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ATTACHMENT 8 <br /> PI?,ua.aaaigatypo. (Form desl nod for use on elite (12-pitch) typewriter,) Form Approved. OMB No . 205(10039 <br /> UNIFORM HAZARDOUS I Generator 10 Number 2. Pao t of 3 Emorgency Response Phone 4. n)hst Trac In e <br /> WASTE MANIFEST AD980893556 n 11 0 9 3 8 6 FLE <br /> 5 Generator's Nacre and Maiing mdressGenerator's Ste Address (ft dtfforent Uan mailing address) <br /> Manteca Unified School District <br /> 7271 W LOUISE AVE <br /> Manteca, CA 95336 <br /> Generators Phone: a, 59 <br /> 6. Transporter arpa me U.S. EPA ID Number <br /> Advanced Chemical Transport Ina. (SV ) CAR000070540 <br /> 7. Tran"nen 2 Company Name U. S. EPA ID Ntmber <br /> Worldwide Recowy System , Irtc CAR000175422 <br /> 8. Deslgrated Facility Name and Site Address U .S . EPA ID Number <br /> Yuma YES , LLC A2R00o515924 <br /> 2730 E . 13th St <br /> Yuma, AZ 85365 <br /> Faciil s Phcro 928-344-0828 <br /> ga , 9b U.S. DOT Descriptlon (including Proper Shippkg Name, Hazard Class, ID Number, 10 Conlalne(s 11 Total 12 Un1 13 Waste Codes <br /> HM and Paclung Group (d any)) No Typo QuanRy WI Not. <br /> Ir Ir nm do U. willaeolop,44oh d. (bt StAidal <br /> � . <br /> O <br /> l <br /> LIJNou 1. CRA } IazarJuus Wash. Solid ( Oil Eiders) 1 Di� P 223 <br /> 3 <br /> 4 <br /> 14 Special Handing lnsirudansandAddln ormalon Project Nu(nbef 155703 Dcicurnenl #: D186B93 <br /> 2) 176647 MAY- <br /> 15 <br /> AY-15 OENERATOR'NOFFEROR'S CERTIFICATION : I hereby dedare enat the contents of this consgnmenl are fully and accurately described abdo by thefropIlr shipping name, and are dasalfied, packaged, <br /> marked and labeled'pla arded, and are n all respects in proper condition for Transport accordng To applicable international and national govemrrenlal regulations . If export Ehlprrent and I am the Primary <br /> Exporter, I cer14 that the contents of this consignment conform to Uro terra of the attached EPA Acknowledgment of Consent <br /> I certify trial the waste mtninuzabon stalement Identifed in 40 CFR 282.27(a) (if I am a largo quantify generator) or (b) (if I am a sriwll quantity generptor) Is Wo, <br /> Generalorisil0francii's ` rdecll`Typed Name bigodrin , Year <br /> 1s. ln'xrnatlomal <br /> Z ❑ <br /> Import to U S ❑ Export troy U 5 Port o( antrylaxit --- . - - –_ – -- - - — - - _ <br /> Transporter signature Jfor ex Dale leaving U S . <br /> 17. Transposer Adtno*4eogrrie 4 ofReeW o( Materlas @ <br /> CL <br /> Tran P ' GlR/ �r`� ` 71' <br /> nledR Name signature y Month Day <br /> FF l � GQ3Q <br /> 18. Disci <br /> 18a rancy Irdiral nn Spate ��11 <br /> Quant h y� I ❑ Full Rejection <br /> LJ T Res duo Parvo Re ectwn <br /> Manifest Reference Number. <br /> 18b Allomate Facility (or Generator) US EPA ID Namber <br /> J <br /> U <br /> LL Facilitys Phone . <br /> Q 18c. Sgmhie of Nlernale Facility a Ge"rator) Month Day Year <br /> 2 <br /> 19, Hazardous Waste Ropod Management Melhod Codes cod for hazardous waste treatment, disposal and recycling systems) <br /> � 1 2 � 3 4 . <br /> 20. Designated FaciWy Owner or Operetor. Cortd"i on of mmlpt of hazardous mahrieb oo'rored by the mani osl excepl es roted In Ilom 18e <br /> PtintacliTyped Name FN N Svmture f h a � r <br /> Vn _i I <: , )� C) <br /> I1 <br /> EPA Fcm18700-22 ( Rev. 3-05) Previous editions are obso'nte. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED) <br />