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Please print or type. Form Approved, OMB No. 2050.0039 <br /> UNIFORM HAZARDOUS 1 , Generator ID Number 2. Page 1 of 3. Emergency Response Phone 4, Manifest Tracking Number <br /> WASTE MANIFEST CAL000368140 1 800-535.5053 019742635JJK <br /> 5. Generator's Name and Meiling Address Generators Site Address (if different than mailing address) <br /> TTL AUTOMOTIVE ENTERPRISES INC DBA OILSTOP 301 W KETTLEMAN LN <br /> 2795A DEL MONTE STREET LODI CA, 95240 <br /> WEST SACRAMENTO CA, 95691 -0000 <br /> Generators Phone: 2 - 77 <br /> 6. ranspo er Company ams U.S. EPA ID Number <br /> AGRITEC INTERNATIONAL LTD DBA CLEANTECH EVIRONMENTAL INC CAL000368136 <br /> 7. Transporter 2 Company Name U.S. EPA ID Number <br /> 8. Designated Facility Name and Site Address U.S. EPA ID Number <br /> AGRITEC INT DBA CLEANTECH ENVIRONMENTAL CAL000330453 <br /> 5820 MARTIN RD <br /> IRWINDALE CA, 91706 <br /> Facility's Phone: <br /> 9a. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 10. Containers 11 . Total 12, Unit 13. Waste Codes <br /> HM and Packing Group (if any)) Ni . Type Quantity WtIvol. <br /> 1 . NON•RCRA HAZARDOUS WASTE SOLID (ABSORBENT/PAPER FILTER MEDIA) <br /> O 1 DM 100 P <br /> Q 352 <br /> z 2. NON-RCRA HAZARDOUS WASTE SOLID (OILY SOLID WASTE/USED METAL OIL <br /> ( FILTERS) 2 DM 400 P <br /> 52 <br /> 3. <br /> 4. <br /> 14. Spada) Handing Instructions and Additional Information <br /> Line 1 : USE GLOVES AND GOGGLES. CALLER MUST IDENTIFY CLEANTECH ENVIRONMENTAL AS REGISTRANT: INFOTRAC 800-535-5053; Line 2: USE GLOVES <br /> AND GOGGLES. CALLER MUST IDENTIFY CLEANTECH ENVIRONMENTAL AS REGISTRANT: INFOTRAC 800-535.5053; <br /> 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, <br /> marked and labeled/placarded, and are In all respects in proper condition for transport according to applicable International and national governmental regulations. If export shipment and i am Bre Primary <br /> Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent, <br /> I certify that the waste minimization statement Identified in 40 CFR 262.27(x) (If I am a large quantity generator) or (b) (if t am a small quantity generator) is true. <br /> enerato ro s Pdnte&Typed Name Signawre Month Day ear <br /> NICK Ob>r w6, NICK 0 lDr6`% 10 31 2018 <br /> --r 16. international Shipments <br /> ❑ import to UIS ❑ExportfromU.S. Port of entry/exit: <br /> Transporter sinature for exportson : Date leaving U.S,: <br /> j W 17. TransporterAcknowledgmentofReceipt ofMaterials <br />( J2 Transporter 1 Pdnted/Typed Name Signature Montay Year <br /> I a JOHN AFLEJE JOHN AFLEJE 10 31 2018 ' <br /> QTransporter 2 Printed/Typed Name Signature n ay Year <br /> Lam., <br /> 18. Discrepancy <br /> 18x. Discrepancy Indication Space ri Quantity ❑Type ❑ Residue QParOal Rejection ❑ Full Rejection <br /> Manifest Reference Number. <br /> 18b. Alternate Facility (or Generator) U.S. EPA ID Number <br /> J <br /> V <br /> EGc11s Phone: <br /> W18c. SlgnatureofNtemateFacllity (orGeneretor) Month Day Year <br /> Q <br /> Z <br /> 19. Hazardous Waste Report Management Method Codes (1.e., codes for hazardous waste treatment, disposal, and recycling systems) <br /> 3. 4. <br /> H141 HOW <br /> 20, Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a <br /> PrintedfTyped Name Signature Month Day Year <br /> GRACIE D SOTO GRACIE D SOTO 11 1 08 1 2018 <br /> EPA Form 8700.22 (Rev 12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's 8-MANIFEST SYSTEM <br /> i <br /> E <br />