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Chir AIi <br /> Please print or type. (Form designed for use on elite (12-pitch) typewriter.) Form Approved, OMB No, 2050-0039 <br /> UNIFORM HAZARDOUS 1. Generator ID Number - 2. Page lof 3, Emergency Response Phone 4. Manifest Tracking Number <br /> WASTEMANIFEST CAL 0 0 0 4 0 v 0 95 1 d 001924- 9300 011190917 JJK <br /> 5. Generator's Name and Mailing Address Generator's SileAddress (if different than mailing address) . <br /> ARAMARK <br /> 7079 S. LONGE ST. <br /> STOCKTON CA 95200 <br /> Generators Phone: ( 4: 0105 <br /> 6. Tr r Compan Name U.S. EPA ID Numb <br /> l � LS� , o <br /> 7. Transpoder 2 Company Name - U.S. EPA ID Number <br /> 8. Designated Facility Name and SileAddress U.S. EPA ID Number <br /> CHEMICALk'ASTE 10AVAGEMENT, INC. <br /> 85251 OLDS SKYLINE ROAD C A T 0 0 0 6 4 0 1 1 7 <br /> KE i 1 LE"AAN CITY Com. 98239 <br /> Facility(a Phone: F a 9711 <br /> '.. <br /> go. 9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 10. Containers 11, Total 12. Unit 13, Waste Codes <br /> HM and Packing Group if any)) <br /> No. Type Quantity wt./Vol. <br /> 1. NON RCRAHAZARDOUS WASTE SOLIC? <br /> M08862 <br /> W 2. <br /> 41 <br /> i <br /> 14. Special Handling Instmclions andAddllienal Information <br /> 1 . CA688852 CHEMTRECCONTRACTOCCN24117 <br /> NO <br /> 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the propershipping name, aid are classified, packaged, <br /> marked and labeled/placarded, and are in all respects In proper condition for Uansport according to applicable inte nationaland national governmental regulations. If export shipment and I am the Primary <br /> Exporter, I codify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent. <br /> I certify that the waste minimization statement Identified In 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (ifI am a small quantity generator) Is true. <br /> G, (orsl0nledfrypedd Name SI9n e Month Day Year <br /> 1Z I <br /> —r 16. International Shipments <br /> t— ❑ impod to U.S. ❑ Export from U.S. Pont of entrylexit: <br /> z <br /> Transporter signature (for exports only): Date leaving U.S.: <br /> w17. TransporterAcknowledgmenlof Receipt of Materials <br /> E2 Tm ortert do edify edN in Signa '� Month Day Year <br /> N <br /> :4 Transporter 2 Princetyped Name _ Signatue <br /> Month Oay Year <br /> 18 Discrepancy <br /> 18a. Discrepancy Indication Space ❑ Quantity E] Type ❑ Residue ❑ Partial Rejection ❑ Full Rejection <br /> Manifest Reference Number: <br /> 181b. Alternate Facility (orGenerator) U.S. EPA ID Number <br /> J <br /> U <br /> sem. Facility's Phone: <br /> 18c. Signature of Alternate Facility (or Generator) Month Day Year <br /> Q <br /> Z <br /> 19. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) <br /> ® 1 . 2. 3. 4. <br /> �3 Z <br /> 20. Designated Facility 6witeror Operator: Certification of eceipt of btizaidous materials covered by the manifest except as noted in Item 18a <br /> Printed/Typed Name `` Signature Month Day Year <br /> III <br /> EPA Form 8700-22 (Rev. n5) Previou editions are obsolete. 13F�gf4pgAT�rp �A�gt g o !9 tl��'�PAB fl'P8P9(aA �SIiS'�' lBts ��ai® eo® vos <br />