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RECEIVED BY SJCEHD (EF) on 2/21/2020 \�\ Ase print or type.(Form designed for use on elite(12_itch ` UNIFORM.HAZARDOUS 1.Generator ID Number p )typowrlter,) - - Fcrm Approved.OMB No.2050-0033 * ytrA5TE MANIFESTS 2.Page 1 0l 3.Emergency Reponse Phone 4.Man_'de t Tracking Number 5.Generator's Name and Mailing Add ess 0 9 8 1 8 6 2 8 4 4 1 (nook ata-ssao ,;i�4 8 J.l K PEP BOYS M0711 Generalo/s Sile Address(g drierent than mailing address) 201 E ORCHARD STREET HAMIMONTON Generators Phone: 209 952-1222 NJ 08097 4987 WEST LANE 6.Transporter 1 Company Name - STOCKTON CA 95210 WORLD OIL ENVIRONMENTAL SERVICES U.S.EPA ID Number 7.Transporter 2 Company Name CAD 0 2 8 2 7 7 0 3 6 V.S.EPA ID Number 46 g Designated Facility Name d Site Address '' i Ilk r WORLD OIL RECYCLING U.S.EPA ID Number 2000 N,ALAMEDA STREET COMPTON Facilitys Phone: 310)537-7100 CA 90222 CAT 0 8 0 0 13 3 5 2 9a. 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, HM and Packing Group(if any)) 10.Containers 11.Total 12.Unit 13.Waste Codes 0 1 HATARDOU3 NON-RCRA WASTE LIQUID(BRAKE FLUID No. Type Quantity Wt.Nol. ) 'YrE r,1 22.3 W .1, piVYt 4 P: h :P.'1:i'L't'Jz 1. r :A:.z•N..u'mM7 n rr•,u r. ,.y Z 2 W C9 THIS WASTE STREAM HAS BEEN QUALIFIED FOR RECYCLING/TREATMENT AT THE 3. RECYCLING FACILITY IN COMPTON,CALIFORNIA. THIS FACILITY HAS THE NECESSARY PERMITS TO RECEIVE YOUR WASTE STREAM AS QUALIFED. a Fit',fdt-IJIMBER \ .wrL'NVm.r�..ri's.:,,.n:).:er..rl� ♦,•r•�..v. ... w•,yv�v..i.,.r r•NWMe.I�rre•1.-.-r.r, ` 14.Special Handling Instructions and Additional Information EMERGENCY CONTACT:CHEMTREC 1-800-424-9300 WOES TERMINAL:CERES CS *P0OFILE#9 1:449477 BRAKE FLUID *APPROPRIATE PPE EQUIPMENT 15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,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. Generator's/Offerors PrintedfTyped Name Signature Month Day Year iTr(x,,: s �� >� - o � /e? i 16.International Shipments Export from U.S. Port of ant lexit: t= ❑Import to U.S. ❑ p ry Transporter signature(for exports only): Date leaving U.S W W 17,Transporter Acknowledgment of Receipt of Materials —� Transporter 1 Printed/Typed Name Signature.� -- Month Day Year Z Transporter 2 Printed/ryped Name Signature Month Day Year Q 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 I Facility's Phone: i 18c.Signature of Alternate Facility(or Generator) Month Day Ye 19. azardous Waste Report Management Method Codes(i.e..codes for hazardous waste treatment,disposal,and recycling systems) 1 2 3 4. 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted In Item 18a o th Da Printed/Typed Name Signature =orm 8700-22(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO GENERI 711 UHWM 018170048JJK TSDF