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rn N LO _ O co lY Robert Bumgardner T General Manager 4y MACK and Service Manager =' -OWestern Truro re...-- O l' � 'Y rr '•..v fit rvpc Farm dv+al ural le, ..^pproved_6Mr_ __ Ylu Ms nllbl Ib llldnl wrilm /.AjnprrN�u-m^/b1 UNIFORM NA2AROOUB I'4xMgtm II,Namh°r - r pNpu I I .)'T V L i 0 JJ K P. wARTE MANIFEST rALn lo3H 1 17 e1 t __ -___ _ - Iur s Nana srM MulkmY Addrpaa nn�ml"r.';un Ml-,buss iii dml' . ,m'We5}t5r'Tr0„K Ce.v31-o�' �Wcr>'rrrtrvcle P'9 Rolc 37-0LtO 33i3 5 1.1,pti�' ) Gellnmavnk •� cq 4 S L 13 -y07- l3 7 3 JZ7 JI' K�-o.� •�1 �1 ' N apo �epartmeM s Tr ,I EMOU ENVIRONMENTAL SERVICES INC 1GEAIbRYnOrO 0 1 7 1 0 1 7 Trtlncporter 2 Company Namn U S EPA ID No"', wor b B B V ei 1;_ � m A”ff1W6lly_V 19811, 9$ill Alldlusc US.EPAID N-Ire, RDER HWY 95 11MI S OF CY 15 ACRES BEATTY NV 89003 Foch,,, a+ne. 775 553-2203 N V T 3 3 0 0 1 1 0 t) O 9,1 gb.U 5 DDT Desorption 1lududmg Propur Sluppmg Nan',.I Gloss,D Numb, In.Comamers 11.Total 12 Una HM and P-o N Group(if myt) Nn Type Quantity WI Poll 13,Wacle CcAes sI O <� of K i �229c (I7 U NA 3077 lf�+tr rdDD'>wael-P.50661 u d �( 00 f 2 Z 3 NO X00'7 b:.s' �;C>rjq vl W1th IrvA' Ci 11i 1 'i n 7 NO c , O 1 NO 1.1$penal Nartl lnu nsnuacos and Additional Information I U) 77 U-T 0 3�vso-7olz-73�1 z z Z-CI.l y l)e6rI 5 n.e5•e( S'x•l wi 11% I—.c,6 HANDLERS TO BE 40HR'IRAINED AND OSE PPE..ER Contract#205907 0 lvYaz� tx 15 GENERATOR'SIOFFEROR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged' _ T marked and labsled'placarded,and are In all respects in proper condition fol vansport according to applicable international and national governmental reguations.If export shipment and 1 am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent. - I certify that the waste minimlration stalemarl identified in 11 CFR 282,27...(ill am a large quantity ge ralor)or(11(i1I am a small quantity generator is true. Olfi Pdnledrr ped Na rat re A Monty Day Year 0 18 International Shipments ❑ i- Importto U.S. Export from U.S. Pod of entrylexit: -- 0 = Transporter signature(for exports only): Data leaving U.S.: -� w 17 TranspoMrAGmowledgment of Receipt of Materials CD Trans over I Pnnted/ryped N e Signature Month Day Year aO I r fJ j j y Z Tr sooner 2 Printed/Typed N me S e Alonlh Day Year Q C ~ -� 18.Discrepancy U) 18a.Discrepancy Indication Space l� El Residue ❑Partial Rejection ElRejedli.n ❑ Type Quantity Y Manifest Reference Number r U.S.EPA ID Number lab.Alternate Facility for Generalor) � J CD U _O LL Facility's Phone: Month Dav Year N w 180.Signature of Alternate Fac ility(or Generator) _ In Ln ~ O Itz � _M N 19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste Irealmenl,disposal.and recycling syslemsl 0') O o I 2. 3. U -0 20 Designated Facility Owner or Operator.Certification of receipt of hazardous materials covered by the manifest except as noted in Item 11a Month Day Year � Pnnted/Typed Name Signature O � C U Z) PP Form 8700-22(Rev.3-05)Previous editions are obsolete DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) a, O _N U E -, �o•taToil 371--3747 C/)d7 c .aca1TY -` -` '""�"'Tet CA L000102751•(559)498-0240 U O USED OIL,USED ANTIFREEZE AND OILY WATER WASTE STREAMS ARE _�_� LLJ >, RECYCLED AT OUR SISTER COMPANY DEMENNO/KERDnnN TMI: t➢-R'::_��'.�...IIaIR"wir- -I� LARGEST RECVCI Fra nc�,..�__.. _ This is ID cer0 X00 0 � CY) NOU N = � � rn