council
March 18, 2025