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Please print or typa. Form Appmved.OMB No.2050-0039 UNIFORM HAZARDOUS '.Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4.Mgp-fes T4cj g Number WASTE MANIFEST CAID00236M 1 88&7&5.7225 t(oJ� raj 11 F L E 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address) Dragon ESP LTi] 15700 WMAsy Awnue LaTh'irp, CAA Genefaior's Plmne: 7]H-M515-B7 Z3 S• m+spvrfar} ❑ ny Name U.S.EPA ID Number rtca �.#x�icla)Transport h1a.1DBA ACTemiro CARL"70540 7aa°rn+;12 acNtry System, hx U.S.EPA iD Number CARt]i)E)175422 8,DasIgnaled Facility Name and Site Address U.S.EPA ID Number Yuma YES, LLC (Use EW# 90853) 2730 L. 13th St. A7R(!{1Ci51587.4 Yuma. A7 85385 1`26114's Phone: 92"4-982B 9a 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit HM and Packing Group(if any)) 13.Waste Codes No. Type Quantity Wt.Nol. 1.Non-IRU A Hazardous Waste Bytid(Oil,Walter) Tp p 223 0 z 2. L c7 4 14.Special Handling Instructions and Additional Information f fgBGT IVtNf cw ebmil" LJwtftrls t 0'U31 bobt.4 nj 1) 1811702 DRY- 15, RY15. 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 tarn a small quantity generator)is true. Generafpr'a.�Offemrs PrinledlTyped Name Signatu[e Month Day Year 16.International Shipmer1w F ❑Import to U.S. ❑Export from U.S. Port of entry/exit: ? Transporter signature(for exports only): Date leaving U.S.: W 17.Transporter Acknowledgment of Receipt of Materials LU Transporter 1 Printed/Typed Name Signature Month Day Year l z Transporter 2 PrintedlTyped Name Signature Month Day Year H 18.Discrepancy 18a.Discrepancy Indication Space ❑ quantic Type Quantity yp El Residue ❑Partial Rejection ❑Full Rejection Manifest Reference Number: 18b.Alternate Facility(or Generator) U.S.EPA ID Number J U LL Facility's Phone: M 18c.Signature oT Alternate Facility(or Generator) Month Day Year Q z N19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) C 1. 2, 3. 4. 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a PrintedlTyped Name Signature Month Day Year EPA Form 8700-22(Rev.12-17) Previous editions are obsolete. GENERATOR'S INITIAL COPY