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Please print or type.(Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050.0039 UNIFORM HAZARDOUS l•Generator Iia Number 2.Page i of 3.Emergency Response Phone 4.Manifest Tracking Number WASTE MANIFEST CAD 0 2 8 2 7 7 0 3 6 1 (800)424-9300 11018238437JJK S.Generators Name and Maifing Address Generators Site Address(if different than mailing address) WORLD OIL ENVIRONMENTAL SERVICES 1300 S.SANTA FE AVE COMPTON 'CA 90221 Generator's Phone: 310 886-3400 ti.Transporter 1 Company Name U.S.EPAID Number WORLD OIL ENVIRONMENTAL SERVICES GAD 0 2 8 2 7 7 0 3 6 7.Transporter 2 Company Name U.S.EPA ID Number - WORLDWIDE RECOVERY SYSTEM INC. C A R 0 0 017 5 4 2 2 1 S-Designated Facility Name and Site Address U.S.EPA ID Number YES MANAGEMENT, INC. 8500 US HIGHWAY 95 YUMA AZ 85305I AZRDOD521146 � FaclitysPhone: 192&13412828 9a. 9b.U.S.DOT Qescdption(including Proper Shipping Name,Hazard Class,ID Number, 10,Containers 11.Total 12.Unit 13.Waste Codes HM and Paeidng Group(if any)) No. Type Quantity WtNo}, o; 1'.NON-RCRA HAZARDOUS WASTE,SOLID(OILY PAPER/PLASTIC 352 I r- FILTERS/DEBRIS) DM - F I 2.NON-RCRA HAZARDOUS WASTE,SOLID{FILTERS CONTAINING OIL) (� �] 223 I DM C L/ g lI r,SsJru ; 4- 14, 1A.SpeGfal Handling lnstn:cL'ons and Additions[loformation '+ • EMERGL 40YCONTACT;CHEMTREC 1-800-4249300 WOES TERMINAL: *APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT NAERG 171* *WEOESCERES* 15. FE—NERATOPS14FFEROR'S CERTIFICAT=i I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are" rpa marked and labeledlplacarded,and are In all respects in proper conditioa fartrans ort aeeordin to applicable intemationaland national govemmental'regulations.If it shi mentatid., P 9 sxgp P '11�`primatlr Exporter.I certify that the contents of this ol nmont conform to the terms of the attached EPA Acknowled mentof Consent I certify that the waste minim nation sfAtement Identified In 40 GFR 262 27 a (if I art:a la a uanu nerator or (if I am a small uant' eneratar is true, =' {}C r9 4 h'.&e ) {h)f 4 nYg 3 r- Generator'sforreroes PrYk yped Name Signature .. e 16.Inlematlonal$hipmerits ; ❑Import to U S. ❑E port Irom U,S. Port of entrylexit Transporter slgnatvrp{for exports onty): Date leaving U.S.: �;A__7.Tr2nsport�RtfmowiedgmentofREa2iptofMatCrials .' I .. der 1 P(yvt4Typ_0Oe r Signature Month pay Tmnsportr:r2PdntadfiypedNarne Signature Month Ray 1$.Discrepancy a 183.Discrepancy Indication Space ❑ Quanti y ❑Type ❑Residue ❑Partal Retectivn ❑Fu[ •. • 1 Manifest Reference Number: 18b.Aftemate Facality(or Generator) U.S,EPA ID Number J ti F days Phone: LLj 18c.Signature of Alternate Facility(or Generator) Month Day- Year Q 2 19.Hazardous Waste Report Management Method Codes{i.e.,codes for hazardous waste treatment,dlsposal,and recycling systems) LU 3. 4. 20.Designated Facility Owner or Operator.Certification of receipt of hazardous materials covered by the menlfest except as noted in Item i8a PdntedfTyper!Name Spnature Month Day Year FPA Form 8700-22(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED)