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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 lD Number 2,Page 1 of 3,Emergency Response Phone 4.Manifest Tracking Number WASTE MANIFEST e . JJ 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address :i a•ransmisions Inc %3 Minion did, hanteca, CA 95331 Generators Phone: 916-295-1472 6.Transporter 1 Company Name U.S.EPA ID Number �'� , 'NTO WASTE OIL L y'^Pe' C?'] `z 7.Transporter Company Name U.S.EPA ID Number 8.Designated Facility Name and Site Address U.S.EPA ID Number Services, Inc. : 73U East. 13th Street Yuma Arizona 86365 Facility's Phone: 928-642"8936 ga 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit HM and Packing Group(if any)) 13.Waste Codes No. Type Quantity Wt.Noi. 1. ) o NO N-RCRA HAZARDOUS WASTE SOL749 �•,:° � -s � a t s 2. t CLJ `� s a I 3. i 4, } 14.SpeCial Handlinq-lnstsuctions and Additional Information 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 Iabeledlplacarded,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 EPA Acknowledgment of Consent. I certify that the waste minimization statementjden8fied in 40 CFR 262.27(a)(if l am a large quantity generator)or(b)(if I am a small Guanfity generator)is true. Generators(Offeror`s P.rtntedlTyped Name Signature Month Day- Year _j 16.International Shipments K 11 import 0 us. ❑Export from U.S. Port of entrylexit: Transporter signature(for exports only): Date leaving U.S.: W 17.TransporterAcknowledgment of Receipt of Materials Transporter 1 PrinledTyped Name Signature Month Day Year a IL cc ,. QTransporter2PnntedlTypedNameSignature Month Day Year 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quantity ❑Type ❑Residue ❑Partial Rejection ❑FO Rejecfion Manifest Reference Number. F 18b.Alternate Facility(or Generator) U.S.EPA ID Number J U LL Facility's Phone: w 18c.Signature of Alternate Facility(or Generator) Month Day Year a z US19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) LLJ 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 PriritedlTy)ed Name 4}}}' l r y Signature Month Day Year w-; EPA Form 8700.22(Rev.3••05) Previous editions are obsolete. DESIGNATED FACILITY TO GENERAu OR