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—...-AmorAtiormorAaanasisnolir.amitauar <br />- also' <br />Form Approod OMB No 2050:004 <br />1 Emergency Response Phone e. Manifest Tracking Number <br />1488-547-2857 016996354 FLE Deleretees Sde ess it laftorerrn?Lan moles] address) <br />ARA Viintece Road Manteca, CA 05337 <br />US EPA* Number <br />CAR000295220 <br />6ViarincIeViiiVanaoement Tethnolooies. Inc. <br />0iiii0ftWiritilWittidtalutIons. Inc. 31915 industrial Lane Palter South, AZ 85344 <br />Facility's Phone <br />1 b.540(5113.157 4 <br />US EPN ID Number <br />AZR000520478 <br />r...............• IlellfiQI a <br />1 1/3 <br />14. <br />a ii <br />Generalor's7Offeroes Print!V.,ype rl,me <br />is, GENERATORS/OFFERORS CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described abao by the proper sh aping name, cad a keyed <br />I cerhly that the waste minimizabon statement identi5ed in 40 CFR 262.27(a) (if am a large quantity generator) or (b) am a small quanbly gereratati is Ube, <br />Exporter. I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consail <br />marked and laheled/plaaarded, and are in all respects in proper condition for transpod according to applicable intemationaland natonal governmental regulatans If eKport sh,pmant and tam the Pnrnary <br />7 ,x3e, <br />Sognalure <br />.thssimdB. <br />11(-1 _..5; I 3 1\5111- <br />Month Day Yea, <br />I:- 16. International Shipments Import to U.S. Evan from U Port al entry/ea <br />Transporter signature (for exports only): Date leaving US. <br />CC 17, Transporter AdnowledgmenI of Receipt of Materials <br />Transporter 1 Printed/Typed Name <br />02 <br />ig Transporter 2 Printed/Typed Name <br />18. Discrepancy <br /> <br />LIIType ResIdue Partial Relaction Lll FORaIed.I•on 18a. Discrepancy Indication Space 11 Quantity <br />Manifest Reference Number <br />U.S EPA ID Number <br />16b . Alternate Facility (or Generator) <br />7..1 <br />r5 a L.,.. Facility's Phone: <br />18c Signature of Alternate Facility (or Generator) LU I-- .CE <br />-th- <br /> <br />IS. Hazardous Waste Report Management Method Codes (i e , codes for hazardous waste treatment. disposal, and recycling systems) Z <br />0 I <br /> <br />12 <br />13 14 <br />LL2 <br />1 20. Designated Facility Owner or Operator: Cenilica 'on of reee111 of hazardous materials covered by the manifest except as rded in Item 16a <br />Printedayped Name <br />Signature <br />DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />1 <br />-51 <br />UN OR <br />„5.:e g.and <br />VtQ <br />rng Arbes <br />Manteca, CA (15337 <br />Eiste a Ww <br />6Ger:%ieseprhoi nce. <br />EnvVOtige7rtal Solutions <br />HAZARDOUS <br />MANIFEST <br />Generator ID Number <br />CAC003157228 <br />2 Page Ie <br />1 <br />Ha 9b U S DOT Descnphon (including Proper Shipping Nam. Hazard Class, ID Number, <br />pod and Packing Group (if any)) <br />10. Containers 11. Total <br />OusrNtj <br />12 Unit <br />WIA/01. <br />13 Waste Codes <br />No Type <br />Non41CM ii8Zard011s Wads , -solk1-(0 Ify Solid) <br />DF 1 et<5 P <br />332 <br />2. <br />11111 <br />\ <br />Signature <br /> Month Day Year <br />1 1 1 <br />Signature <br /> Month Day Year <br />1 1 1 <br />1_ _ Month Day Year <br />Month Day Year <br />EPA Form 8700-22 (Rev 12-17) Previous editions are obsolete. <br />pnai rep <br />MY: DPI DIre4-1, °WAY, <br /> <br />cjr,„,,, testi) 874.-riso VAX. <br />Aorourourowoororrisersorsaraor <br /> /Nor <br />4.0857:7-730 verrectaboks.d Qom <br />I <br />;4' <br />.40 <br />• <br />CON-MINS 1.1011000S lu mu <br />..• <br />C". <br />Z t.n SI-12 1\12:1213VS VNI1S12:1)1