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Please print or type.(Form designed for use on elite(12-piLdn)ty ewdter.) 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 CAD 0 2 8 2 7 7 0 3 6 1 (800)424-9300 018529149 JJ K 5.GewetA'Lba e fn N11irAAdd rVlENTAL SERVICES Generator's Site Address(if different than mailing address) ON 113U00 S.SANTA FE AVE COMPTON CA 90221 Generator's Phone: 310 886-3400 S.T 1 Compafr�ams U.S.EPA 10 Number �LD OIL r=NVIRONMENTAL SERVICES =. iD 6 2 7 7 0 3 6 7.TransporteF 2 Company Name U.S.EPA ID Number 8.Designated Facility Name and Site Address U.S.EPA ID Number ASBURY ENVIRONMENTAL SERVICE-CERES 1920 MORGAN RD. CERES CA 95358 CAL000393680 Facility's Phone: (209)541-1825 9a, 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit 13.Waste Codes HM and Packing Group(if any)) No. Type Quantity Wt.Nol. f 1NON-RCRA HAZARDOUS WASTE, LIQUID(USED OIL/MIXED OIL) ?21 001 TT o G 1 z L 3, 4 14.Special Handling Instructions and Additional Information EMERGENCY CONTACT : CHEMTREC 1-800-424-9300 WOES TERIN * PPROPRIATE PERSONAL PROTECTIVE EQUIPMENT- EMERGENCY CONTACT CHEMTREC 800-424-9300 * TRUCK# 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately above by the proper shipping name,and are classified,packaged, marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable inlernallanal national vemmental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of sent. I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator) )lir t a all quantity generator)is true. Generalarsl0fferoes P'nteddTyped Name Slgnat Month Day ;e�0 n,�- ri 16.International Shipments I.— ElImport to U.S. ❑Export from .S. Port of entry/exit: Z Transporter signature(for exports only): ate leaving U.S.: LW 17.Transporter Acknowledgment of Receipt of Materials !� Transoorter 1 PrinledTr d Nam Signalu Month Day Year, 0. f - 61 Iq 0. Transporter 2 Poledffypad!Name Si Month D y Year z 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quantity Ll Type ❑Residue ❑Partial Rejection ❑Full Rejection Manifest Reference Number. t8b.Altornate Facility(or Generator) U.S.EPA ID Number J_ 0 LL Facility's Phone: W 18c.Signature of Alternate Faa ity(or Generator) Month Day Year a z N19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) 4. 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18A Printedfryped Name Signature Month Day Year Urn i s) Z6 11A EPA Form 8700-22(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)