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Please print or type. (Form designed for use on elite (12-pitch) typewriter.) Form Approved. OMB No, 2050-0039 UNIFORM HAZARDOUS 1 . Generator ID Number 12. P e l of 3. Emergency Response Phone 4. Manifest Trucking Number p p ry// WASTE MANIFEST A!pf.16Y/�15595 84WS34k 2:o`vi8 015895830 J J K 5. Generators Name and MaignugAddross Generators sceAddress tit different than mailing address) ARAMAPK UNIFORM AND CAREER APPAREL LLC 7679 LONGE Sr STOCK ON, CA 952176 Generators Phone:202-23I'0106 6. Transporter l Company Name U.S. EPAID Number - PHILIP VVEST INDLtSIRIAL SERVICES _ - 10 7. Transporter 2 Company Name U.S. EPA ID Number 8, Designated Facility Name and Site AddressU.S. EPA ID Number cHErtr�ir�,-�1 v,�AS� �I�,r+s�c'G�fE�Irllvc CATIMIOM0117 55251 CLD SKYLINE ROAD E{ETTLEMAN, CA 93239 Facilitys Phone: 'x,1]¢1-222,-2966 .. go. 9b. U.S. DOT Description (Including Proper Shipping Name, Hazard Class, ID Number, 10. Containers 11 . 70hil 12. Unit 13. Waste Codes HM and Packing Group (if any)) No. Type Quantity WLA70l. t pp Q� 1 NON RCP,A Hl�.� R OIJS WASTms, SOLI � Cl'vi � Y — � tad i�,pYp� 4. ( 14. Special Handling Instructions and Additional Information PROFI LE # CAM08852 15. GENERATOWSIOFFEROWS CERTIFICATION: I hereby declare that the contents nights constgnment are flay and accurately described above by the proper shipping name, and are classified, packaged, marked and laheledlplacarded, and are in all respects In proper condition for transport according to applicable international and national governmental regulations. if export shipment and I am the Primary Exporter, I codify that the contents of (his consignment conform to the terms of the attached EPAAcknowledgment of Consent. I scull that the waste minimization statement Identified In 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (if I am a small quantity generator) is true. GeneratorsfOffeiroar'sP ' ted P ame Signature Month yyDay Year J 16. Intemafonal Shipments6 r ❑ Importhr U.S. ❑ Export from U.S. Port of entrylexit: z Transporter signature (for exports only): Date leaving U.S: w 17. TransporterAcknmvledgment of Receipt of Materials Transport 1Printed ped Name Signaler Month Day Year QTransp0 er 2 PdntediTy ed Name Signature Month Day Year I— 18, Discrepancy 18a, Discrepancy Indlealion Space ❑ Quantity ❑ Type ❑ Residue ❑ Partial Rejection ❑ Full Rejection Manifest Reference Number: 186. AQe nate Facility (or Generator) U.S. EPA ID Number J U r+ Facilit/s Phone: w Its. Signature of Alternate Facility (or Generator) Month Day Year a 19, Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) 55 B 1. 2. 3. 4. 1 /2 20. Designated Facility Owner or Operator: Codification of receipt of hazardous materials covered by the manifest except as noted In Item 18a Priniedllyped Name SignI Month �ay ;ar _ 1 �9Y EPA Form 8700-22 (Rev, 3-05) Previous editions are obsolete. DESOGMATED EACILI T V TO DESTiNATOON VMTE (OF REQUORED)