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PIPOse print or type,{farm k5sgned for use.on OIL(12-pilch)typowtiler.) Form Approved,OMB No.2050-W39 <br /> UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Emergency Response'P. aae 4.ManifeMTracking Number <br /> WASTE MANIFEST 9 1 !8001 424-9300, 0 .68803 JJ K <br /> 5.Generator's Name and Mailing/#6ss Generator's Site Address(if different than mailing address)` <br /> STOCKTON DODGE INC r <br /> 3333 AUTO CENTER CIRCLE <br /> STOCKTON CA 95212 <br /> Generator's Phone: .9 477-3668 <br /> O.Traecporte 1 Compaq Nfta —_-- U.S.EPA ID Nw oe <br /> WORLD OIL ENVIRONMENTAL SERVICES CAD 0 2 8 2 7 7 0 3 6. <br /> I-Ttans'pW 2 Company Nnme U.$.EPA 10 NumbLr` - <br /> WORLDWIDE RECOVERY SYSTEM INC. C 422 <br /> 22 <br /> a.O.i Jynatad Facility Marne;W goAdft§s _._ .. U.S:EPVVNwiIE'r - <br /> YUMA YES LLC <br /> 2730 E 13TH ST <br /> YUMA AZ & 365 AZR000515924 <br /> f'aulilyla 6' r a �, <br /> g0 9b•U.S.DOT Desaiptlon(fncludIng,Proper Shlpplq Harr,Fwrd Class,ID Ng0,er, 1O.Co ywrs T 11.Total 12.U[tjt <br /> HM ?nd P.ackfng Group{f any)) No, Typo quantity WUVoI. }3.yVasle Codes <br /> a rNON OCRA HAZARDOUS'WASTE:SOLID(OILY SOLID,PAPER FILTERS) <br /> l .. D M _ P` <br /> ul <br /> " r'��:.� >'{���hlSWeticmS an�Addillon��I ln!rrrnS:inri._ � _.._ ._ .,- _ .._ . .. ...,v._.__ _._. ..-- •- •.-. -.---- -•--- <br /> EMERSENCY CONTACT.:CHEv1TFREC'1-800-.424-9300 WOEP TERMINAL'CERES CS *PROFILE a 981:162623NR890627 <br /> QIL'Y-WD, PAPER FILTERS " *APPRQP.RIATE PPE EQUIPMENT . <br /> is.-f?o.wT Q8'slgFFER0a 5 G sr T#Rl rA( ' Fsla I u or tris r; g,t�a.L '�?sld j is a l p r��si4�ri?nu pa a <br /> markitil qqd hNgdlplacallod;aril torr Ira pn fespcicts In plgpeFt iltlaq InF!'?af+PArl ROa r[Gn9 W8 {caF?l6 JIs1n[npt [kA��SrldgnGonol Qaynrr}trtnlaf regut�llo�n,if�xpprt sWp nsnl -PRO nary <br /> wp{tej t;q;Iy i1416 ttmtcal;i 1 V s r:msf-jnm:frl wrfataa 10 Pill 1'00a5q i4 a@ac4a EPA opltd . � <br /> orbh+md Up w ht tillydry xaGr�54�Wnen,kiz�,tihr�fn Ip GFR 2G?"7{a)(Ii I am A I�rgo Vvaistlly} rc , by� e 5 .. UtY9pgarnfnr)3s tnm: <br /> 'icRd-' •ltua30pm;�L <br /> -•-----•- - --_...`. ...•R .... - <br /> I i lm�u+1 ra u.5, ^l J!xgort rmri!u.s: Part otcnuyfc•* <br /> f�r�ApW si�naAu {for aSi{+arto.vnly).• D.Le tcaWreg U.S.f _ <br /> 17,TrnirspprlaplCclutri�sia�rr�onlul1��rlptiit'I;raien�Js': •. - .- __.... ..._. .._ -_.._ _ ,.--..._.._.�__ �__......� <br /> TlBns}idwrl Prinwap yfpotlNam�-�.. �.,_.� _.- - - '•Sfrgr9 - <br /> 0 <br /> Trar3.pd5r 2 Pripledltjrp amo <br /> Ce <br /> 18a.FAmpancy Indicagoo Spaca a 04 nu <br /> ty. - ❑7yp? Reslduo - LJ PbrpEd Re)eclpn Full Re)ooDn_N <br /> Manifest Reference Number. <br /> 18b:Nfemalu FaGlily(or Gancralgr) '• •- •' - - - - •• U.S.EPA ID Nairnber <br /> Facility's Phone: <br /> I Oc.Si rwUtrp of Anomato Fwlily tax Gerv_mtor) Mw1h Day Year- <br /> :1 <br /> 19.1lo ardo0a Waste Report Mnrl$r90M l Moilwd Codes(I:e.,'c idc�fpr fi aicfniis i e lieaf riSrtil,dapaaai,of d ircyrLnp cy lmiis} - - _ __._.. <br /> � 1 2' _. ... .. 3 _... ...... 4 ._. <br /> 20.tars grLOW Facility Uvner or Cpt,falor.Cedifimlion orrocetpl of hormtoan ns:rler(15 covam¢j by pie rn ngcst exrcpt as ncied In horn 18a <br /> PrinlnY ypod N usw - - 5ignafl re - Monih Day Ycas <br /> EPAForrn8T00-22&v.3-05) Pfeviausedllfansore bbsulcip: " DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />