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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 C+ A L 0 0 0 3 4 7 7 1 1 (405) 687-1060 015 01616 24 FLE 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address) Speedco Inc Speedco #944 PO Box 26210 1515 Hoff Dr Oklahoma City,OK 43126 405-687-1060 Ripon, CA 95366 Generator's Phone: 6.Transporter 1 Company Name U.S.EPA ID Number Nieto and Sons Trucking, Inc. C A T 0 8 0 0 116 1 1 6 7.Transporter 2 Company Name U.S.EPA ID Number 8.Designated Facility Name and Site Address U.S.EPA ID Number World Oil Recycling 2000 N. Alameda Street Compton, CA 90222 (310)537-7100 CAT 0 8 0 0 1;3 3 5 2 Facility's Phone: 9a. 9b.U.S.DOT Description(including Proper Shipping Name,H 3zard Class,ID Number, 10.Containers 11. otal 12.Unit HM and Packing Group(if any)) No. Type uantity Wt.Nol. 13.Waste Codes 0 1. Non-RCRA Hazardous, Liquid �221 (Used Oil) 0 0 1 T T 3 W O Z 2. W 3. 4. I ipp I 14.Special dlin In ti s and Additiopal nformation 'eWr A`i 4ppropriatle Protective Clothing E.R.G.#171 BEST P.O. #342840 Used Oil I 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declai a that the contents of this consignment are fully and accurately describe ov y the proper shipping name,a{d are classified,packaged, marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable international and nati gov mental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform t the terms of the attached EPA Acknowledgment of Consent I certify that the waste minimization statement identified in 40 CF 262.27(a)(if I am a large quantity generator)or(b)(if a sm u generator)is Generator's/Offeror's Printed/Typed Name Signature if Day Year Larry Moothart of BEST on behalf of generator �: 05 25 122 16.International Shipments ❑Import to U.S. ❑Export from U.S. Port of entry/exit: ? Transporter signature(for exports only): Date leaving U.S.: W 17.Transporter Acknowledgment of Receipt of Materials Trans o er 1 rinted/T ed Name y,� Signature Month Da Year p >G G- %'�/t_ _ g 05 2 22 Transpofter 2 Printed/Typed Name Signature Month Day Year I 18.Discrepancy 18a.Discrepancy Indication Space ❑ quantity ❑Type j j❑Residue ❑Partial Rejection � Full Re ection i I , Manifest Reference Number: 18b.Alternate Facility(or Generator) U.S.EPA ID Number J_ U LL it Facility's Phone: w 18c.Signature of Alternate Facility(or Generator) Month Day Year a z y19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) LU 1. 2. i 20. esig ted Facility Owner or Operato Certification of receipt of h izardous materials covered by the manifest exc s noted in I 18a to IT d Name Signature Month Day Year EPA Form 8700-22(Rev.12-17) Previous editions are obsolete. DESIGNATED FA ILITY TO E 'sje-MANIFEST SYSTEM I i