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3lease print or type. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4.Manifest Tracking Number <br /> WASTE MANIFEST CAD 0 2 8 2 7 7 0 3 6 1 (800)424-9300 1 021 525992 JJ K <br /> 5.Generators Name and Mailing Address Generators Site Address(if different than mailing address) <br /> WORLD OIL ENVIRONMENTAL SERVICES <br /> 1300 S. SANTA FE AVE <br /> COMPTON CA 90221 <br /> Generators Phone: 310 886-3400 <br /> '6.Transporter Kompany,Name U.S.EPA ID Number <br /> WOi`tLD OIL ENVIRONMENTAL SERVICES' CAD 0 2.8 2 7 7 0 3 6 <br /> 7.Transporter 2:Company Name U.S.EPA ID Number <br /> WORLDWIDE RECOVERY SYSTEM INC- CAR 0 0 017 5 4 2 2 <br /> '8.Designated facility Name and!Site Address U.S.EPA ID Number <br /> YES MANAGEMENT,INC. <br /> 6500 US HIGHWAY 95 <br /> YUMA AZ 85365 AZR000521146 <br /> Facility's Phone: 82S 9828 <br /> 9a 9b.U.S.DOT Description.(nciuding Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12:Unit. <br /> HAM and Packing.Group(f any)) No. Type Quantity, Wt:Nol. 13.Waste Codes <br /> 1' NON-RCRA HAZARDOUS WASTE,SOLID(OILY PAPER/PLASTIC <br /> FILTERS/DEBRIS) 352 <br /> DM P <br /> w 2• NON-RCRA HAZARDOUS WASTE,SOLID(FILTERS CONTAINING OIL) 223 <br /> U <br /> l D M ��V P. <br /> 3:. <br /> %SpecialiftdDigTnsttuctions and Adddional Information <br /> E&%kC, GYCONTACT:CHEMTREC 1-800-424-9300 WOES TERMINAL-CERES PROFILE#162623NRS , <br /> .. . . . <br /> 15. GEhtERATO_t:(tlEFrEKQRt�CfRT16fGAT{ON:thereby,declare:thatthacontents.otUrls':consignmentarefupyrand,aauratetydesail>edebovrifty.thaptopershlppingnart,e;, � <br /> martiedrand�fetietedlptiearided;.and.atelp'allrespects.inpropercondition(or traosportaccor�irt�gtoapplicabteintematlonalanJnaGonatgovemmentalregutations•Itexpd[tshiprr��(��, . <br /> E>�grfeG,p�fjCtltattbecontentsof;tlffsconsignmentconformto.lhetertnsofthaattached+E�AAcividwlQdg_mentotConsenl 'r`g . . <br /> t,:' vrasmtsiitNortsbternenhldenGftedtn4Qtg9ft2672Z(a).(iftam:a:talgsqutinti ,ggnet¢tar)µ4r.�6}y �smallquantiix,9etierabr}.fshua n4 3 ti' M;;': <br /> esiir's FrbW.OdN <br /> Sibt4ture M + R <br /> I*i�ejita*li narsh1pments <br /> �t <br /> Eli <br /> mpodtoU.S.. Qow.from U.S. PortotentryfexiC' r:.:..:•c.: :- - r'. <br /> _x t .• <br /> — ColBoMfk RateleavingU:S.:. . :. . ,r <br /> ... n <br /> Gd9meribofRecelptofMaterials <br /> Trarspor� ffartp Signature E <br /> Transpdrter7PnntedFTWd'Name Signa <br /> 'prep <br /> 18a-Dlscrepaiuy Indication Space <br /> Q'Quantity ❑Type Q Residue ❑Partial Rejection Elul ReJectiorr <br /> Manifest Reference Number. <br /> 18b.Altemate FaaTity(or Generator) U.S.EPA ID Number <br /> v <br /> FadGty's:Phone: <br /> LUT otAftemate Fatality(or Generator) Month Day Year. <br /> 19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling.systems) <br /> O1. 2. 3. 4. <br /> 20.Designated Facility Owner or Operator.Certification of receipt of hazardous materials covered by the irrandest except as noted in Item 18a <br /> PnntedfTyped Name Signature Month Day Year <br /> EPA Form 8700-22(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY•TO EPA's e-MANIFEST'SYSTEM <br />