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7—i85-U1 Please print or type.(Form designed for use on ell e(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS 1.Generator ID Number o 2.Page 1 of 3.Emergency Response Phone 4.Manifest Tracking Number(� WASTE MANIFEST �HLUUJ�'vlO.2G 1 1 300--468-.1760 001078094 SKS 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address) AUTOZONE # 3315 1122 ird 11TH 'T TRACY CA 35375 Generators Phone. 2 0 9—8 3 2--4'31 6.T?�s�,o�efY-1JreSYSTEMS, INC. U.S.EPA IDNumber 1XR000050930 7.Transporter 2 Company Name U.S.EPA ID Number 8.Designated Facility Name and Site Address U'S ECOLOGY NE VADA 050505 U.S.EPA ID Number 11 MILES S OF BEATTY HUY BEATTY NV 89003 Facility's Phone: 775-553-2203 NVT330010000 9, 9b,U.S.DOT Description(including Properipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unil 13,Waste Codes HM and Packing Group(If any)) No. Type Quantity WI Nol. 1. NON RCRA HAZARDOUS1 UASTE, 'SOLID Dpi P 352 � o ( ABSORBENT) - _ -.__-- d r Z z. 3. 4. 14.Special Handling Instructions and Additional Infor tion S K 'T R C IC-10 9 7 3 2 4 9 3 00 0 2 9 013 97 SK AUTHORIZED TO RETA- N LICENSED SUBSEQUENT CARRIERS AS NECESSARY 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, marked and labeled/placarded,and are in all resp cis in proper condition for transport according to applicable international and national governmental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this con sig enl conform to the terms of the attached EPAAcknowledgment of Consent. I cedily that the waste minimization statement ki lifted in 40 CFR 262.27(a)(if I am a large quantity generator)or(b)(if I am a small quantity generator)is true. GenOtOfferor's PrinledlTy ed Name Si nature Month Day Year 1HR� 16.International Shipments p— ❑Import to U. ❑Export from U.S. Port of entry/exit Transporter signature(for exports only): Date leaving U.S.: LW 17.Transporter Acknowledgmont of Receipt of Materials I-- of Tran vier 1 Printed/Typed Name Sig tur Month Da� yeaL IL — / �i Q Transporter 2 Printed[Typed Name Signature Month Day Year rY r- 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quantity ❑Type ❑Residue ❑Partial Rejection ❑Full Rejection Manifest Reference Number: 18b.Alternate Facility(or Generator) U.S.EPA ID Number U LL Facility's Phone: LO 18c.Signature of Alternate Facility(or Generator) Month Day Year Q 19.Hazardous Waste RepoCIVipp9ement Method Cod (i,e.,codes for hazardous waste treatment,disposal,and recycling systems) LIJf �—, 2. 3. 4. 20.Designated Facility Owrfer or Operator:Cedifi`tion ceip t hazardous matedais covered by the manifest except as note in Item 18a Printed[Typed Name Signature ar EPA Form 8700-22(Rev.3-05) Previuus Alfons are ete. ®f`Slfa (AIED FACILITY TO DESTINATION STATE(IF EOl1IRED) 1 )0187699 21 3) 4 1)2132507/333549.-403