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Folioppprr` 01 OMB No. 2050"0039 <br /> IWO r o +titet:l 3 a anp a 4. Manifest Traoking Number <br /> Please (;tart or two, (i=urt'1 Jo`lr 1 .rl 'or use on ID Mite tl ljttctj) ,tyA 2, Page 1 of 30 ctt;:t? riGY Resp 01852 1 8 5 2 <br /> (soo) 424-9300 �! C <br /> UNIFORM HAZARDOUS 0 2 D 8 2 7 7 0 3 6 d(different Than meiling address) <br /> WASTE MANIFEST Generator's Site Address (i <br /> CA <br /> 54G e;r}ta Neige and Mailing Address <br /> ��Zill.17 OIL ENVIRONMENTAL_ SERVICES <br /> 1300 S . SANTA FE AVE CA 9022 . <br /> COMPTON 310 886-3400 U;s, EPAIDt+u bar <br /> CAD028277036 <br /> 5. `rnspor;at t CrmpArty ti mta <br /> WORLD OIL ENVIRONMENTAL SERVICES u:s= EPAtpNrimtwr <br /> 7. Tranapor ar 2 Camila=ry Nad a <br /> U.S. EPA ID Number <br /> S, Das!cnattd 4y <br /> Name and Silo A;dI`I <br /> A,SB6RY ENVIRONMENTAL SERVICE - CERES CAL 0 0 0 3 9 3 0 3 0 <br /> 1920 MORGAN RD , CA 95358 <br /> l CERES <br /> iacl3ty s Pi one. (209)541-1825 10, Containers 11 , Total 12. Unit 13, Waste Codas <br /> ur Name, Hazard Class, ID Number, Type quantity WtNol. <br />: 9a ift <br /> 9b. U.S. DOT Description (including Proper Shipping No. <br /> Oak and Paciang Group (if any)) ' '21 <br /> A HAZARDOUS WASTE , LIQUID (USED OIL / MIXED OIL) <br /> 1VON- RCR 001 T T � G <br /> 2 2: <br /> 3, <br /> I 1 <br /> iy ictalt'a ' tgtstr, PERSONAL <br /> osfd :u _ � i=fc �a"=Fn <br /> = RM <br /> EMERGENCY CONTACT : CHEMTREC 1-800-424 .9300 WOES TE CNE TREC 8401424 93010N CTRL <br /> PROTECTIVE EQ +TE <br /> UIPMENT * EMERGENCY CONTACT <br /> Y p, r slit n 11 <br /> ame, and are classified, packaged, <br /> ren the the <br /> for transport according to app Icabie inlamaGonal and na&anal governmental regulat ons. it export shlpmant and i am the Primary <br /> 15. GENERATOR'StOFFEROR'S CERTIFICA71ON; 1 her dsraera that A a coolants of this consignment are fairy and accurately desrnbed above b the oN shipping <br /> marked and laba!edlptacardad, and are to all respells in proper <br /> ,form to thei ( } ( anarator or it am a small quan&ty .ane'ato'i is W s• R or DaY Yat <br /> E�rto that r waste mimm�izafiton slattern nt Identified to 40 GFR 2fi2.2r7 a of ill am a largs qe 31taChaod uantity g n"lat( �nt i f Consent. y y <br /> I call &5 to rea d <br /> t ' to <br /> 1�:Tgrr `9 tilt j ..t ?3 t;an�u <br /> PIP ❑ Exp : om U.S. <br /> r Io: eniryl <br /> 16, International Shfpmenis Impo , to tl.5. 3:ti} leaving U S.: <br /> Transporter signature (for exports Only): klonAi pay Yts€ <br /> LU 17, Transsar?er Acknowiedgme"t of Reaa pt of hiateria!s r; : r3 _ <br /> Pon �! � Month DaYYear <br /> O � ir L gnat e <br /> QTransporter 2 PriniedfTypod Nam© — <br /> F. <br /> 18 Ctsrtraa y ---- ❑ Partial Rejection Full Rejection <br /> wilj--j ❑ Residue <br /> Ba, Gisura ane lndicaAonSpace ` <br /> p Y ,j Gua lit; <br /> est R .tar r*cot ', ar: tJ.S. EPAID Numoer <br /> 16ti. Alternate FaaAet to' Gar:=�rnaarj <br /> vMonth Day Maar <br /> I.. F scititY Phrna LUi <br /> 4 - <br /> T_ n poSa andrac: -ctt= ^ 5 <br /> `� 19. ? 1a'zardeus 1�7aste Reprtxt '<'anaramant ','elhc- C�.ias ri e:. codes far hazarea+rs v treaime t, d's " r 'u - <br /> rn i . <br /> UPI I <br /> — - - . -- <br /> n _ _ <br /> nttem , tt '1 Sit:} 7z:n <br /> ?0 Gas gnater Facddp Griner er O grain: Oe'tifica::ori o ace pt of r?azs dr s maieaals overall by ;ha r^.ar to t m, x{:t a> nd^ ed _ __.--- } 4 9 r} <br /> t ,:?,� r �;:..:; =y.�, ts �, enjT�� ,� --' -PA <br /> .�' .. ._�.—._,_,�.,_._ti <br /> Pon <br /> _ _ . <br /> orrn87Oi-�2 (! > .. . . on P,s n ; Irevict.sedllran5araotselete . I, , �alra@ . tO I ( .ITY ; L i"' ll'( IC S°TTiI� ! f GI3 } <br />