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Please print or type.(Form designed for use on elite(12-pitch)tyv.writer.) Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4.Manifest Tracking Number WASTE MANIFEST CAI-0=238 10 1 800-424-93OL 0 0 4 9 0 7 9 7 7 JJ K- F1 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address) RIGHETTI ENTERPRISES 1627 E. CHANNEL ST. STOCKTON,CA 952-4D5 Generator's Phone: - - ' 6.Transporter 1 Company Name U.S.EPA ID Number EVERGREEN EPAARONIAENTIAL 'SERVICES CA0982413262 7.Transporter 2 Company Name U.S.EPA ID Number 8.Designated Facility Name and Site Address U.S.EPA ID Number EVEFr3REEN OIL,INC, CAD980887418 NEVVAIRK,CA 94660 Facility's Phone: 510-795-44170 ga 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit 13.Waste Codes HM and Packing Group(if any)) r No. Type Quantity Wt.Nol. V 30 47%11 Z. "/1V11�3311 1 t[.e4S W 0 pTle 3. 4. 14.Special Hang Instructions and Additional Information ��y�e profile� erg I drum slze(" / 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classed,packaged, marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)or(b)(if I am a small quantity generator)is true. GeneratorslOfferors Printed yped Name 9 Signature Month Day Year 1 )0 N., k- W4r(A I ga a*lei J 16.Interna o al Shipments F, ❑Import to U.S. Export from U.S. Port of entrylexit: Transporter signature(for exports only): Date leaving U.S.: W 17.Transporter Acknowledgmp 4 of Receipt of Materials Transporter 1 PrintedfTy ame Signature Month Day Year O Zee 0 o WMDnth Day Year zQ Transporter 2 Printed(ryped Name Signator H 18,Discrepancy 18a.Discrepancy Indication Space ❑ Quantity ❑Type ❑Residue ❑Partial Rejection ❑Full Rejection Manifest Reference Number: 18b.Alternate Facility(or Generator) U.S.EPA ID Number J U Facility's Phone: W 18c.Signature of Alternate Facility(or Generator) Month Day Year Q z 19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) 1. 2. 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a Printedffyped Name Signature Month Day Year EPA Form 8700-22(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED)