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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 2, P e 1 of 3. Emergency Response Phone 4. Ma015895837 nifest Tracking NumBer®® pp pp �// WASTE MANIFEST CAL11004106505 �4-331,-27 08 015 8 9 5 ® 3 7 tJJ h9 K 5. Generator's Name and Mailing Address Generators Site Address (if different than mailing address) ARANLAiRK UNIFORM AND e:AFEER APPAREL LLC 707 L? LONGE ST STCCI ,ft7N, CA 952LO Generators Phone:2019-234.-0'1 05 6. Transpoderl Company Name U.S. EPA ID Number PHI LI P VVEST I NDUUS T PI �tL SER VI CES 1 7. Transporter 2 Company Name U.S. EPA ID Number 8. Designated Facility Name and Site Address U.S, EPA p Number . CHEW CALWASTE MANAGEMENT INC 36251 OLD SKVLINIE ROAD KEnIEk49.AR CA €3239 Facilitys Phone: 84000-222-2904 ga 96. U.S. DOT Descriplion (including Proper Shipping Name, Hazard Class, ID Number, 10. Containers 11. Total 12. Unit 13. Waste Codes HM and Packing Group (if any)) No. Type Quantity Afford. P Ix NON RClRA HAZARDOUS WASTE, SOLID 1 L`:Irr'6 � V 0 -- — � 2. S 0 I� r t 4. i 14. Special Handling Instanflons and Additional Information PROR LE 4 CA,e 8852 15. GENERATOR'SIOFFEROWS CERTIFICATION: I hereby declare that the contents ofthis 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 trumped according to applicable ii fernalionaland national governmental regulations. If export shipment and l am the Primary Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgmentof Consent. I certify that the waste minimize(=sWeenlidenfiffed In 40CFR 262.27(a) (If I am a large quantity generator) or (b) (ifi am a small quantity enerator) is true. GeneraforslOis Pynred/I signature Month Day Year r 16. International Shipments ❑ ImponoU.S. ❑ Export from U.S. /Pon of entry/exit: z Transporter signature (for exports only): Date leaving U,S.: W 17. TmnsporterAcknowledgment of ReceiptofMaterials Tranfm 1 On a arse vt Signalu Month Day Year a S�"]'• QTmnspo ntedffypedN a Signature Month Day ear h 18. Discrepancy 18a. Discrepancy Indication Space ❑ QuanBty []Type ❑ Residue ❑ Partial Rejection El Full Rejection Manifest Reference Number. 18b, Alternate Facility (or Generator) U.S. EPA ID Number J U rat Facility's Phone: W 18c. Signature of Alternate Facility (Or Generator) Month Day Year 19. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) ® 1. 2. 3. 4, 28. Designated Facility Owner or Operator: Corificalion of receipt of hazardous materials covered by the manifest except as noted in Item lea , Protedflyp ofName Signature Month Day Year EPA Form 8700-22 (Rev. 3-05) Previous editions are obsolete. DEESOG IATED FR WTVTD DESTi IONXTION STIVITE (IF REQUIRED)