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Please print or type. Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4.Manifest Tracking Number WASTE MANIFEST CAC003087651 2 800-483-3718 015226788FLE 5.Generator's Name and Mailing Address Generator's Site Address(If different than mailing address) Frank C Alegre Trucking Inc 99 Southbound Frontage Rd Stockton CA,95215 Generator's Phone: 209-810-5209 6.Transporter 1 Company Name U.S.EPA ID Number Clean Harbors Environmental Services,Inc. MAD039322250 7.Transporter 2 Company Name U.S.EPA ID Number Clean Harbors Environmental Services,Inc. MAD039322250 8.Designated Facility Name and Site Address U.S.EPA ID Number Clean Harbors Buttonwillow LLC CAD980675276 2500 West Lokem Road Buttonwillow CA,93206 Facility's Phone: 661-762-6200 ga, 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit HM and Packing Group(If any)) No. Type Quantity Wt.Nol. 13.Waste Codes 1.NONE,NON-RCRA HAZARDOUS WASTE,SOLIDS(DIESEL&SOIL),N/A,NONE of O 2 DM 600 P � 352 U-1 Z 2 w 0 3. 14.Special Handling Instructions and Additional Information Line 1:Profile:2060716; 15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby dedare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classed,packaged, 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 the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)or(b)(if I am a small quantity generator)is true. Generator' eroes Printed-y-ped Name bignature Month Day Year SCOTT M SCOTT M 08 1 26 2020 J 16.International Shipments Ex IDr.from U.S. Port of entry/exit: lexit: i- Import to U.S ❑ I ry z Trans orter signature for exports only): Date leaving U.S.: W 17.Transporter Acknowledgment of Receipt of Materials Transporter 1 Printed/Typed Name Signature Month Day Year a rommel caluza I rommel caluza 08 I 26 2020 Z Transporter 2 Printed/Typed Name Signature Month Day Year W was n wes n 08 31 2020 F 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 J V LA- Facility's Phone: W 18c.Signature of Alternate Facility(or Generator) Month Day Year Q Z as19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) ul 1. 2. F— H132 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a Pdntedrryped Name Signature Month Day Year MELISSA ROBERTS MELISSA ROBERTS 09 04 2020 EPA Form 8700-22(Rev. 12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM