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NON-HAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Emergency Response Phone 7NH1 <br /> e <br /> 300 Tracking Number <br /> WASTE MANIFEST CAL000218409 1 800-424-9 50520-N <br /> 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address) <br /> STOCKTON SAILING CLUB INC <br /> 4980 BUCKLEY COVE WAY <br /> STOCKTON,CA 95219 <br /> Generator's Phone: 209-951-5600 <br /> 6.Transporter 1 Company Name U.S.EPA ID Number <br /> ENVIRONMENTAL LOGISTICS, INC CAR000217513 <br /> 7.Transporter 2 Company Name U.S.EPA ID Number <br /> 8.'M'ETW§kN&VdIt ftES. INC. U.S.EPA ID Number <br /> 180 WEST MONTE AVENUE <br /> rAD982444451 <br /> RIALTO,CA 92316 USA <br /> Facili 's Phone: 800-698-4377 <br /> 9.Waste Shipping Name and Description 10.Containers 11.Total 12.Unit <br /> No. Type Quantity Wt.Nol. <br /> cc 1 NON HAZARDOUS WASTE SOLID(OIL FILTERS) DM P <br /> ° Job <br /> cca <br /> W <br /> Z 2. <br /> W <br /> C7 <br /> 3. <br /> 4. <br /> 13. Special Handling Instructions and Additional Information <br /> 9131)OIL FILTERS# S WEAR APPROPRIATE PPE MW 150520-N <br /> EMERGENCY RESPONSE CHEMTREC 1-800-424-9300 CCN668232 <br /> 14.GENERATOR'S CERTIFICATION:I certify the materials described above on this manifest are not subject to federal regulations for reporting proper disposal of Hazardous Waste. <br /> �eratoes/Offeror's Printed/Typed NNa^me� r ` Si nature _ Month Day Year <br /> c-,� <br /> -1 15.International Shipments <br /> F ❑Import to U.S. ❑Export from U.S. Port of entry/exit: <br /> Z Transporter Signature for exports only): Date leaving U.S.: <br /> cc 16.Transporter Acknowledgment of Receil t of Materials <br /> W <br /> Tra porter 1 Printed/fyp Name Signature Month Day Year <br /> y <br /> ansporter 2 Printe/Type Name Sig re Month Day Year <br /> Z Tr <br /> a <br /> 17.Discrepancy <br /> 17a,Discrepancy Indication Space r <br /> ❑Quantity [II�Roa (jyCLING SERvosiRIIALT i I Rejection ❑Full Rejection <br /> r�L S L. �494M H �������ERMIT�S�FOR <br /> t}- 17b.Alternate Facility(or Generator) U.S.EPA ID Number <br /> A;r'D ILL ACCEFT THIS WASTE AS SHIPPED <br /> rai Facility's Phone: <br /> LOU 17c.Signature of Alternate Facility(or Generator) Month Day Year <br /> a <br /> Z <br /> c9 <br /> N <br /> W <br /> D <br /> 18.Designated Facility Owner or Op ator:Certification of receipt of materials covered by the manifest except as noted in Item 17a <br /> Printed Typed Name Signature Month Day Year <br /> If <br /> 169-BLC-0 5 11977(Rev. /06) DESIGNATED FACILITY TO GENERATOR <br />