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Please print or type. Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4.M ift T u er WASTE MANIFEST CAR0001 go 44 2 tai -M-72?5 1 769940 F L E 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address) Aasin EkwAro'1Its Inc 199 Fero*~ StoeMon, CA 96M Generator's Phone: 6.Transporter 1 Company Name U.S.EPA ID Number Armed tlwrf7W ThiMpa t Inc.rDGA ACTMWO CAII000070W 7.Transporter 2 Company Name U.S.EPA ID Number Mill Rwmwwy System, Irt, CAR0i7[}17544 8.Designated Facility Name and Site Address U.S.EPA ID Number 2730 E 1 St MI%24 Yt"aty AZ MW Facility's Phone: 926%*A4-QM 9a 9b.U.S.DOT Description(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 Wt.Nol. 1 Non-RCRA Hazardous Waste,li('i.(Cootan,Sze) OM P 135 O �J W2 Nrm- tGRA Nuzardczn�Waste, ( > reeze) DF P 13 3-N am-RCHA Hazardous Waste wul cut BC 2 14.Special Handling Instructions and Additional Information PMPPd(1 gr T48-119D DDrA&MM 1) 176712 nk . .5 C T tj a) MM511�a�nr-�3 /fir A4 CTM "l t�r=t3 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that 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 I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent. I certify 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. Gen rotor's/O;ffrp§Printedrr ed Name Si ture Mon Day Year 16.International Shipments � ❑Import to U.S. ❑Export from U.S. Port of entry/exit: ? Transporter signature(for exports only): Date leaving U.S.: 0� 17.Transporter Acknowledgment of Receipt of Materials LU Transporter 1 Pfinted/Typed Name �f' Signature Mont Day Year z Transporter 2 Printed/Typed Name Signature Month Day Year F 18.Discrepancy 18a.Discrepancy Indication Space ❑Full Re ❑ Quantity El Type ❑Residue ❑Partial Rejection jection Manifest Reference Number: 18b.Alternate Facility(or Generator) U.S.EPA ID Number J_ V rar- Facility's Phone: W 18c.Signature of Alternate Facility(or Generator) Month Day Year a Z ti19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) LU 0 1. 12. 3. 4. 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a Printed/Typed Name Signature Month Day Year EPA Form 8700-22(Rev.12-17) Previous editions are obsolete. GENERATOR'S INITIAL COPY