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Please print or".(Form designed for use on elite(12-pitch)rypevmlec) Forth Approved.OMB No.2050-0039 <br /> UNIFORM BAZARD018 I t GenentorlD Number 2Page t of 3.Emergency Response Phone 4.Manifest Tracking Number <br /> WASTE MANIFEST CAT 0 0 0 61 7 5 1 4 1 (Boo)a63373b 1013145502 JJ K <br /> 5.GWAit" ni7R2tit dn8N.re eMG"PARTNERSHIP L.P. Generators Spm Address(I different Ihan malting address) <br /> N <br /> 2941 zvv DrNa IfA <br /> Stockton,CA 95206 <br /> Generators Pbone (209)'943-5662 <br /> e.Trxmpofer 1 Company Name U.S EPA ID Number <br /> PONDER ENVIRONMENTAL SERVICES,INC- CAR 0 0 0 1 6 0 7 3 7 <br /> r.T2mpater2Canpany Name U.S EPA ID Number <br /> B.OP aeLh�NamE and Sde Adtress Us EPA ID Number <br /> 2000 N.Kameda St <br /> Compton,CA 90222 <br /> Faafitys Rhone: (310)537-7300 CAT 0 6 0 0 13 3 5 2 <br /> 9a 91b.US,OOTOesaipbon(ndudrg Proper Shipgng Name,Hazard Gass,IO Nunber 10.Containers 11.Total 12.Unit 13.Waste Codes <br /> HM and Packing(rrorq(f any)) No. Type Ouenfity WWoI <br /> 1' DOLL 6018 <br /> P- UN1993,Waste FlarnmaID6 Liquid(Waste wnh Gasdne),3,PG II 001 TT Lou G <br /> 343 <br /> W <br /> 2 2. <br /> W <br /> f7 <br /> 3 <br /> 4. <br /> 14 Special Handing Instuctens and Addtioml lrformabm <br /> Appnaval A Tank 91002 - <br /> -P-0-0732686 <br /> Job B15.5032B <br /> 15. GENERATOR'SIOFFEROR'9CEROFICATION: I hereby declare thattla mntentsof Nlscanstnmentare fullyand accurably described above by the proper shipping name,and are dasdfied,packaged, <br /> marked and bbeedlplanrda 1,and are in at respeds in prrperrordiUdn fn bampan aging no applicable inlemagoml and m8onal govemmeidal regulators.If export shipment and I am the Primary <br /> Exporter,I certify Net the contents of this consignment mnfam to to temasof has,shaded EPAAdmowtedgmenl ofConsent <br /> I carbtyttat the wase rrrnimlrabr n statement Identified n 40 CFR 262.2T(a)(NI am a huge quardi"oreralor)a(b)(81 am a small quantity generator)s We. <br /> Generwoest0woes parasol N m Signabse Monro Day Vear <br /> .N <br /> -� itI Intemadonal Sarpreents <br /> i--. ❑imiautu US. ❑Ex U.S 40' Pat ofeniry/eat <br /> = <br /> Transporter s'gneare(for exports only): Dale leaving US.: <br /> w 17.TranspatxAdmoWedgmmto(RecsoalM*rids <br /> o tans 1 PrinletllFypetl theme _ �i sign <br /> ef'i �- "01 <br /> 2 I e`J <br /> Q Tansporter2 Pdneculyped riame Signawre Montle Day Year <br /> r19 Discrepancy <br /> I Be.Dsaepamy Intl®tion Space ❑OwnRy ❑TYR ❑Residue ❑Padial Relacgon ❑Full Rejechon <br /> Manfesl Refereme Number. <br /> I Bb,A9emate FacRy(or Generator) US EPA ID Number <br /> U <br /> Fzclitys Phone. <br /> ¢w 18c Signature of Alternate Facility la Generalor) Month Day Year <br /> 2 <br /> H19.Hazardous Waste Report Management Medi Codes(Le.,codesfahazardous waste treatment disposal,end recyring systems) <br /> 0 1. 2. 3. 4 <br /> 20.0esgmled Facility owner m 0persta.Cedi6catian d recelpt of hazaNas materials mvered by Ne manNem exmptas noted In hem 18a <br /> 1 Pmledlryped Name Signature Month Day Year <br /> EPA Fm 8700-22(Rev 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED) <br />