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PIB2&0 print a Form Approved,OMB No.20500039 <br /> UNIFORM NA211RDOUS 1.(;ertwata ID Numbw 12.1)Ksiol 3.EmwpxY Reaporw Ph" <br /> WASTE MANIFEST CALWO338152 1 2WZ34-1 AW G B F <br /> 5 CenwaWl Nwm and"&N Address Genwewrs sae AMW(n aflemt IfVn rlladtrlp eaa) <br /> LAWRENCE ALEGRE TRUCKING <br /> 747 E ROTH RD. <br /> FRENCH CAMP,CA 95231 <br /> 6.Trompormr 1 Cdroeny Neme WU.S.EPA 0 Numbw <br /> AMERICAN LLEY WASTE OIL,INC. CAR000272302 <br /> 7.Tmspat«2 Company Name U.S.EPA ID Number <br /> WORLDWIDE RECOVERY SYSTEMS INC CAR000176422 <br /> 8.Dstt*Wed Fwdltly Nam and Site Addroee U.S,EPA ID Numbw <br /> YUW1 YES 2 MAST E TRANSFER FACILITY AZR000521140 <br /> 6500 US HIGHWAY 95 <br /> YLIM1A,AZ 65365 <br /> FocWs M04921}344-9626 <br /> 9e. 9b.U.S.DOT Dseatp W(trtdubnp Pm w Stapprtp[lent.HUNd Clew,ID NWrb r, 10.Contsr m 11 Tar 12.Ung 13.YtatW CoOes <br /> HM 1 srto PKkn0 Grcw CiwtO) No. Type Qwttly WLNd <br /> 1' NON-RCRA HAZARDOUS WASTE SOLID,ABSORBENTS,PAPER OIL DM P 35Z <br /> t— FILTERS t DEBRIS <br /> �j <br /> 2 <br /> c9 <br /> 3. <br /> 4. <br /> 14.Spee&Hw dWV Vwng ms and AdWmC Inform am <br /> PROFILE#178948NRS WIPER FILTERS ER30 171 <br /> EMERGENCY CONTACT: DANTE <br /> mtI4 33 <br /> 1 S. GENERATOR'WFEROR'S CERTIFICAT1oN: I hmby dedwe ttW ew conlwrb a ra om,tpranutl an nnN and somArWy descrlbed ebow by Br Wopw+*0V mm wd are dmrkd,PKkaGed, <br /> end redeftWowdaaend wqAlmlexwft in mw mrtdem Ior rmspon wx n*v b epperaoSe rawmaatr end reraprtr po.w,ar.nlr MWAeaarr..tf sepal VOTWK end I em TO PtMnwy <br /> 1 t tens, cmiorm to en wrm d M aeaard EPA Advow4dprmm d Can L <br /> stet dwAied in 40 CFR 2e227pt)(K I em a"WWRY pn&VcPr)or N(r1 rm a" pwweS>z)If IPA, <br /> l4k I LIV 'c <br /> b U,S ❑ExpM tan U S Pan d ntryAuit <br /> T agru {Io expate«KrI Dana Ma.frp V.S.: <br /> if Transputw of RecL W or 11awwe <br /> p¢ <br /> ranspoAer S - <br /> Wrm Year <br /> .A <br /> 20 <br /> ta.Drsaapuxy <br /> I& aw;pa[.y indiub.Specs ❑ Quanoty ❑Type ❑Resdue ❑P.-M R*dbrt ❑ft1 Ra sd- <br /> t <br /> MsndeN Rete a Number'. <br /> 100.AUmste Faa4ty(a Cwwabr) U.S.EPA ID Nuntbw <br /> U <br /> uQ. Fec"'s Phone: <br /> W1Bc. re Ahemste aoMry(a orator) LW* Day Yew <br /> ui <br /> 19.Hazardous waste RAW Msmag aM Mefod Coda 0.e..cees dIar ftazwdorm wast eadrrur<d.omd,end reeycanp eyfY ) - <br /> WO 1 �fi 2. 3 4 <br /> L <br /> 20.Denrieled reality Owner or Qpwator Catficoton d WAO of mzardorn m4Wt"cvwod try 0e nwd*lt axopl ss no W in ham•Sea <br /> Monih Y ear <br /> PNtledrTypW Nwne c , <br /> EPA Form 870.22(Rev 12-17) Previous ed Wns are obsolete. DESIGNAIWACILITY TO EPA's o-MANIFEST SYSTEM <br />