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SSL SFS SFIiP# x30827934 Please print or type. Form Approved.OMB No.2050-0039 1.Generator ID Number 2.Pae 1 of 3. me �0 R e P 4.Manifest Tracking Number ��++ UNIFORM HAZARDOUS C;�il.0+�1t?I44h(�f�! 9 1007314951 S Ka7 WASTE MANIFEST 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address) . C:heema Frein Intl ines i..LC: i6200 IS. McKinley Ave F..ATHROP CA 95F-30-MO Generator's Phone: 209_-5913-0777 U.S.EPA ID Number 6.Trrp�pprterf'` -nT''�- ' SYSTEMS S Z NC.: T X 8210 0131205 7.Transporter 2 Company Name U.S.EPA ID Number Ct._EQN HARBORS ENV SVC TNC. MAD039322250 8.Designated Facility Name and Site Address CL EANHARF"1[MS OF BUTTONW I LLOW U.S.EPA ID Number 2500 L.OKERNROAD Ai..':Tl[fNW l t_t_UW � CP 9 Si-.;i776 661-7F��.�..-6i GAD980675216 Facility's Phone: 9a. 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)) No. Type Quantity Wt.Nol. 1' *M8NE. ;!CRA Hf!:q ,'l S WASTE 'SIThS, } 0 rr t O Z 2. LU 3. 4. 14.Special Handling Instructions and C �' P 9 nsttid Additional Information TSD e.�5 41r91$6 4 L:}!M;; 'A C.rat 244 EMERGE'NCY#800-.-468---1760-•-CH/cb{/TFT•-Contract: ratained by geTierator confers agency author:. ;y on initial traris orter to add or substitute ad!liti.<,r�al tray s .uwter^s ?:tn enerator ' s behalf. 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. Genefatoft/Offeror's Printed/Typed Name Signature Month Day Year J 16.International Shipments ElImport to U.S. ❑Export from U.S. Port of entry/exit: ? Transporter signature(for exports only): Date leaving U.S.: 17.Transporter Acknowledgment of Receipt of Materials Transporterv�Printed/Typed Name �r Signature ,•" r Month Day Year Z Transporter 2 Printed/Typed Name Signature ---' Month Day Year H 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quantity El 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 N19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) G 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 Ll I I I I Printed/Typed Name Signature Month Day Year EPA Form 8700-2Zev.12-17Jious editions are obsolete. GENERATOR'S INITIAL COPY 1}8611 T/19850