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.rl• Please print 0r We.(Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050.0039 UNIFORM HAZARDOUS 1.Goneratoi ID Number Z.Page 1 of 3.Emergency Response Phone 4.Manifest Track ng Number. WASTE MANIFEST CAL 0 0 0 3 3 3 0 5 2 1 (800)424-9300 01853132-4 JJ K 5.Generator's Name and MaBing Address Generator's Site Address(if different than malling'address) REEVE TRUCKING-REE008 PO BOX 5202 ATT:SAFTEY DIRECT STOCKTON CA 95205, 5050 CARPENTER RD GensratoTsPhone:. 209940-2023 STOCKrON CA 95215 B.TrsnsWr 1 Ccmpany Name U.S.EPA ID Number - WO LD OIL RONMENTA SER CES CA 2,8277036 T' s er 2 Cc n N S.EP D mb It.Desl' Fa' ity m SltaAddress U.S.EPA I umber YI MA YES.LLC 2730 E 13TH ST YUMA AZ 85365 AZR000515924 FaEM,*Phone: (928)344-9828. ga. 9b.U.S.DOT DescdpWn(Including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Ura* . 13.Waste Codes HM and Paddng Group(If any)) No. Type Quantity WL/vd. NON-RCRA HAZARDOUS WASTE SOLID(OILY SOLIDS) 52 DM P z Z LU 0 3. 4. 14.Special Handling Instruct=and Additional Information EMERGENCY CONTACT:CHEMTREC 1-800-424-9300 WOES TERMINAL:CERES CS *PROFILE#9131:162623NRSREEOB OILY . SOLIDS* *APPROPRIATE PPE EQUIPMENT �f 15. GENERATOR'SIOFFEROR'S CERTIFICATION:I hereby dedare that the contents of this consignment are fully and scarelely described above by the propershipping name,and are dassihed,packaged, marked and labeledfplorarded,and are in all respects in proper condition for transport accorcring to applicable International and national governmental regutallons.If export shipment and I ern the Pdmary Exporter.I certify that ttie contents of tits consl9pment conform to the terms of the attached EPAAdmowledgment cf Censent. certify thatthe waste minlmlzallon statement IdenOlied In 40 CFR 262.27(a)(If 1 am a large quantity gena )(Ill amp small uantitynerator)Is true. Generaw erors Prialedrr Name Slg store Month Day Year 10 18.Intemallonal Shipments � ; F- 1:1import to U.S. ❑Export from U Port c1 an exh: z Transporter signature(for exports only): _ Date to U.S.: LW 17.TransporterAcknowiedgmantof Receipt of Materials Transports Printedlfyped Name S?g Month Day Year CL err � C•-�s-�r' Z¢ nsparter7P tedlrype Na Sign re Month Day Year (, 18.Olsuepancy 180.Disc dicaIbn Space ❑-QuantityT ❑Res?due ype ❑Partial Re)edion ❑Full Rejedion Manifest Reference Number. . ."- 18b.Alternate Fad6ty(or Generator) U.S.EPA ID Number v Facifltys Phone: W 18c.Stgnature of Alternate Facility(or Generator) 707 Day Year Q z ro19.Hazardous Waste Report Management Method Codes Q.e.,codes far hazardous waste treatment,6sposal,and recyding systems) LU 1. 2. 20.Designated Facility Owner or Operator.Certification of receipt of hazardous materials covered by the manliest except as noted In Item 18a Pdnta yped Name `r aSignature Month Oay Yew 1� /-2— l EPA Form 8700-22{R .3.05) Previous Moni are 0_61(orelyl DEWWkhDrF661LITY TO DESTINATION STATE(IF REQUIRED)