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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 8005355053 018965771JJK <br /> 5. Generator's Name and Meriting Address Generator's SiteAddress (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, 956914000 <br /> Generator's Phone: 2 - 7 <br /> U. rensporter ame company 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 /> B. Designated Facility Name and Site Address U.S. EPA ID Number <br /> AGRITEC INT DBA CLEANTECH ENVIRONMENTAL CAL000330453 <br /> 5620 MARTIN RD <br /> IRWINDALE CA, 91706 <br /> Facility's Phone: <br /> ga, 9b. U.S. DDT Description (including Proper Shipping Name, Hazard Class, ID Number, 10. Containare 11 . Total 12, Unit 13, Waste Codes <br /> HM and Packing Group (if any)) No. Type Quantity WtN01. <br /> 1 . NON-RCRA HAZARDOUS WASTE SOLID (OILY SOLID WASTE/USED METAL OIL <br /> FILTERS) 1 DM 200 P <br /> 9 352 <br /> w 2 <br /> C3 <br /> 3. <br /> 4. <br /> 14. Special Handing instructions and Additional Information <br /> Line 1 : <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 aarording to applicable intemational and na8onal governmental regulations. Ii export shipment and i am the 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(a) (If I am a large quentily generator) or (b) (If I am a small quantity generator) Is We. <br /> Generatoes/Offeroes PdnWffyped Name Signature Month usy ear <br /> LEO SCOTT LEO SCOTT 108 1 22 1 2018 <br /> J 16. International Shipments ❑ Export from U.S. Port of en /exit: <br /> f ❑ Import to U.S by <br /> Transporter signature for exports only): Date leavin U.S.: <br /> 17. TransporterAcknowledgment of Receipt of Materials <br /> Transporter 1 Printed ame ignature on ay ear <br /> CO ILLEGIBLE ILLEGIBLE 08 22 2018 <br /> ca Transporter 2 Pdnted/iyped Name Signature MOM Day Year <br /> 18, Discrepancy <br /> 1Be, Discrepancy Indication Space F1 Quantity Type ❑ Residue nPartlal Rejection ' ❑ Full Rejection <br /> Manifest Reference Number. <br /> 18b, Alternate Facility (or Generator) U.S. EPA ID Number <br /> J <br /> U <br /> Facili Ila!W 18c. Signature ofAltemate Facility or Generator) Month Day Year <br /> a <br /> z <br /> N19. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) <br /> G 1 . 2. 3. 40 <br /> H010 <br /> 20. Designated Facility Owner or Operator. Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a <br /> Printed/Typed Name Signature Month Day Year <br /> GRACIE D. SOTO GRACIE D. SOTO 08 30 2018 <br /> i <br /> EPA Form 8700-22 (Rev. 12-17) Previous editions are obsolete, DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br /> i <br /> i <br /> i <br />