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Please print or type. (Form designed for use on elite (12-pitch) typewriter.) Form Approved. OMB No. 2050-0039 UNIFDRM HAZARDOUS 1. Generator ID Number 2. e 1 of 3, Emergency Response Phone 4. Manifest .1 .1 ing Numher pp pp �p,,pp WASTE MANIFESTS®E5C1I�5::`�.+5 c7Z—wad-2461$ ® � MJwlJ H' \l 5. Generators Name and Mailing Address Generators SileAddress (it mutorem than mailing address) ARAMARK UNIFORM AND CAREER APPAREL LLC 76579 LONGE ST S1OCKTON; CA 95206 Gone mfor's Phone: LJQ- +'}A-'611 06 U.S. EPAIDJ9umyer �� . � ' y�/ . 6. Transporter l Company Name PHILIP WEST INDUS TPH L SPR1fiCES U.S. EPA ID Number 7, Transporter 2 Company Name B. Designated Facility Nameand Site Address U.S. EPA ID Number r" I-#EItfifCk! .t7t!l MmAGEMENT 1NC CAT000040117 3526101 0 SI YLINE ROAD KET7LEMAN, CA 932439 Facgltys Phone: 8'f0 -222=299634 9a 9b. U.S. DOT Description (including Proper shipping Name, Hazard Class, ID Number, 10. Containers Qu Total V. Unit 13. Waste Codes HM and Packing Group (if any)) No. Type Quantify Wt.Nol. o NF €d RC ( A 9Au�PCkf4t. > >Py�.S ��, �r"lL4G) 2.2 — — I I I 00/ P 4. Toll Handling Ill :sWctlons an17 liffounal Information - PROFILE # C-A@f05a52 15. GENERATOR'SIOFFEROWS CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, aM are classified, packaged, marked and labeledlpiacarded, and are in all respects in proper condlllon for transport according to applicable International and national governmental regulators. If export shipment and l am the Primary Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent. I certify that the waste minimization statement Identified In 40 CFR 262.27(a) (if I am a large quanlity generator) or (b) (if I am a small quantity generator) is We. Generatarsilrots Prin �cut rlJ{me� Signature Mon/th Day Year r 16. Inlernatlonai Shipments Import to 0.5. El Expert from U.S. Pod of entry/exit: ZDale leaving U.S.: Transporter signature (for exports only): w 17. Transporter Acknowledgment of Receipt of Materials Month Day Year Transport Printedlfyp d N Signora O ' Mlip z, Tmnspoder 2 PrintectTypirdName Signature 18. Discrepancy Month Day Year r 183. Discrepancy Indication Space ❑ quantity ❑ Type ❑ Residue ❑ Padlai Rejection ❑ Full Rejection Mlanifest Reference Number: . - 18b. Alternate Facility (or Generator) U.S. EPA ID Number J U I Facility's Phone: 1Be. Signature of Alternate hal for Genemlor) Month Day Year Q N19. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste Gealment, disposal, and recycling systems) 0 1 2 g 4. 20. Oeslgnated Facility Owner or Opera tor. Cedig callon ofreceipt of handout materials covered by the manifest except as noted in Item l8a - - -- Month - Day Year - situra Printed �YPla,Nao me t ?i EPA EPA Form 8700-22 (Rev. 3-05) Previous actual are obsolete. DEMOVOIATED FACILITY 70 D(ESTimAy006i STATE (IF MQUORED)