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Piease print or nype <br /> oos <br /> - itrea for uw�','It Oil) Fotm Appicived,OleAB No.2060.0039 <br /> UNIFORM HAZARDOUS rqe—; ManifestTracking Number <br /> WASTE MANIFEST CAL.000218490 <br /> A 017 696314 JJK <br /> TRUCK LUBRICATION•TRU033-PARENT <br /> P.O. BOX 1222 <br /> ORANGE CA 92868 823 W.LARCH <br /> Gr-n"-at 209 833-3409 TRACY <br /> CA <br /> PA 11),Nirntjoe <br /> WORLD OIL ENVIRONMENTAL SERVICES CAD028277036 <br /> 7.Pars .v"2 –----- <br /> tJ.S EPA"D Niinter <br /> WORLDWIDE RECOVERY SYSTEM INC <br /> CAR 0001. 76422 <br /> D e89"i'led Ty NaMe,Nid&fi Aidr�%" US E PA:0 N urn b <br /> YUMA YES LLC <br /> er <br /> 2730 E 13TH ST <br /> YUMA AZ 85365 AZ R 00 <br /> Facility P;,.ine 0 5 15 9 24 <br /> or n 3G:4 V)fl!ll;'-:i!'s <br /> 711— <br /> NON-RCRA f-IAZARDOUS WASTE.SOLID(OILY SOLID, PAPER FILTER$) <br /> 352 <br /> u1i <br /> 14.Special Handling andlArdiklorill laforinatiori <br /> EMERGENCY CONTACT:CHEMTREC 1-800-424-9300 WOES Tf RMINAL:CER FS CIS PRIOFILE N 9131:162623NRSTRU03Z <br /> OILY SOLID PAPER FILTERS *APPROPRIATE PPE EQUIPMENT & x — <br /> (,q) <br /> S. GENERATOR'SIOFFEROR'S CERTIFICATION: horntly dridMvEj w coriwnts of wis oi)n-ignmomt are fully and acci trawy oe.iuribed above by Ina proper shipping name,and its classiried.nGkaged, <br /> J:J,and 1;' naL!l.al govermneltal regulations :,'expos shiitrneril and I an;the Prmiri, <br /> n'ediiy nal Vi IN� mlx'ntorp. to�ho torrin.,G-1 aftiirhed EPAI of Cotie <br /> I'-ertlflat ivt n1m.2,'atIm sta-in"'n!iileniii�od ill 40 COR 24,2.21!al jif ii-i a 41rqo qwmtity (I)i till al)l a Srrlait quantil"y is Itoo. <br /> I <br /> S:grltu <br /> fillcintpi Day 'rear <br /> G—o r rf, gJ —'AL-1- <br /> 4 2' <br /> MAIL <br /> po',of entry' ------ <br /> Tlaf'E!)Crtl-•5,mnlure 110, x s"my): uata.' <br /> Lu <br /> n. <br /> rrampq fit i P'mlejday��ed <br /> is Month Dal/ Year <br /> D 7 <br /> CL <br /> w 1. <br /> Z T'ransp 1-7�>Print <br /> S:gr yu e 1 Mon Day Year <br /> le 1'kk LW�, A(4 b <br /> uW"a.ul-my <br /> Ida.[);Wlipony ImIkVor Spact" <br /> ?aria;Raj. <br /> Trp,; I'd ftecti,n <br /> rv9an0t <br /> 3 <br /> S.ErA 10 Nuirber <br /> MOM,,. D13Y Year <br /> 19.H'�23rdus 08s,6 Report"Vianagetnelitt v!liod Codes(i.e.,codes for halare"s wasto, alspcsal,and wVOinq sysl—eIrs) — <br /> uj I 3 -- <br /> 4. <br /> 2:.Dosiovatei:1 Fa�;Ili 11., covered by!;,.a manifest exi:ept as now. Pa�l 16a <br /> 7"77.)Typeci Nar"o.y_Cxnaroropor.ator:Certifwazion of recant of�iazarwua mater Signature orith Day Year <br /> r1r-%%,Fcori uslVm DESTINNrION SIArli(IF REQUIRED) <br />