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Please print or typo.(Form designed for use on elite(42-pitch) pewriter.) Form Approved.OMB No.70150-U'.]3'} <br /> UNIFORM HAZARDOUS 1.Gvnerawr ID Number 2.Paga 1 a! 3.Emergency Responw Phone d.Manifest Tracking Number <br /> " WASTE MANIFEST CAD 9 8 19 6 7 6 8 0 1 (800 424-9300 017 4 6 7 7 4 2 J J K <br /> 5.Generator's Name and Mailing Address Ganoratwb SiteAddmsf(it rfr(foront{trap mailing address) <br /> STOCKTON DODGE INC <br /> 3333 AUTO CEN'rER CIRCLE <br /> STOCKTON CA 95212 <br /> Generator's Phone: 20:)�'7 7 <br /> 6.Transprxrur 1 Company Name U-5.EPA ID Number <br /> WORLD OIL ENVIRONMENTAL SERVICES CAD 0 2 8 2 7 7 0 3 6 <br /> 1.f mn=_portcr 2 Company Name U.S.EF'A 10 l'lumher <br /> -- <br /> 8.Desigrwlad Facddy Name and Site Address U.S.EPA ID Number <br /> DEMENNO/KERDOON <br /> 2000,N.ALAMEDA STREET <br /> COMPTON CA 910222 CAT080013352 <br /> Fadlih/s Phone: f1in GIA C1 <br /> 9a. 9b.U.S.DOT Descriplion(including Proper Shipping Name„Hazard Class,ID Number, 10.Contiiners 11,Total 12.Unit 13.Waste Codes <br /> HM and Packing Group(if any)) No. Type Quantity Wtivol. <br /> oc 1UN1993,WASTE FLAMMABLE WASTE LIQUID, N.O.S.,(DIESEL, L Z© cairn �(?Q1,R k34� <br /> GASOLINE),3, PG II L DM G 1 <br /> z 2. <br /> c7 <br /> 3, <br /> 14.SpedW kindling InStnlctiena aryl Addrtiorul Inlormalknn <br /> EMERGENCY CONTACT:CHEMTREC 1-800-424-9300 WOES TERMINAL:CERES CS *PROFILE#961:051817-04 DIESEL, <br /> GASOLINE* *APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT I f <br /> 15. GI NERAf0R'SJ0FFEROR'S CERTWICATIONt I hereby declare that'd io conlllnt of this wnslgnmen[are fully and aDrartmoly described above by the propwr 1pping name,and are classifiad,paclmom <br /> marked and labeledfplacardad,and are In all respects In proper condition for transport aogording to applicable lntoni0ona{and na8onal governmental regulations.If export shipment and I am the Primary <br /> Exporter,I certify that the contanls of this consiRwani conform to the terms of the attached EPAAcknowlddgmont of Consent <br /> I certify that the waste minimization slatemont idevOriud In 40 CFR 26227(a)Of I am a large gw.tVgaticmM oro){if I em VdVNFUly generator)is two. <br /> Gm+oralor s101f Prinii-w7Pod Name 1ilprwtute I SonIh--p-ay Year <br /> -j 11.In%maknal Sho ionls <br /> ❑Import to U.S. ❑ExporI from U.S. onlry{axil <br /> Transporter slgnalrue(for oxporis only): Data feavnl <br /> w 17.TransporterAcknoWicdgmunl of Rmlptof Materials <br /> Tranapodor 1 Prinleslffyperd Name Signaiuro M mlh <br /> JQ- <br /> U) Transporte2Pantedflypad N.-impSignature A1a1ih Day Year <br /> a <br /> 1 S.Discrepancy <br /> 18a.Discrepancy Indication Space ❑ Quanllty ❑Type ❑Residue ❑Partial Rejection ❑Full Rejecl'ron <br /> Maniresl Reference Number. <br /> 1Bb.Altemale Facility(or Ganentrx) U S.EPA ID Numb4r <br /> J <br /> f.7 <br /> rag FocdtV5 Phone: <br /> I(SC.5synnture of Altorn7ta Fac Miry(or Gvnnnlor) Monk Day Yvar <br /> d <br /> 19.Hazardous Waste Report 1.lanagcmml Method Codes(Lo.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> 1, <br /> 2. T' <br /> 2. 3 4. <br /> 20.Designated F unity Owner or operator.Cerlifitalion of recolpt of hazardous materials covered by the manifost except as nded in Item 1 Ba <br /> TJ ln[tVypvd Mama Srgnalure wnJe Day Yrar <br /> EPA Form 8700.22(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />