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{A <br /> yr Tyne. Formved.OMB No.2MM39 <br /> UNIFORM HAL4RDDU5 1 GeneratorID Number 2.Page t of 3.Emergency Response Phone 4.lr4anifast TrackingMun►6ar i }�/ <br /> j <br /> WASTE MANIFEST C A L 0 0 0 3 5 9 1 0 2 1 SM 424-900 � 021761733 1J1J n <br /> Generators Name and Mailing Address Generators SI is Address(ddiflerent Than mailing address) <br /> DTE STOCKfON LLC <br /> 2526 W WASHINGTON STREET <br /> STOCKrON CA 95203 =ENE <br /> ce wawrs Phoria 2 0 9 3 2 0 - 3 7 1 9 - <br /> 6.Transporter I Company Name U.S.EPA IO Number <br /> FREMOUW ENVIRONMENTAL SERVICES INC C A R 0 0 0 1 7 1 0 1 7 <br /> 7.Transporter 2 Company Name U.S.EPA ID Number <br /> WORLDWIDE RECOVERY SYSTEM INC C A R 0 0 0 1 7 5 4 2 2 <br /> $ YI�MA YES LLC <br /> and Site Address US EPa!D•rr:mher <br /> 2730 E 13TH ST db <br /> YUMA AZ 85366-1901 r r•,. , . ,�cw. tis4+�,�. �►f..�. •.w.►.N <br /> Facni 's Phone' 928 344-9828 • r"yl-_s:.- -. ► ► k. ,+• . t A Z R 0 0 0 5 1 5 9 2 4 <br /> ga, 9b.U.S.DOT Description{including Proper Shipping Name,Hazard Class,ID N;:m 16.Containers 11 To'al 12.Unit 13.Yr'aste Codes <br /> HM and Packing Group Id any)) Nn Type ,;::ntity 4I n,ol. <br /> 1 - —7—L—I U w <br /> x LIJi-NON-RCRA HAZARDOUS WASTE,SOLID{OILY DEBRIS, 723 <br /> ABSORBENT) 'r <br /> 14.Special Handling Insvuc::ons and Additional Information ]YES 162326-Oily)Debt18 ERON171 <br /> 1�x� 5 * * d2R <br /> OAXI�ITIDWILIVLADMANDM 1V». #2D5%7 <br /> 15 GENERATOR SMFFEROR'5 CERTIFICATION: I hereby dedam that gre contents o'this wrnsignmenkare fully and accurately described abare by Me proper shipping name,art)are dassified,packaged, <br /> marked and*ek d'placarded,and are in alf respects rn pnpW condition for transport aavdirg to applicable intemabonal and national govamnwtal regulations-d export shipment and I am Rye Primary <br /> Exporter,I cern*Thal the contents of this consignment conform to Bre tarsus of the et ad ed EPAAdvwwiedgment of Consent. <br /> I ow*that the waste minimization statement identi led in 40 CFR 262-27(s)(f I am a large quantity generator)or(b)(If I am a small qu ge rator)is <br /> enerator's1 ntedffyped Name Ignatu Month Day Year <br /> y., <br /> J 16.International Shipments ❑ m •$, ❑Export from U- Port of <br /> ? Transporter signature(for exports o*)= Date U44 U.S. <br /> w 17.TranspmaM <br /> orler Adec mt d <br /> en[of Reoeip <br /> JAI <br /> S g Month Day Year <br /> � T 1 fhinteNf <br /> 7N � '.` <br /> zz Tra ame S g tura Month Day <br /> 18 D screparlLy <br /> 1 ❑ U„anyy ❑Type Residue Iect on ❑ <br /> Partial Re Full Reoction <br /> Manifest Reference Number <br /> 16b.Altamate Facukty{a Generator) U.S.EPA IO Number <br /> U <br /> tai Fac s Phone <br /> w 16, Signature c{w:em•ato Fx7i ry for Generator, want Day Year <br /> z <br /> 19.Haiardous Waste Report Marragemerd Method Codes(i.a.,codes for hazardous wasle tree:,-lent.disp(xsal,and recycling systemS) <br /> 1. 2. 3- 4. <br /> --hhI[..i i <br /> 20.Deslgnated Facility Owner or Operator Certification of receipt of hazardous materials covered by the manifest except as n[!9-d In Item 18a <br /> PnnWVTyped -Vatyl_ _- r f S gna" Month f Dray_ Year <br /> W V tW <br /> EPA Form 8700-22(Rev.12.17) P-erous editions are obsolete. ESI ATt4 FACILITY TO EPA's e-MANIFEST SYSTEM <br />