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len-so print or type.[Form designed(or»se on elite(12-pitch)typewrifer.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS 1.Generator ID Number =38-18 <br /> 3.EmwVoncy Raspanso phone 14,.Manifest Tracking Nurnhor <br /> WASTE MANIFEST ' CAD 9 819 6 7 6 8 0 (800)4249300 018529141 J J K <br /> S.GegrratawMMO¢,Ls Generators Site Address Of different than maling address) <br /> 3333 AUTO CENTER CIRCLE <br /> STOCKTON CA 95212 <br /> Generators Phone: 209 477"3668 <br /> 6.Tramr 1 Company Name U.S.EPA ID Numb" <br /> R O OIL ENVIRONMENTAL SERVICES CAD 0 2 8 2 7 7 0 3 6 <br /> 7.T 2 Campan Name: U.S.EPA ID Number <br /> 0 LDWI0-RECOVERY SYSTEM INP. C A R.0 0 017 5 4 2 2 <br /> a.DtrNV,E'wty f�and S6 Address U.S.EPA ID-Number <br /> 27-30 E 13TH ST <br /> 'YUMAAZ 85365 <br /> AZI7000515924 <br /> FadTit/s Phone: (928)3449828 <br /> ga, 95.U.S.DOT Description Qncluding Proper Shipping Name,Hazard Class,ID Number, 10.Contalners 11.Total 42.Unl 13.Waste Codes <br /> HM and Packing Group(if any)) No. Type Quantity WUVoL <br /> 'NON-RCRA HMODOUS WASTE,SOLID(OILY SOLID, PAPER FILTERS) .62 <br /> ...., _.. DM � � P <br /> 2. <br /> w <br /> sa <br /> 14.Sped Handling InskudSons aDdAddilional lnfomiatfon _. <br /> EMERGENCY CONTACT:CHEMTREC 1-800-424-9300 WOES TERMINAL: *.PROFILE w 9BI.162623NFSST0627 OILY SOLID, <br /> PAPER FILTERS * *APPROPRIATE PPE EQUIPMENT ! v <br /> 15. GEN ERATW91CIFFEROWS CERTIFICATION:I harsby dockvo that the contents of Ihls opmfgnmert am fully and ac+=Wly descQed abova by ft pro*y[pplpg nwna,xi4oto dasamt ged, <br /> marked and labefed/placarded.and are In all respects In proper condl8onfor transport according to appticaNe intvmallonal a-d nallarrat gmvammonbi molodons.If exporlshlpmo iW I am'lhe <br /> Exporter'I certify that the contents of this consignment conform to the tars of the attached EPAAcknaMedgrnenl of Ccmcnt. <br /> that Ihevrosto mh[m tatement onl�red In 40 CFR 207 27( (t 1 am a largo quantitygenaralor)ar f am a smattquanlJly germ"—Le . <br /> Go ![urds drr ypo Name Sfgmiure :ti: Day Year <br /> {PZ7 � <br /> �t i .Iniema Shlpmen <br /> ❑import toU.S. ❑Export born U.3 Pori okentryleudt <br /> z TrarnporWrstgrvFturo(forrxportaordy}: Date Leaving U.S: <br /> 17.TmnsporlerAclinmvledgraard of WccO of Malerlals <br /> 'Transporterr7a, <br /> Slgnalue Month Day Yasr <br /> 07 <br /> QTransporter rinludlTyped Namb SiDrratum r'. fstoaul Day Year <br /> a <br /> N <br /> 18.Discrepancy <br /> 18a.Discrepancy Indlcallon Space Quantity ❑Type ❑ResidueEl PaNal R eJ ❑Full Re echon JecOon <br /> tlanlfeal Rafumnce Number: <br /> 18b,Altemale Faclfity tar GenarabT) U.&FPA 10 Nombor <br /> =4 <br /> U <br /> .<1 FatrWs PhoAa <br /> w 1Sc.SfgmWm of Aflsmats Fudifty(or Goneratory MonUr Day Year <br /> a <br /> s <br /> 19.Hazardous Waste Report Managamant Method Codas(I.e.,codes for hazardous waste treatment dlsposal,and facyding systams) <br /> � 1. 2. 3. 4. <br /> 20.Dasignawl Facility Oyrner or Operator.Cer9calon of recelpi of hazardous materials covered by the manifest except as nded in Item 18a <br /> Prinledlfyped Name Srrynarure Moran Day Year <br /> EPA Form 8700-22(Rev.3-05) Previous editions are obselelu. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />