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n0r <br />a I <br />2050{039 <br />UNIFORfl HAZARI'(ruS <br />JXASTE MAilIFEST <br />1. GsrEratB lD Numberce&0000{5931 I 42 -9300 018 <br />mDel <br />18568 FLE <br />(5ro) 445-zza2 <br />ctrH,000183913 <br />38 <br />t <br />BELS}TIRE <br />Qu <br />16 <br />st <br />5 r s, Inc.s Roadlfestbsrougtrl l.lA 01561 <br />I <br />7. Trampor&r 2 con?eny Nnno U.S. EPA|DltumDer <br />8. Dedgnabd Fadlity Name and Sb Adoless <br />Xlorld oil Recycling <br />2000 N. Alaraeda St. <br />Compton, CA 90222 <br />FacEtr/s Ptrone: <br />US. EHAID <br />c.tr <br />Number8080013352 <br />(310,537-?r00 <br />I <br />9e. <br />HM <br />Sb. U,S. DOT Desdi,tion (hil&g Pmpsr Slipplng Nams, Hzsrd Claqs, lD Nunbel <br />and PacHng Gutp (lf any)) <br />ll. Iotal <br />Ouah0V <br />12. Unit <br />wt\bl.13. Wdsie Cod6s <br />r34Eok <br />3r <br />I <br />?j <br />tne Ix -1 <br />10. <br />No. <br />G <br />\& <br />.'a <br />"",#?. <br />14. SfrBdd Hilring lrdiuclions andAdditlond hbmaflon <br />ERGS: 12E <br />Gaso.line * t{ilter <br />HEAR AtL APPROPRIATE <br />PERSONAL PROTECTIVE <br />CLOTHING. <br />BESI r357 425 <br />OUIKSTOP CCN: .659i3?*l xs:. <br />Eryortr, I certfl lhrt he onbnts d tltis onslgnrrrsirt coftrm b UE brm of tp attsdrd ffiAA*nwledgrpnl of Consent <br />I cedly hat he mde minimiallon dabmnt iCentfied in O CFR 24.21(a) ([ I am a la8e qu8nry gmo@ r(b) ofl am a small quanlity g$ereo ]r hrs <br />H <br />f&l <br />Gsneiab/s,OlftmA ftinbdnyp€i, Nilieftnu L*"1 l?t Day Yer,rl>,I'r,mii'lSEnatuts <br />i- <br />= <br />flmpnou.s.Eap,ttoru.s.Poilof enh/uit: <br />Date hafto U.S.:Tr{lsmrEsilrnshro (br 6xDoG only): <br />16. hbmalimal$lpmsnb <br />ta <br />Trrl <br />hihi <br />EI <br />Tnmporbr 2 PdnbdTyped NariB SEnaturc <br />I I I <br />lihnh Day Yff <br />ff <br />=s! <br />frEl <br />tuI R6leclionnn.ilHn Frioq... <br />18. <br />Space tr nt*Quanlity <br />Ptms: <br />Codss and <br />Ownal or <br />nn uu* <br />870V?2.m FACILITYTO EPA's138/3292755