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3400 Auto Plaza Way. Record ID# PR0514278 <br /> 11/3/2020 Program: HW <br /> Photo 2: The following uniform hazardous waste manifest (02152205JJK) observed lacking signed copy. <br /> CA0000330423 �Am7PMaJr.�t Na.zasoaasa <br /> weaers xeNrFEe • eel (8W)424-MW <br /> 24- VaGrS�G`UJ�a �. <br /> e'00 SSK <br /> rex Gonenbla Sea Harem Id dxlnem Ow maA,p+daras+I <br /> F-'OA Mu <br /> UAfaO M.06A�AGY GHCVROI.M-QAFIWl <br /> 3400 AUTO WAY <br /> CA �C <br /> Gmanlds anom. 209&3i'{600 <br /> 6 rw,p. IGmr ,Name <br /> WORLD OIL ENVIRONMENTAL SERVICES a s.EPA 10 rv,mmer <br /> I.rrunporrer 2 company2 Name C A O O Z A 2 7 7 0 3 Q <br /> WORLUWRiE RECOVERY SYSTEM INC- u 5.EPAIo Nambn <br /> n a Daew.tea Fedlxy Nane and sleaddnns CAR 0 0 01 7 6 2. •L - <br /> YES MANAGEMENT,INC, us.ePAlD Nwoer <br /> CUSTO Y SUS HIGHWAY 96 AZ 85366 <br /> Faoli Ph., 028 43828 AZ 11110052 114 B <br /> OAYE RI qe <br /> 9b.U.S.DOT Desal*m undbNng Proper SNeplw Name,HazaM Cies.ID Nurnae, <br /> HM lPeceirgD Perany)1 1a.Canraners 11.Td 12.Unx <br /> Cl a 12 mi 13.Waste CMcs <br /> :AOOUS <br /> a T NOWRUM HARWASTE.SCUD(OILY SOLID) No. Typo ASHWA�- _ <br /> PAR- 7 352 ISTE <br /> M <br /> x <br /> U <br /> l <br /> 14 Sper✓al Randlrn9 lnseuchons and Addiaonal Information - <br /> EMERGENCY CONTACT CHEMIl 1-800,424-9300 WOES TERMINAL!OERFB CS NAERHN 91 1.71•PROFILE 1f 91211-. <br /> 162623QAN001OILY SOLIDS/ABSORBENTS• 'APPROPRIATE PPE EQUIPMENT — I <br /> 15. GENEIIATOR,=tFEROR'S CERTIFICATION:I hereby declare That gre-merits of the—signment are fully and aaurately described above by the proper snipping name,a,d are das,,.d,gacluged, <br /> marked and Iabef eplaeaMed.and are In all respects In proper-Milian for transport a=rding Ip applicable inlamaaonalanrl nalienal g-vemmenr�regNaaorts.It export shrpmmern aM I am b1a Primary <br /> -t Exporter l codify Nal the wilenle olthis mnsi9nnent osnform to the terms of lne aaached EPAAclinowledgmenl of Consent <br /> I ceVy Thal Pre waste Mnlmiranon statement idenaFed in 40 Cl 262.27fal{if Iam alive quantitygeneral--alhl...I am A`na1Vquantity ganeralorla h a. <br /> DP Generafofel�.mfs r.lad4y1i Name ! Sigri <br /> I I til-th Dag N- <br /> Li 41 <br /> 16 Inlemahonal Shipnents LJlrrry0.,1 t0 U.5. <br /> D = ❑E nrom fU.s. ort ng <br /> Transposerexppr8 <br /> signature flw onfyl, '� of en levl- <br /> Date IeaN1g U.S.: <br /> K 177fanspoderAcknon7edAme^I01 Retpipl ofMalenals <br /> w <br /> oTransporter s PnnledRyped Name Ir „' Signature Month Day year JSIGNS _ <br /> = <br /> Transporter 2PanledRypedName signature J vNER <br /> Month Day Ycar <br /> rIJI} 7e Drsompancy <br /> lea Discrepancylndication Space puantily ❑Type <br /> ❑ReNtlue ❑partial Reiecu^n ❑Full Releclion <br /> 196.Ahemala F vsIrIY for Geaeralorl Mant}egt Roll Number: <br /> US EPA ID Number <br /> U <br /> LL Facility's Phone. <br /> — � 16c51gnalure sfpflemale Fatllily(or Generator} <br /> i Monty Day In <br /> - w 19.Hazardous Waste Repo-Management Method Cotler(I e.,codes Ter hazaNWs waste treatment,disposal,rind recycling systems) - <br /> 2. 3 <br /> PdnledRyped Name -.-. ---- - - <br /> g <br /> 20.0'eslgnaled Facilrty pwneror t7peraWr.CeNf3catlon of recelpl of hazardous maledals covered by M manitesl except as noted In Item Jae <br /> Signature MDnlh Day Ycar <br /> EPA Form 8700.22(Rev-}2.17)previous edilions are Dbsolele, <br /> GENERATOR'S INITIAL COPY <br /> JASON GAITAN, REHS Page 2 of 48 <br />