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t 1 <br /> Pleasepdnt or pe.:(Form da reed W use arl e5le(12•Pltch)Immilar.) Forth Ap r0Wd.OMB No.205aM9 <br /> t3N[FORM HAZARDOUS1.Gemeralor ID lC1rr10Br 2 Page i a( 3..Emergsnry RnsportsaPnane Mul 4sl rle ng m u <br /> WN SM MANIFEsT CAL 0 0 0 25'/527 ;s0a�4a�I B oa JJ K <br /> s:Gwwr&t w*W ROO*A&mn QenaraWs 81:e A% nss(i onerenrihan nw"eaanu) <br /> IJA81RRC 6HO8LER WESTCRN MOT01,8•CAB011 <br /> F.O..BOX 2186 a 1145 W'�6SEiriiTE AVE <br /> MANTECA as CA 95336 MANS EGA <br /> i t3erreratOCe Phone: 209 132.9.1.1 95337 <br /> US,EPIC ID Num4A <br /> t 6:TronspartarlrompanyName <br /> WORLD OIL ENVIRONMENTAL SERVICES CAD 0 2 6 2 7 7 0 a:6 <br /> rau . u ampany. me EP D Numoer <br /> , <br /> I WORLDWIDE,RECOVERY SYSTEM INC, C AR 0 0 01 7 '5 4 2 2 <br /> B,,QeSlgmlad Faplty Nerve ud SitoAddFas U.'S.FPA ID Nwbar <br /> YUMA YES LLC <br /> 2790 E 13TH ST <br /> YUMA AZ 85365 AZRO.00515924 <br /> �adBryraPhorre: :r 1• <br /> Be 9b.U:S-DOT D*Wptbn(Indd q Proper WC0169 Nvr-e,Hma .d CLUS.iD?4vnt8r, 10,coninrrtan 14,Total 12,unn 13,Waste Codas <br /> # Ht} mdPa0vGrar vw4) No. Type 4uairGty Y}WaL <br /> nc <br /> 'NON-ROM HAZARDOUS WASTE,SOLID(01LY SOLID,PAPER FILTL•RS) 3 2 <br /> o D ISI X00 P <br /> 2. <br /> 3: <br /> e: <br /> j EMERGENCY CONTACT:CHEMTRE:C 1-800.424-93Q0 WOES TERMINAL: PROFILE#961,.162623NRS('ABU1l OILY SOLID. <br /> i PAPER FILTERS " "'APPROPRIATE PPE EQUIPMENY <br /> 3 <br /> I i is `GENW.TQR'BIOFFWWft'S CEFMFtcnnoN I Nrabyaadatau theecntenls of B,rcaMgg"nt,n aly ana+cararaer.aaea�ed abM by.nre prapecauppkv As ne,�,ain dmNl.P:� W, <br /> markaddad lebeledrPtsarded:end are In al roapacte rn psoPeremtdlllon taetromPort sbcorc?ng tapppreaDleinramoiwrs0temd aatlomt govemrrentat rogtAeBans lCaxpvri�hlpmanl.and 7 eralhe Prlrnary <br /> Exporin4I odr*imi ft=onto or this mmgnmint eopram(0th►temn CI Ne eitsU eU EPAAeYnaMecgmKnorCanssnS <br /> IC&U .WtlteneritmVisUfhn9tamemtldatlModIn40CER 2M270)(dImus Iargegaon' gsnaratarlorJbI tflam Agva4ly.ytrrterotoIsWe. <br /> PrintedlFyped Ndrina' N Day Year <br /> I to .. <br /> } 1 In Shgments r <br /> ❑Imporl a.U.s: ❑Expom rtxs us. of entryresil . <br /> Trartspgrl4l.st¢nxlure 0r. onry1� <br /> 77:Trxupoiler�A+ai�iodpmdr>totRseaicicllkatadey �- <br /> ' � 9SIQnaltre Moaar psy esr <br /> /0 112-11? T I La <br /> r z Tran 1 yped drrx song= Month Day Y* <br /> I fB:�lic'repancy <br /> I h 22a <br /> 1Ae DltxrepercylydlcaGOnSpace ❑t7uanGry <br /> Type ❑Redden ❑PerllalAajeUlOm ❑FuhRojactlon <br /> lAaNresl Referenu hvmwer. <br /> 1WA1'.cmUe Fadlty(Or GarAfawl US.EPAID Nunher <br /> t U <br /> W .FLL$Iy1P114rH:- Ye <br /> � � lBt.SignDturaelNtimaa ea1+ry(a enerabr) .. . Day <br /> a <br /> x <br /> H '19;kran*L*V ante fraport Wnegemml Aja d Cana OA..odes for hexbr4orts xaata lta9pavrx msaosat.and roeyc ng systems) <br /> Lu 3 Z 3 4. <br /> 20.DaxprtalQd Fs♦di)yDanar trOpentor,t;er>tficaGon of racetplor hatardaa+s marmW,i 00varad by.tlse mlarw'estesCept os rtaled h>fem 18a <br /> Part ams q9 Day Year <br /> EPA-Form8700 Jilav3-MreviouredlUonsamobwele. DEitaNATeD NACILITYTO DESTINAmN STATE(IF REQUIRED) <br />