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Please print or type.(Form designed for use on elite(12-pitch)typewriter.) 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 CAL 0 0 0 2 7 6 6 6 9 1 (800)424-9300 018 2 3 7 0 8 0 JJ K 5.Generators Name and Mailing Addeess Generators Site Address(if different than mailing address) PROFLEET INC-PP,0108 15453 N.THORNTON RD. LODI CA 95242 15453 N.THORNTON RD. Generators Phone: 209 333-8383 LODI CA CIF;949 6.Transporter 1 Company Name U.S.EPA ID Number WORLD OIL ENVIRONMENTAL SERVICES CAD 0 2 8 2 7 7 0 3 6 7.Transporter 2 Company Name U.S.EPA ID Number WORLDWIDE RECOVERY SYSTEM INC. CAR 0 0 01 7 5 4 2 2 8.Designated Facility Name and Site Address U.S.EPA ID Number YES MANAGEMENT, INC. 6500 US HIGHWAY 95 YUMA AZ 85365 AZR000521146 Fadlitys Phone: ga Sb.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit and Packing Group d an Quantity WtNol. 13.Waste Codes HM 9 P C any)) No. Type ty 0 1'NON-RCRA HAZARDOUS WASTE.SOLID(PAPER FILTERS) 352-5— D M Lam-' P Z 2. w 3. 4. 14.Special Handling Instructions and Additional Information TZT EMERGENCY CONTACT :CHEMTREC 1-800-424-9300 WOES TERMINAL:CERES CS "=PROFILE#961:162623NRSPRO108 PAPER FILTERS * *APPROPRIATE PPE EQUIPMENT -f 5 X �- 15. GENERATOR'SIOFFEROR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described 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 international and national governmental 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 EPAAcknowiedgment of Consent. I certify that the waste minimization statement identified in 40 CFR 26227(a)(if I am a large quantity generator)or(b)(if I am a small quantity generator)is true. GeneratorslOgerors Pr me yped Name Signature M/onnth Day Year yV CO f —i 16.International Shipments k— ❑Import to U.S. El Export from U.S. ort of entrylexit: Transporter signature(for exports only): Date leaving U.S.: 17.TranspoderAcknuMedgment of Receipt of Materials Trans er 1 Printedrryped Name Si re Month Day Year r QTransporter 2 Printed/Typed Name Signatu Month Day Year 00 ;-9q I 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quantity ❑Type ❑Residue ❑Partial Rejection ❑Full Rejection Manifest Reference Number. 18b.Alternate Facility(or Generator) U.S.EPA ID Number J U Facility's Phone: Month Day Year LU 18c.Signature of Alternate Facility(or Generator) Q 19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) G 1. 2. 3. 4. 20.Designated Facility Owner or Operator.Certification of receipt of hazardous materials covered by the manifest except as noted in item 18a Printedrryped Name Signature Month Day Year 1 EPA Form 8700-22(Rev.3-b5) Previous editions are obsolete. UDESIGNATED F IL TO DESTINATION STATE(IF REQUIRED)