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Please print or Nod,F.tleainned for use on onto(124ftn )typewriter.) Form Api OMS No.2050-DD39 <br /> UNIFORM NAZAROOUS 1.Clammed,ID Number 2.Ppe1d 3.EmamencYRagom Pnpria AManIMet Th ,Number <br /> WASTE MANIFEST CAL000400167 1 (800)4249300 0 8 70139 JJK <br /> S.Geni Nems w avarm,Mdress Gwmaalsi SolCddMarent nam mallirg address) <br /> SPEEDEE OIL CHANGE&TUNE UP-GRANTLINE RD <br /> 245W LOUISE AVE <br /> MANTECA CA 95336 711 W. CRANTLINE RD <br /> Gemmi`tmm, 209 111 TRACY CA 95376 <br /> 6.Trmmporkrl Campwny Nana U.S.EPA 10 Number <br /> WORLD OIL ENVIRONMENTAL SERVICES CAD 0 2 5 2 7 7 0 3 6 <br /> 7.TrenmNar2 CanpnYNama U.S.EPA ID Nunbar <br /> WORLDWIDE RECOVERY SYSTEM INC. CAR 000175422 <br /> B.Oa'praled Fec9XYNamaxd SXa Addeu U.B.EPA ID Number <br /> YES MANAGEMENT. INC. <br /> 6500 US HIGHWAY 95 <br /> YUMA AZ 85365 AZR000521146 <br /> Fanl' ePhone' <br /> 9a 90.U.S.DOTDeaalpbn(vxltidrS PAper Sbropbg Name,HevN dazs,ID lMmbx, 10.Cadenws 11.150IN 12,UnX 13,Waek Godas <br /> HM antl PenbYl,Gmup lXaryll No. I Topa (Xiii WDWI. <br /> rc 1,NON-RCRA HAZARDOUS WASTE SOLIDS(PAPER FILTERS) <br /> 0 <br /> DM P <br /> w <br /> w <br /> s. <br /> 4. <br /> 1a.spedal Neosar,lreWaauaMnLdOmul lMormmon <br /> EMERGENCY CONTACT:CHEMTREC J-800.4249300 WOES TERMINAL:CERES CS Ni 961.171 -PROFILE#981. <br /> 162623NRSSPE099 PAPER FILTERS w *APPROPRIATE PPE EQUIPMENT .� �Z (X SS <br /> 15. GENERATOR'WFFEROWSCERTIFICAn N: Ibweby tlatleretlMltlw omkms dtlllsomegnmenlare NlyeMazamtely tlaWbed eboan by tlwpoperee"doma,aNaretlaWMU,wkw, <br /> marked and bbdaNplrsNed and are In all respeda In pmpermMillon Mtreeapatlaurtlir4 k app6nable momalbrldand n dond,m'emmenkl aeulatlons.IleapoM1 d1i mmMand Ism no PMkry <br /> I om* a mese tMmnlan6alNbwnsgnmant asnQCFNa Vs)IlMaanrAad EPAArtnowletl,ment(b Garment <br /> I aNfy,wl Nawade mnimim,on eawnemmim6ea in4p CPR26291a)(III am a W,e Wendy,aremtn)a Ib)(LI em a small auenury,ereremrl ie Nw. <br /> tm:Xemra Nei Mame 9 m NY Y. <br /> 16.In o 915Npmmb ❑Impwlk U.s. ❑EyMfrem Us. FotlarenbybdE <br /> Trenspanerwinawre(rorupwmonlYl: Deteleeri US,: <br /> d' 11.TanepwlxAdrmMedammld Rea9lNMel,rkla <br /> Tm r PrinkM N Bi,ruWre M'k _Dayy- <br /> III 65 <br /> mirs,ner,mmax,rem r SgnaWre !( O /w <br /> }I 10.pewparxy <br /> I I&Mone",ndkadbn Span ❑ ammaY Ty, ❑Raakw ❑PakN Reje[tlon ❑Ful Redeem <br /> Mmdasa P.efem Number <br /> 10b.ANemak Fadliry(urGalerelor) U3.ER110 Number <br /> U <br /> LL FaoWys wre <br /> Pb : <br /> w i&.Sgnakre afAltanak Fadlity for Geramlor amenDry Year <br /> a <br /> z <br /> y19.HaxarEaw Wavle RepoM1Mena,emenl MCMOtl CMnll.e.¢UxlorM1azdNouewes1e tr95ann1,tli51mS91,eM ydlrq ryNenu) <br /> 01, 3. <br /> 20.De519nmedF reWr.CeNficeA'andreaiPldlmzerdwe mabddamveretl trytlw maniinl wPlae Metl' Ikm 1Be <br /> 1 P n YPa�Name eweMont, Y Year <br /> U <br /> EPA Form 870042(Rev. 5) Prevlous somons are obsolete. DESIQN�31EDF CILI JP DESTINATION STATE(IF REQUIRED) <br />