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Please <br />port or lype.;Forrn designed Ior use 4n e!ile (l2•011ch) lypl voter.) <br />UNIFORM HAZARDOUS 1- Gend*v ID Nurnbar <br />2 page 10l 3 Etne*rxv Restionsa Phan <br />WASTE MANWI CAL 0 O D 4 1 0 4 G 4 <br />1 A00 4:;?4-9300 <br />s Generators Name and Mel{Irp Ad ss <br />C}entrawirs We Address to utttennl r <br />TEC OF CALIFORNIA - LOU15E AVE <br />^050 E LOUISE AVE <br />GATT RCP CA 05330 <br />Generato?s Phaf* 209 853.4110 <br />5. TmnsoMar I CCmli ny Name <br />WOHLD Olt. ENVIRONMENTAL. SERVICES <br />T TransGarter 2 Company Name <br />WORLDWIDE RECOVERY SYSTEM INC. <br />8 Oes"ted Faality Name and Site Address <br />YES MANAGEMENT, INC <br />6500 US HIGHWAY" <br />YUMA AZ 353(35 <br />Fa6lii e3 Phone: <br />9b. U.S. COT Desoptien (including Pmpar Shipping Name, Hazard Gass, 10 Number, <br />t0. Containers <br />98. <br />HM and packing Group (ir any)} <br />i No. Type <br />t' MON-RCRA HAZARDOUS WASTE. SOLID (OILY SOLID) <br />DM <br />i <br />2 <br />Form <br />01 <br />095 No 2050.0039 <br />AJ� <br />CAD02 82 7 e O36 <br />11.9. EPA 14 Nvr+bcv <br />CAR000175422 <br />U.S. EPA 10 Number <br />AZP000521146 <br />11. TOW 12 Unit 13, Waste Codes <br />Quantity WtNci, <br />352 <br />P <br />EMERGENGY CONTACT: CHEMTREC k-300-424-9300 WOES TERMINAL: CERES CS NAERG?l 961: 171 ^ PROFILE # 9131 <br />.1626'23PJRSTEf;(')05 0iLY SOLID h * APPROPRIATi; PPE EQUIPMENT <br />15. GENERATORWOFFEROR'S CERTIFICATION: I hereby dedara Ihst the comianis of this ca>•sigmmenl ore M1uty and aeeurAtaiydsscnbad atiave by the proper sNppng name. am are dassit ed. packaged, <br />marked and iabaledlplacarded, and are In all respects in proper condition for transport according ta&pplirable IntemaL'onal and national governnrentai regulations fl export shipment and I am the Primary <br />Exporier, I terlity, that the oonlents of [his consignment conform to the terms of the attached EPAAcM"ledgment of Consent• <br />I certify beat the waste mlnimZa' afalement idertified rr 40 CFR 262.27(a) (it 4 am a largo quan8ty generator}ll t am a email quantity generator) Is trje <br />Tae-'te fS.pDl$fofSPslmtGtU;ypHCN 5agmalvr„ _ y; <br />,....,�.,.a....,a... �r....d,... t-4 j import to V.S. <br />Tran SDarter tt�nanue (for elcporEs orJyj' <br />47.7ransponarA&n&#AWgmenl of Receipt of Materials <br />18. Discrepancy <br />18a. discrepancy Indication Space ❑ Quantity <br />18b Alternate Faalgy (or Generator) <br />s <br />U <br />Feslwrt Phone' <br />18e Signature of Aw mate Foaled+ (er Generator} <br />LU <br />I u. Ha,uwz Waste Report Managemam f felnrd Codes it a., codes for haxardaus waste treatment, disposal, and ren 074 <br />❑ Ewri from [ S- d entrytexil: <br />Cats I"Ving U..S,. <br />❑ Type ❑ Residue ❑ Partial ReleClon <br />U,S. EPA ID Number <br />_1 <br />LFu11 Raj?clion <br />�a7 1. <br />O 1- 3. <br />CA 2, <br />2C. Designated facile yy Owner or Operator: CEMIcallon of recefpt of hazardous materials covered by the manifest except a%nRed in Item 18e <br />Sign)tare Month Day year <br />nm' sped Name n <br />I 10 <br />EPA Form 8700-22(Rev.3.05)Previous editions are obsolete, i1;.;1;;hlrxT lIj(I 1.1VTc)11t-{;I(rl��flltfl #i17L(13 riNflifliit=lll <br />