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018233888JJK <br /> PleM.P60t or :, rdml de5!gned for use on elite {12-plidt) ty OWrftnt. Fonn Approvatl. OMB No. 2050-0039 <br /> UNIFORM HAZARDOUS 1.,Genorasxl >''NUh)brtr ?_ i47o =14� EW406C� Rv" <br /> sePhone a(ni-t�palTtksking' umWASTE MANIFEST CAL 0 0 0 2 5 7 8 2 7 124-9300 U 18 2 .3 'J C►, 8 8 J 1 K <br /> mtws <br /> 5. Gan S }� aw Marr 4" GeneS to And ess ( f di8erord than nuSartg address) J 8 C7 �J 71 <br /> �Bf#1C�0HRYSL R WE MOTORS - CABU11 - <br /> P.O. 80X 2186 <br /> MANTECA CA 95336 11.45 W YOSEMITE AVE <br /> Ganeia ?fiPhono: 209823-1148 MANTECA CA 95337 <br /> B. Ttansporw1, rtpang , amc 9: AtDNulydkr <br /> ASBURY ENVIRONMENTAL SERVICES C A b 0 2 8 2 7 7 0 3 6 <br /> l: Ti>}n�'arr CoirptevryN>Riw U.9: AIDNum6ei <br /> I <br /> k <br /> 8._ atad fagklY arrta urd <br /> i'' ©N ��rroc Number U.S, rPAID <br /> iv�LocYVE�� <br /> 5375 SOUTH 80YLE AVENUE <br /> LOS ANGELES CA 90058 <br /> Fupye, Fyta . {323) 277.150Q CAD 097030993 <br /> ga, 9b. U.S. DOT Description (induding Pnspef Shipping Name, Hazard toss. ID Number. 10, Gun4sn <br /> HM end Pwkhg Group (H sny)) ft <br /> 11 . Tots! 12. Unit . 13, Waste Codes <br /> No. Type Quanuty Wt Nal, <br /> 14 NONI,RCRA HAZARDOUS WASTE, 801lla, {OILYSOLIDSmPAPER FILTERS)" <br /> p t- 352 <br /> f <br /> DM p <br /> 2. ; <br /> t � i <br /> uJ <br /> I <br /> aftb. <br /> . . . <br /> r <br /> I 1�, Sf+pCtel ka ing lnsN.'ttiotuuldAd�iinr+zi!,Infam <br /> EMERGENCY CONTACT ' CHEMTREC 1-800.424-9300 WOES TERMINAL; CERES CS NAERG# 981 ; 171 * PROFILE # 981 AP <br /> 192428 OILY SOLIDS•PAPER FILTERS P500.00051431 APPROPRIATE PERSONAL PROTECTIVE EQUIP MEENI' <br /> 15. 0EAN A1aRrVOPFEROR's C.FrOjenoNr I horohydecla o that tiro cvr taMs.oitfus nsant ary fWiyaMt aeeuraie rtosedt>cd dho(m otarkedandfaEokxltPbtr�ttCdaildammaltresp ht Frcnercatdlti47ikrtran9 pa tecrmrrl kO ioapppCal <a lrAb the Arod�0•-E.4 <br /> ynae, and are.d4ulfiod, paoa*, <br /> arnwil adeanational govommental <br /> regutatims, It "I shipment and I am the Primary <br /> E�tator, loerth�r@ibtUtepnrtWnrgofihlsr�ly�nmeMaonkumlolt� iem>s:otOta.attect�edkPAArlmov/lodgmenl &1 nr, <br /> ltset6Ty.nrat tf>Z�iyin nik)imkatbn:�Isr�noni �rht'Oeil Sri dQ G�'R 182,27(a}:{N Lam a large yuandty genotatn� ar (h} d it1 a u 4uanUty asnor2Wr) Is Mue. <br /> tienefatot'slolierut'sPrhi Nare -p�� , 5tpaanxo !,_ ys Yaar <br /> 181 tom Sttyxnonts �!``�`�� <br /> I J tmpert to U,S. <br /> trana�br}Otsign9lUfo (t4tasgwr� nntY} ❑ ExportiromU.S. Pnillenhyfexfl: <br /> 17• Transporter Date leaving U.S.: <br /> Mlmovrletlgmerd of Receipt of Mab+dals <br /> xranep<ylGf Jon I <br /> ignaluta <br /> Mgrdfi Day Y D _ . 1§ar <br /> rrs <br /> 7'rnapratai ? ypertNamo Sjiabere <br /> 18. DIK"ncy <br /> 18a. lnucrapancy Indication Spew QuanBty ❑ T <br /> YPa t _J Residue ❑ Partial Rejection Q Full Rejft*n <br /> I8b. Altairiate FeO y (or C 04fa cr); ManBeelRuferenco t4a ber <br /> US, EPAI0:f4)m er <br /> v <br /> reawt .aPhone: <br /> f Sifp a of mala ardRy (orGcr lar} <br /> th Day - ear <br /> ig. Hazardous Waste Report Managemarit Method Codee Due„ codes for hazardous waste treatment. disposar; and tecyding 8yslems) <br /> c 1. 4. <br /> 26. De ated Faot OHner or . <br /> r: CedtBcatton of receipt of tazardoua matoda!e covered by the manifest except as nded In hem 18a Signa" month Day Year <br /> EI?A Fotm $71?022 (Rev; 3 06)' Provbus edlllon9 are oboes ote, <br /> DESIGNATED. ACILITYTO DESTINATION STATE (IF REOUIRED) <br />