Laserfiche WebLink
3400 Auto Plaza Way. Record ID# PR0514278 <br /> 11/3/2020 Program: HW <br /> Photo 10: The following uniform hazardous waste manifest <br /> mNHAAaZAnRDiTOfUSesr.tOG(01m0N8un5rts31384JJKobserved°r ],FniarplwaaycnakaPainana Pglar signled copy. <br /> np <br /> Uir:'1 r <br /> � f9 • F I- OMNo 2 <br /> :ffK033043 r' . <br /> S fwnwaldYwmaiiaww�Adams Garw.atoM1 GlkMaiesa ldninerenlmanmrmg aaa.ssl Jll �Y :�' <br /> QQ ARID M. TACHFvN01£T QA <br /> PL NOOI <br /> ..{ <br /> TIDO AUTO RATA W WAY <br /> ' I T1 Cis 96304 <br /> c mYa Prove' r:OB d.)t147O0 <br /> Pea56 Pnn 6.TnMpods r U.a.EPA ID Nuenpar <br /> UNI <br /> WORLD OIL ENHROMMEHIAL SERVICES C AD O:a?Y 10 3 6 $ 8 C <br /> Wr 1 r—PalxzGwriPeny Nama uS.FPAtu rwmp6i F� j �.�X. <br /> e�^ WORLDWIpE RECOVERY 9Y97EM!HC GAR 0 0 0]7 5 4 2 2 <br /> 9 led FaMly Name W 5116 Ad"N U.S.EPA m Nur" j <br /> MAWll3f-MF14T.INC <br /> Ge„ 65W Us HIGHWAY 95 <br /> a YUPAA AZ 051765 A Z R D 0 0 5.?1.1 4 h <br /> Fatllitr+s Fnona: 1$28)344'992& <br /> r ga 96.U.S.OOTtlexalpaM(InrludlnD Pmt Shgft Name,1—CII ID Numbe., 10.Conlain6r9 Il.T.W 1Z Und <br /> NNI ace Pecearg Groaplil+m71 N. <br /> Tyne ovanary wove 1a.waste I <br /> NnN-RCRA HAlARDDl1S WASTE;OILY SOLIDS - <br /> 0 <br /> w <br /> z z <br /> r SUMP/VVASM <br /> WASTE <br /> a. <br /> tT$/BRAKE � <br /> OL VENT <br /> 19.Special Handling inedlK6oM1a era)Adffm.l Inlprmadon <br /> EMFi10ENCY CONTACT CHEMTREC 1444)0-424-830 WOES TERMINAi. f;f RI_3:;S 'PP.OFILF.f!'ii3) 162'623tZAN002 OpY _ <br /> SOLID'' •APPROPRIATF.PPE F(MI MENT g .y I X <br /> J <br /> 15. GENENA70R'SlOFFERDR'S CERTIFICATIDN:I he+eby tleclare that the camenta of this consignment are hrilyand a�ulatalyaescnbed above bl the propel stopping name,ab are dassireQ packaged. <br /> markedandiabeledlplawrded,andare in all respects In proper candnion for transpod according m appli�hle InlemalionakaM national govemmenlal regulalwns,deKpmt shipment and I am the Pnmary <br /> Exporter,I a"thal the Wnlents of this consignment conform to the leans"a attached EPAAcwwwledgment of Consent <br /> L I cenlfy thal the wash minim'vation slalemenl iden67ed in 40 CFR 262.27(a)(if I am a large quantity generator)or(b}(if I an a small quantity generator)is true. <br /> Ge neralorx+INfemrs Pnnte irryped Name Signature Mi pay <br /> 16.Inlemae0nal Shlprnenls iilog i <br /> r ❑Impon to U.S. ❑Ecpod from U.S. Pon of enVylenit <br /> = Transpdner signawre{foresports only} Date leaving U.S., <br /> �_ I77 nsporterAGmowledgmenl&Receiptof t <br /> a Transporter 1 Pnnted Typed Name Si nature <br /> p _ g Month Day Year <br /> ~/ ! <br /> 7ransponer2 Pnnled/Typed Name Signalers AlfMonty Day Year '/COfYTgfN <br /> SP. ER <br /> I} 18.Discrepancy <br /> f T <br /> 18a.Discrepancy Indiraflon Space 4uant ❑ <br /> 1 ❑ ily Ty'. Residue e ❑Pamal Rejection ❑Fuil Rejecdon �Ir <br /> 't7 <br /> "T+ Manliest Reterenee Number "�— <br /> 186.AJlemate FaCiilry(or Generator) <br /> � U.S.EPA ID Numher <br /> U <br /> I+a- Facliiys Phone. <br /> w lac.Signature GfAllernale Faaliiy(or Generator) <br /> Q Month Day Yaar <br /> z <br /> y }g.Hazardous Waste Remen Managemenl MaOwd Codes(i.e,codes lei hazardous waste 11ealm4nt.disposal,and recyding systems) <br /> a t 2 3. 4. <br /> 20,Desigrtaled Fac81ry Cwner or operafoc Cediflradon of receipt of hazardous maledals covered by the manifest except as noted in Item Jae <br /> PnNeoyped Name SignaWre <br /> C)ay BAT <br /> EPA Form 8700.22(Rev.3-05)Previous editions are obsolete <br /> GENERATOR'S INITIAL COPY <br /> JASON GAITAN, REHS Page 10 of 48 <br />