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Plnarin nrtnt eir tvrvr [Fnrm rfadnnad for rrso 4in Ole f 17.nllr hl tvnmrifer.l <br />Form ADP=W. OMB No, 2050-(M39 <br />FPA Form 8700.72 (Rev. 3.05) Previous adHtlons are obs 1 0. �) DESIGIPXhD FACILITY TO DESTINATION) STATE (IF REQUIRED) <br />UNIFORM FiAIAf ous 1. Ganamlor [D Humber v <br />2. Pegs i of <br />3. Emelgerwy Response Phone <br />4.M Ifesl eking Number <br />61- 531214 JJ K <br />WASTE MANIFEST CAL 0 0 0 415 4 6 0 <br />1 <br />(800) 424-9300 <br />. <br />b. Generators Name and MALV Address Ganorat ea Ma Of d'dfeMN than MOM Address) <br />TEC OF CALIFORNIA - LOUISE AVE <br />2050E LOUISE AVE <br />LATHROP CA 955330 <br />GanerdWe phone; 209 $58�4Z10 , <br />B. Ttaniportea 1 Company Name U.& EPA ID Number <br />WORLD OIL ENVIRONMENTAL SERVICES CAD 0 2 8 2 7 7 0 3 6 <br />7, Trors�s�pmtor2 ConIM" Name U.9. EPA ID Number <br />4lUORLDWIDE RECOVERY SYSTEM INC. CARO 0 017 5 4 2 2 <br />8. DaMgwted FaM, Nems and SbAddreas U.& EPA ID Numbor <br />YES MANAGEMENT, INC, <br />6500 US HIGHWAY 95 <br />YUMA AZ 85365 • AZR000521146 <br />Fsa s Plerx:a: 328 4-9828 <br />9a, <br />eb. U.S. DDT DascdpNaa Onduding Proper Shipping Nemo, Huard bless, ED Numbe, <br />10. Conlalmers <br />11, Total <br />12. UoN <br />13. Wella Codes <br />No, <br />Type <br />HM <br />and Padit Group (tlarth) <br />Quangty <br />MAW. <br />0 <br />NON-RCRA HAZARDOUS WASTE, SOLID (OILY SOLdD)Q <br />_o)h <br />52 <br />M <br />P <br />a <br />z <br />2. <br />LU <br />C7 <br />3, <br />4, <br />14, Spedal llemd@ng Ingtn dons and Addltlonat tntatms2m <br />EMERGENCY CONTACT: CHEMTREC 1-800-424-9300 WOES TERMINAL: CERES CS PROFILE 4t 981: 162623NRSTE0605 <br />OILY SOLID* *APPROPRIATE PPE EQUIPMENT -9 n 14 <br />*a x S r7 - <br />1S. GENERATOR'SfDFFERpRBCEitT[RCATION: 1 hereby dedam That the wnWb of this aomlgnmeni are hr4 and socuraley desWbed iboaa by the prow shlpping vemo. ardam dasWad, padEdged, <br />marked mrd la Wedlptacafded, andam In al respects to praperconditlon for transpW eccordtng to appfluble Inlernadorwand nallonO govammental regu aora. 8 axpod ampmenl and I arnthe Primary <br />Exporfa , I certliy thele the corianfs of this cros�gnment conlmrn to the terms rd the attached MAdmokedgment of Consent. <br />I car* 4t the waste mhmbft Moment Ke"d in 40 CFR 26227(a) (tf l ems terga r or i nuly generator) la he. <br />Gelarowwwo Psi Name Month Day Year <br />x <br />nfemeConafSh NS Impart U.S. ExpoR Portoliabyla* <br />Trartsporlar algnsturs.(for axpodA otdyk Data mo tug U.S.: <br />i7. TtansportarAdrowtedpwtof Recelptof his <br />Trenoportcr t i rWedilyped me Sign urs Month Day Year <br />t i <br />01 <br />Tram a Sigr re Moalh Day Year <br />II1. D1aet�pA <br />185. I7ndkailon Specs Q awiny ❑ Type ❑ Resldrte ❑ Pa vw R*dfon <br />b ❑ Fug Rajectlon <br />Menu Reference Number, <br />18b. Attemaw Fati y (of Genoratoa) U.S. EPA 10 Number <br />U <br />FvdWs Phone: <br />18e. Signature Of Altemaffi FBrMty (ca' (iwmlot) <br />Month Day Year <br />Q <br />z <br />19. HuArdous Wade Raport MoMerneat Whod Codes 0,9,, coft for harardous waste treatmerkiftpced, end ratydbig sysiema) <br />2 3. <br />T <br />20. DestanalstH Fsc�Rly Dwnar or Operalan. CertiBcaden of mi*ptof hazardous matadals covored by the mardfesl except as noted In Nam 18a <br />nt g , stereon y m <br />UYIPL14- L <br />FPA Form 8700.72 (Rev. 3.05) Previous adHtlons are obs 1 0. �) DESIGIPXhD FACILITY TO DESTINATION) STATE (IF REQUIRED) <br />