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Please print or type. (Farm designed for use on elite (12-pitch) typewriter.) Form Approved. OMB No, 2050-0039' UNIFORM HAZARDOUS 1. Generator ID Number 2. Page 1 of 3. Emergency Response Phone 4. Manifest Tracking Number WASTE MANIFEST C-AL0013405586 f 844-32.4-2egis 015895808 JJ 5, Generators Name and Mailing Address Generators SlteAddress (if different than mailing address) ARAMARK UNIFORM AND CAREER APPAREL LLC 7679 LONGE ST STOCKTON, CA 95205 Generators Phone:209-234-011Q5 6. Transporter 1 Company Name U.S. EPA IUNumber PHILIP WEST INDUS1RIAL SERVICES ICAR000177527 7. Transporter 2 Company Name U.S. EPA ID Number 8. Designated Facility Name and Site Address U.S. EPA ID Number CHEtuICAL ;�AS�EMAr,I.AGEhVIErxri INCU.S. 36261 OLD SKYLINE ROAD KETTLEMAN, CA 93238 Facility's Phone: 800-2224804 ga. go. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 10. Containers 11 . Total 12. Unit and Packing If an 13. Wase Codes HM 9 Grou P ( Y)) No.' Type Quantity Wt.Nol. o 1. NON RCRA HAZARDOUS WASTE, SOLID 1 CNi Y i Qg1 _ 3 4. j 14. Special Handling Instructions and Additional Information - rn VC/< PROFILE # CA58B352 7n + 2 #� y!{ N �esdyd7 ,n G �7 15, GENERATOR'SIOFFEROR'S CERTIFICATION; Ihereby declarethat the contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged, marked and labeled/placarded, and are In all respects in proper condition for transport according to applicable International and national governmental regulations. if export shipment and 1 am the Primary Exporter, I nastily that the contents of this consignment conform to the terms of the attached EPAAcknowledgmenl of Consent. I certify that the waste minimization statement Identified In 40 CFR 26227(a) (if I am a large quantity generator) or (b) (If I am a small quantity generator) Is free. Generat�or'slOH ors Printed edNa Signature Month Day Year / i` tea- ) 2 1 3 ) G --r 16. International Shipments i-- ❑ mport to U.S. ❑ Export from U.S. Port of eavexit: Z Transporter signature (for exports only): Date leaving U.S.: w 17. TranspoderAcknowledgment of Receipt of Materials TraaepIerlarrPrkded/Typed a Signaler Month Day Year a M Transporter2 Pdnledflyped Name Signature Month . Day Year r— I& Discrepancy 18a. Discrepancy Indication Space ❑ quantity ❑ Type ❑ Residue ❑ Partial Rejection ❑ Full Rejection Manifest Reference Number: 3 18b. Alternate Facility (or Generator) U.S. EPA ID Number 1 J ) ua. Facilitys Phone: - w 18c. Signature ofAternate Facility (or Generator) Month Day Year 1 Q z 7 N19. Hazardous Waste Repod Management Method Codes (Le., codes for hazardous waste treatment, disposal, and recycling systems) 2. 3. 4 Z 20. Designated Facility Owner or Op er r. Codification of receipt of hazardous m erials covered by the manifest except as road in Regi 18a Pdnfedflyped Name Signature Month Day Year ;1 F 0& EPA Form 8700-22 (Rev, 3-05) Previous editions are obsolete. DES90NATED FACILITY TO DESTINATION STATE (IF REQUIRED® a