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Freese er Fotm AApmved.OMB ft 2050419 <br /> UNIFORM HAZARDOUS t Generator ID Number 2 Paso 1 of 3.Emergency Respmse Phonet 9 <br /> WASTE MANIFEST CAL000057083 1 888-785-7225 - 6 5 FLE <br /> &Gffwe 's Name and Ms¢npAddreas Generekrfs SbAddreat(ddiftersrd then maltag a Wass) <br /> Panela Truckingg <br /> 5000 k. Frernonl St <br /> Stockton, CA 95205 <br /> Genera ft Fivra 209.943-5010 <br /> "rem <br /> 1 Cont US.EPA 1D Number <br /> Adranced G�heAcal Transport InCdDBA ACTENVIRO CAR000070540 <br /> '*cm tz a reeco'v+ery System, Inc U.S.EM ID number CAR000175422 <br /> 8.Destgaated Fx*Name Addrats U.S.EPA ID Number <br /> Yuma YES LLC AZR000515924 <br /> 2730 E. 13t)T St <br /> Yuma, AZ 85355 <br /> F Phare: 928,344-9828 <br /> gs, M U.S.OOT Demg*n¢ndu ft Proper Skipping Name,H=d Class,rD N=bsr, 10 Cordatrters 11•Tota! 12.Ura 13.waste Codes <br /> HM anditwoGrow(Cany}) No. Type ouenkl Md <br /> 0 1 on- Hazardous Waste Sofid PHWS DM p 352 <br /> w <br /> z , <br /> LU <br /> 3_Norr-RCRIE H522HISHN Waste, a >t am oo er's, 352 <br /> Detuis) � DM ��W P <br /> 4. 'yW <br /> u. pedal - Number Do er�t D7.35138 <br /> 1) 174198 PAY - v55�v/?" 3) 178640 PAY f I <br /> 15. GHfERATOIt'BIOFFER n C8=CATI tk 1 hereby dedma Etat the=&ft of Cis ROy desaEbed above bJ trto pt g t=•and ore fid,padraged, <br /> marked oral labe�dlptacarded,and ase In eC respscfs to proper oondEtbn tot trartapoA to appeabte tntematiasalarrd nalterrat So+rerturenm!regtions C export atiprderd and I em the Pdmeiy <br /> Evotter,I ea*Iha1 ft cubr is 01 Ui3 oorssignment cants m to rho terms o1 the e3ledW EFAAd=vWgment of CcnsonL <br /> I a�rdyy @ref rhe wa:aa rriainization e�atent tder�&ad to ao t�R?8.1.T7(a){a 1 am a tasgegt�4ly generator)err(h)(dl rptardity generamr)is true. <br /> ❑Import b US. ❑ExpoA from US. Part of orifi <br /> TtBrsspaterslgnnture(form"Wd . Data teavng US.: <br /> 1J.TransporterAdotarAedgmerdof Raoaiptof Matedaks <br /> T Nsrrra <br /> fi. <br /> in �- <br /> r Pkbwvw NM jMach Day Year <br /> C` <br /> 18.0 <br /> 10a IndxaCar Space ❑ oft* ❑ww Re ach ❑m mecft <br /> Merited Relererxw Itumber: <br /> 18b.AtteemateFaa3fy(aGerteretor) U.S.EPA IDNumber <br /> V <br /> W FaQ3 g Phare <br /> 180.Stgttatsue Affarrrate Faa"gry er DeY You <br /> 19.Hazardous ft o Report IMdsK=erdfftMW Codes(le.,codas for hazardous treats beabneat,dlsp"A aro tact'IN systems) <br /> a 1. 2 3. 4. <br /> 20.Da%n&d UMy Omw a Operabr Cada Bon of roow of tmzardars mated t owered by rte mated a es rented to a m 183 <br /> awe M" Day year <br /> EPA Form 87022(Rev:t2•t7)Previous ed5w are otrsotete D HATED FACILITY TO EPA'S e•MANIFEST SYSTEM <br />