Laserfiche WebLink
i-°g7Geneftdw's <br /> A•(Form d nod for use on elite(12 pitch]typeamrif r j Form APpeovr 4A48 No.2 3J <br /> HAZARDOUS Pie t of 3: ffe se Phone 4:Manifest Tracking umber <br /> MANIFEST CAL 0 0 0 3 6 6 211 1 (S00)424 93Q0016774314 K <br /> and Mani' Generators Sae Address(N diitierenz than mailing ) <br /> IF 746 <br /> 720 E.HAMMER LANE <br /> STOCKTON CA 95210 <br /> _ Y$ 209 951-2403 <br /> Gen <br /> �ySN U.S:£PayID <br /> M Tray; am't? <br /> ASI3U EINMENTAL SERVICES C A 0 0 2 8 2 7 7 0 3 6 <br /> 7.Tran arZ any Name U,S,EPA IU Number <br /> , <br /> 8 casignatedfaco�tiry Name and U;S.EPAIDNumber <br /> YUMA YES ILC <br /> 2730 E 13TH ST <br /> YUMA AZ 85365 AZR000515924 <br /> FacditvsPhone. (928)344.9828 <br /> ga. 9b,U.S.DOT De%4iption(including Proper Shipping Name,Hazard Class,ID Number, 10 Conlainars 1I Total 12.Unit 13,Wasta Codes <br /> kA1 and Packing Group(.f any)) No. Type ]Quantity VVI.Nol. <br /> 0 1. NON-RCRA HAZADOUS WASTE,SOLID{NON-CONFORMING FILTERS) J D ! P 223 <br /> � 1 <br /> a <br /> w <br /> z 2- <br /> w <br /> 3: <br /> x <br /> i <br /> s <br /> 14® U1 <br /> EMERGENCY CONTACT:CHEMTREC 1-800+4249300 *APPR RIATE PERSONAL PROTECTIVE EQUIPMENT EMERGENCY �f <br /> CONTACT CHEMTREC 800 424 9300* TRUCK# PROFILE#163153NRSFIR627 <br /> 15 TOR' F S CERTIFICATION:i hereby dedere[hat the of t are fiAy and accurately dascribed above oy the proper shipping name,arc!are&Ws ified.packaged; <br /> markad and labeled/placarded,and are in all respects to proper condition for transport according to applicable intemadonatand national yovemmental regulations.Ir expert shipment and I am the Primary <br /> Expoiter,I cerbly that the content-,of this consignment conform to terms of the attached EPAAcknowledgment of Consent. <br /> 1 eertiry tl-w the arasle m `" statement in CFR 27(0)Iil 6 am a >8gr ganerutor)or tp .t a small qt sdgt g cr)is bue. <br /> C rs "ted T e tti i� ear <br /> ffT <br /> I ► t f -- <br /> -r 16.inter (�Ef—jry <br /> r- Impart.to U.S. . Li Export from U.S, Pert of entrylexit; <br /> Transporter sigratura tiro(exports y Dato Isaviry U.S„ <br /> w 17,Transporter kknowledrgment of Roce!pt of Malerials <br /> a <br /> Tra-spi-ir"Orme—irryped Name <br /> 000, <br /> CL <br /> Z Tran tli Day year <br /> f G�4 <br /> ! <br /> 181,D&P p Indlcation Space /p <br /> Quantity Type Residua ❑Partial Rejection ❑Full Rejeclico <br /> M t <br /> 18b,Aftmate Foolity tor Generator) U„S.EPA ID Number <br /> J <br /> U <br /> ie! F ` :ts Phone: <br /> i o 18c.Signature RARemate Factilty[f± erdto M^crah Day Y <br /> ew <br /> z <br /> 1?.Hazardous Waito Roper*,MadaigerharriMethad Codes(ke.,codes for hazardous waste treatment,disposal.and "ems) <br /> LU <br /> 1. 4^ <br /> 21).Design0sed Fatty aver orQpsneor,Certification or recead,at hazardous materials covered by the manifest except as nded in Item 18a <br /> PrslraATyPsd ',a 1'r th ^�yr� Year <br /> EPA Form 9 22(Rev.3.05) Previous editions are obsolete. DESIGNATED FACIL.I T Y TO DESTINATION STATE(IF REQUIRED) <br /> I <br />