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Pleasp.print or (Form designed fpr use on elite 12-pitch typewdter.) Form Approved,06A No.2050-0039 ! <br /> UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of 3. Response Phone 4.Man Tracida Number <br /> WASTE MANIFEST CAI-000366211 ' --' 1 (800)424-9300 017 9 2 2 6 0 <br /> 5.Germrators Name and MaHing Address Generator's Site Addre$s('d different Ow mailing address) <br /> FIRESTONE#028746 <br /> 720 E.HAMMER LANE j <br /> STOCKfON CA 95210 <br /> Gerwra :Phone: 209951-2403 <br /> 6.T r 1 Company Name U.S.EPA ber <br /> ASBURY ENVIRONMENTAL SERVICES -C A D 0 2 8 2 7 7 0 3 6 <br /> 7.Transporter 2 Company Name US:EPA ID Number <br /> WORLDWIDE RECOVERY SYSTEM INC. AL <br /> CAR 0 0 017 5 4 2 2 <br /> � . <br /> 6.Designated Facility Name and Site Address WU.S.EPA 10 Number <br /> YUMA YES LLC . <br /> 2730 E 13TH ST <br /> YUMA AZ 85365 'AZR000515924 <br /> Fades .Phone: <br /> go. 9b.U.S.DOT Deseription onduft Proper Shi*V Name,Hazard(less.10 Numbor, 10.' 11.tow 12.Unit 19.Waste Codes <br /> HM and Paddng Grote(N OnA No. Type Quantify Wt.Nol. <br /> o f NON-RCRA HAZADOUS WASTE.SOLID(NON-CONFORMING FILTERS) 223 <br /> r <br /> DM P <br /> t" <br /> 4' <br /> e - <br /> i <br /> 4-Sp Handgng instructions and . <br /> C <br /> I QENGY CERN PACT:GNEMTREG 1.8 24-. w E8*R�IIINA(L:CtRM OS' *APPROPRIATE PERSONAL PROTECTIVE <br /> a EQUIPMENT EMERGENCY GO{�P�ICT(;HE �TREG`800 4�4;�(� <br /> 15. Gk7il 7GR'SWFEk0 f iFiattire t tltib..po sYe tgyari 8 d bjiOWoro* n t.daffs! f <br /> nta*sd and :and In to tor.• ° klfo` ai f. tat ff oport stipYr a <br /> € t>giort :i eaN(y tlmt ascontepis cobs corrforttrt0'6ba tertrte:6f f l4 Gf <br /> cergty tfrattl , red ata:. . rr� kt 4o ct f .( lost, <br /> r flit Igay4�� <br /> .a 16. Std •'. .. <br /> ImlxrrttoU.9. Expaflt YeUS . t?ortofe"aft ! <br /> Transports, <br /> sigriature(tor ady <br /> T 1 Prtrdedfr _ rda Mbtttlt 0�}I � <br /> Z T 2 PrNtedITypid gtne <br /> 16.Disaspancy <br /> 16a.Dlsmpancy Inckatlon Space D ouantlty ®type ' © Partial 4. Iftitl f e)ebMri <br /> r <br /> I&Mornate Fadlity(or Generator) U'S'EPA Nwtiber <br /> ua. .Facilgys Phone: as <br /> . � it1c.S�ture.�Attemate' (or •Mdt Day ear <br /> _ . <br /> y19: Waste-Repert sment . . Codes#.a.,sales for hawdous �• ural iecydir� ) <br /> G 1. 2 s 4• <br /> 20:Designate0d F Owner or Operab by ft 040spt owept as nctel M MW M <br /> id <br /> 114 Nana <br /> EPA Form 8700-22(Rev.31 Previous editions are obsolete: DESIGNATED FACILITY TO DESTINATION STATE(IF REWIRE 0" I � <br /> i <br /> I <br />