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Please print or type.(Form designed for use an elite(12-1 typewriter.) Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS 1.Generator ID Number Tge__Iol 1 3.Emergency Response Phone 4.Manifest Tracking Number WASTE MANIFEST 364 610 JJ 5.Generator's Nance and Mailing Address Generator's Site Address(if different than mailing address) A S C Tranismissions, Inc. 193 S. Union Rd, Manteca, CA 95337 Generators Phone: 209-918-2650 6.Transporter 1 Company Name U.S.EPA iD Number 0 WASTE OIL _ --. - 7,Transporter Company Name U.S.EPA ID Number ery Syst.mes In.-- 8.Designated Facility Name and Site Address _ U.S.EPA ID Number 0500 S US Highway X35 , Yuma., Arizona $5365 Facility's Phone: 928-344-98i;. AZP 0001 9a 91 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 Na. Type Quantity wt./Vol. 1. a NOAH-RCRA HAZARDOUS WASTE SOLf"�'- J z 2 LLI 0 _. 3. 4. 14.Special Handling Instructions and Additional Information a ,,'AI En� AND €1J6 15. GEN ERATOR'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 Iabeledfplacarded,and are in all respects in proper condition for transport according to appllcable international and national governmental regulations.If export shipment and i am the Primary Exporfer,I certify that the contents of this consignment conform to the terms of the attached EPAAcknowfedgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if[am a large quantity generator)or(b)(if I am a small quantity generator)is t€ue, Generators`QfFetors Ppntedffyped Name - Signature e- Month Day Year _J 16.International Shipments ❑Import to U.S. ❑Export from U.S. Port of entrylexit: Transporter signature(for exports only): Date[caving U.S.: 17,Transporter Acknowledgment of Receipt of Materials Ulu OTransporter 1 PrintedTTyped Name Signature Month Day Year IL : erna.adez Q Transporter 2 PrintedlTypq Name Signature Mcnih Day Year 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quantity ❑Type ❑Residue ❑Partial Rejection ❑Pull Rejection Manifest Reference Number: 181b,Alternate Facility(oi Generator) -- -,_.. - - — T U.S-EPA ID Number U Facility's Phone: [LU 18c.Signature of Alternate Facility(or Generator) Month Day Year Q z 19.Hazardous Waste Report Management Method Godes(i.e.,code_s for hazardous waste treatment,disposal,and recycling systems) � 1. 2. 3. 4. 20.Designated f=acility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a Printed,Typed Name Signature Month Day Year EPA Form 8700-22(Rev,3-05) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR