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Please print or typa.(Farm diongi for m on elite 12yAch 'er.) Farm Approved.OMB No.2050-039 <br /> UNIFORM HAZARDOUS 1.GararemrlO Number 2.Ppetd 3.E mmpanryRnPhgne lMmNeelTmoRlry Mumbo <br /> WASTE MANIFEST CAL00044696 n' -porva 018238260 JJK <br /> 5.GBnammle Nemo Md MMagAdden Gerammrs Site Address Ql dltivxd Ran mallrg addrim <br /> PAZ AUTO a TRUCK REPAIR-PAZ00_ <br /> 2382 EAST WATERLOO POAD <br /> STOCKTON CA 95205 <br /> (limnii Phone: 2094650652 <br /> 6,Timp"I Campany Name U.S.EPAID Nmrber <br /> WORLD OIL ENVIRONMENTAL SERVICES CAD 0 2 8 2 7 7 0 3 6 <br /> 7.Tim mr2Cmmmy Nvre U.4EPAIDNumber <br /> WORLDWIDE RECOVERY SYSTEM INC. CAR 0 0 017 5 4 2 2 <br /> e.Nnl and F..ft N.m MbA,W. U.S.EPA ID Number <br /> YES MANAGEMENT, INC. <br /> 6500 US HIGHWAY 95 <br /> YUMA AZ 8536665 AZR000521146 <br /> Fwlr,iePhm, (928044-9828 <br /> ga. t.U.S.DOT Daeb'rybm iii Proper%igft Nome,Heard den,ID"bin, 10.Codemam 11.7amI 11MR 13.Wnm Cada <br /> HM ndpwJngGw01i No, Type Quarry VAM. <br /> NON-RCRA HAZARDOUS WASTE.SOLIDS(BRAKE LATHE SHAVINGS) I TaF ro 181 <br /> p o UU L/a <br /> F <br /> 3. <br /> d. <br /> 14.4 Handing lnehudians vMP4dl <br /> EMERGENCY CONTACT:CHEMTREC 1-BC04243300 WOES-TERMINA- CERES .3 Km" 71' 171 PROFILE 0 961 <br /> 1710395NRS-PAZOOI <br /> "=x_71 . 1-1 'PROFILE09611710395NRS-PAZ001 BRAKE LATHE SHAVINGS ` `APf3 i P ATE PPE EQUIPMENT .tL�O <br /> 15, GENERATOR'SIOFTEROR'SCERIIFICAl1[N1:lr byydetlerethal VemrAenm MNewnagnmerd NryeM eccmebrydasal`YHEe�d'eboregNa pmpazeMppirq n®re,Wue dueRkO,cecYagetl, <br /> medmd aM mbilaci vdad aM mind rasPeala inprvwom dlLon M trampodecmrtl'mpm Opp bade InmmodoralvM mdorel pounnvnenml mgubtlme.Ra'mortehgmnlarM I emtlw Petra <br /> ExpartnlimFytluttlm mdmN canMgnmeMmdmnmme mrme rime etlativtl EPAAdmMatlOmenld Cansmt <br /> Ioutil, tmawademmi emmnbnlldentiledln/O CFR 282.P(al@ImamgequeMlygmeremrlm@I lRl emaeme0 mrf le true. <br /> Nrimlo'nShomfe Pdn NSgrewn Momh Day Y r <br /> >G 10 11 Z 1 2 <br /> F 16.InbmelbnM Shipmmob ❑ImpMmUs. ❑EspMbom V.S. Podolenhy <br /> Trarsi signator,lb<eMarle mW Dant U.S' <br /> w 1TTaneponvAbom"nemd PomiddWm i& <br /> �. Ni l PdnmSTpetl Name Sgramm Manm Day Y., <br /> s )✓ 2 as <br /> TnspMer2PdnreMyped Name jMn'i , ,N1 d-{ Sgnatum �/ MmN Day Y.v <br /> aS <br /> I <br /> 1e.Devepenry l8e.Pxnari"lMimtlon Spam ❑ aarigly ❑Typo ❑ Idm ❑PRMM R*01on ❑Full Rgeclm <br /> Maneesl Reivmim Number <br /> 18b.Alrenam Fedllylw Geimmm0 U.S.EPAIDNunbv <br /> J <br /> U <br /> 0wFaclBy's PM1one: <br /> US,SgnMm Y Allsirm Fidllry(or Gnvdar) Mon Day Year <br /> 6 <br /> 2 <br /> N19.HaaaMa¢NMN Mpod MarapemeMMdlod Codes(te.,mdn Mheaardouaxasm heetmvR depmel,and m�}tlirq syamms) <br /> G 1, 2 3. 4. <br /> 1 <br /> 20,Nni,rabtl Wit,Dxm vGpm o,.CxtilhhJtlon of receipt d haeardoue memn <br /> dei,l or Ma mmlinin exmptae nod in Imm ISO T me nN a ear <br /> O <br /> EPAForm eZ➢a221Ray.3-0 Previous editions ere obsolete. DESIGNATED PACILITY TOP <br /> O ESTINATION STATE(IF REQUIRED) <br />