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PI pnn Folm Approved.OMB No.2050-0939 <br /> UNIFORM HAZARDOUS 1.GerareMrlD NmMer 2PNa1% 3.Emmpanq Resporea Phom /.YnNnlTaxbinA Number GBF <br /> WASTE MANIFEST CAL000448054 1 208-275OOS8 <br /> 5.Nmmtols Nameand Meiliig aAmm Gmiemtafs site Pdaress(Xaiflemnl Nan nlal' <br /> DHALIWAL BROTHER TRUCKING <br /> 15844 MCKINLEY AVE <br /> LATHROP,CA 95330 <br /> Genemmfs Pho 11.5.EPAID Numm <br /> 6 Transpaawl parry ame <br /> AMERICAN VALLEY WASTE OIL,INC. CARIg0272302 <br /> 7.Tmna"2 Company Name U.S.EPA ID Number <br /> WORLDWIDE RECOVERY SYSTEMS INC CAR000175422 <br /> B.Dreq^aMa Fatlliry Nama em SXe Aaareea U.S.EPAID Number <br /> YUMA YES 2 WASTE TRANSFER FACILITY AZRODDS21148 <br /> 8500 US HIGHWAY 85 <br /> YUM,AZ 85385 <br /> Fetlu e <br /> ye, <br /> A.U.S.WTNam YJaa(andAW Proper Shipp'sm Name,YUmrd Cm.ID Nw .. 1NCwr''rem it.TOW 12.Un 13.V Caaee <br /> HM ml,aU mcNmpiXanY)) Na. TYpa QUM" YANM. <br /> 1. 352 <br /> p FILENON-RCRA&DEBRIS <br /> WASTE SOLID,ABSORBENTS, PAPER OIL .2 OM 10 P <br /> FILTERS 80EBRIS <br /> i 2. <br /> Ca <br /> 3. <br /> a. <br /> ta.spesia Renmire In,wmiana waAnameml mrommmn <br /> PROFILE#1913211NRS PAPERFILTERS ERG#171 <br /> EMERGENCY CONTACT:JASPRIT <br /> 15. mm,alOR'S'DFFEROR'B Dm am <br /> allan ,in amM ,u Yvair Me NlMe cvnagn applim eintim amla d aeactN gavimmmil"ioperehipprgnm,emmtleeeXnq pxkagetl. <br /> mametl am IamleN%emrtka,eM em In all reepafi in pmpmmMiSw forVanNaaawaainA b eDDlvable'mMmetipnelena reApnalAosmnmenMl IBpJMgns.11eapwl ehilRrent aW I am Xa Pomary <br /> lrm realty Nat NemntmlmofNMmnegneama QCF tlmmmaafaeaVadieaE nA ypnmiveelal Conwnl. <br /> I mah NaltM1e wms minimiutlpn abkmeMiae%INa N MI CFR Z62.27(e))X I malege quenthy panemlm)m @)(XI vnapretl WemMeanaatml la We. <br /> NvanawtO .Rmedrtylaa Nara„ reale -� �s Year <br /> 15.ImnmmaIwran '❑Innmtau3. ❑Erpw11 U5. %oolvanb <br /> TmnmM wraftmllmmsaraw: Dela Mae P9 U.S.: <br /> C 17.Tmnspoa AdmwlsdDmat of Rem%of Mal <br /> Trenepmte nt Name S ly Year <br /> rn m o rtY%a Nana 9iAnaeve Monty Y <br /> sK Z eR i e <br /> }I. 18.pemeparcy <br /> I Ua.Ncrepwglm iiaSm Spew ❑ OpanXly ❑Type ❑Rmm ❑Patlalltai lm ❑FUl RaNd.a <br /> ManXe%Refname NUmaer <br /> 156.Amnme Fetipry lm Genarem0 U.S.EMIDN,mbar <br /> U <br /> LL Faaarya Phare: <br /> 1&.Sipmmm ofAXanale Fadlry lw Caremmr) Meeh DAY Year <br /> y10.Nazadma YAaem Repwl Mena9mrem MaNm Come Q.e.,mkeMhveNaawame heeerenl aiepoW,erd aDNaNl ayeleme) <br /> 0 1. 'A ' z. 3. a. <br /> zO.DealplaW Fatllry Oima''or1 opetaw CaSfrelluiWmctl%pl laratlpuamaWbb mrerea bYNammAmt arm%as Mmn 1Ba <br /> 1eaRYPsa Name $ipneture W r <br /> ¢nuw U 61 Q0 <br /> EPA Fwm 8700-22(Bev.12-17) Previous avl6 are olmleW ESIGNAT CILTTY TO EPA's a-MANIFEST SYSTEM <br />