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iCOPY <br /> , <br /> ' E <br /> ( Form prayed, OMB No. 2050-0039 <br /> rw <br /> r {Form designed for use «, elite (12 Lich ewfiter• papa 1 or 3. Enxttrgertty Response ��'t( 9 5073 JJ <br /> M ►{A7ARDOUt3 1 "orator ID Number .l. <br /> WASTE MANIFEST C A I Q O a 3 3 6 6 7 6 (8Q0) X24-93QQ <br /> $ tor's Name and Malting Address Canatetor's WOOD {N dNferent than ftia�tg eddrssa) <br /> i , <br /> TRAN,Sr OIRTATION - ST0051 It 1 <br /> ()t1NA(_D ;aril 1909 S ARGONAUT STREET <br /> ODE�TO CA 95358.97 STOCKTQN GA 96206tsphOne: '?U9 6 4.5114 f U.Swrteri Company Name CAD028277036 <br /> ORLD OIL CNIVI IONIMENTAL SERVICES j ; U.S. EPAIDNtmiberoder2 Company Name I <br /> WORLD1i tpE RECOVERY SYSTEM INC . j WINC. A R 4 p 0 7 b 4 2 2 <br /> US. EPAlD Numbo! <br /> 8. Desig eidFwUItyN8m0anI Address I <br /> YES MANAGEMINT . INC. I 3 <br /> 6500 US HIGHWA i 05 <br /> YUMA. A:/ 8635 A Z R O p 0 5 2 11 A 5 <br /> Facillty'SPhl , r,7at 'IA_n "> �d 10. f?antainars 11. Totet 12. U"Il <br /> g� 9b. US. DOT Descdpfion (IndudhV Proper Shipping Name, Cres <br /> I s, ID t3; Waste Cates <br /> I No Type Quantity 4Vt1Vd, <br /> NA1 and Poddng Group (Zany)) <br /> pc 1 'No t4mRORA Hi1'ARGOUS WASTE , SOLID OILY SAL10) qco P <br /> I �D M <br /> I NOW III Woolw <br /> 3. E <br /> a. — <br /> WE 1111= <br /> 14: Spacial Ftandling InsirucUorta and Add Ilonaf Information <br /> t <br /> EMERGENCY CC1fvTt. : CHEMTREC :-800.424°9300:-800.424°9300At ES Ti~RMINAL: CERE CS�i RG# 9031 : l71 * PROFILE � <br /> 16262311 ST0051 OILY * * APPRl3ARIATE AAS EQUIPMENT qty^ <br /> 15. GENFJiATOR'SfOFFEROR'S CERTiFICATIt7N: t harabyduttere krta< me Odxsonsl mtienksre MY a raW gooW a n� fe9�t� ds 41 'er" Primary <br /> nd labeled <br /> marl aOvArderi. and aro in au rospolow In poor � " for aocotdkW � w 1 Or Consent <br /> Dq ortar, 1 car9Zy that the contents of this car>rlgrunent contorm to Ola terms et Ore a died EPAAdelarrlea o <br /> I WI NI the yrasts min rti¢at on slatemenl (der>urwd in 10 CFR 2622T►a) (d 1 ani large quan*0eAemta or b Qf l em a xrtag Quantity ganerotorl lr trste. Day Year. <br /> eWs Pdao(irTyped Name • <br /> ..I 18. atio�t5hipmaltlb F1 Expert fromU'l Poltoranttytwdt <br /> ❑ import to U.S, Date teav4tg U,S <br /> Transpader. ature (for exports only). <br /> 17ooto�o. rranxp0rdwActuw4edgmentofReoeiptnfMalanais res D�ayy ear <br /> Tr 1 PrimodRyped Na I 1� <br /> N 1f3t .. .•.- -,. . . Cw <br /> th Day Year <br /> Trastraw <br /> nsporter 2 tintedfTyped Name j t l�i <br /> ar V97 <br /> 18. Di <br /> 188. Discrepancy Indication Space <br /> ElQuantity � T ❑ Residua ❑ Partlaf Re) c!100 0 Full Re)adion <br /> MatdrestRererence Number. loll <br /> or U.S. ......EPA ID N=bet <br /> 18b. Aftel F06MY (Or GO <br /> Wool <br /> xd, FadYty's Pixxw: WWII <br /> ' 1Mellon Month Day Year <br /> 18c Signature of Alternate Fati* (or Ganaafora <br /> 3 <br /> s ireatrnent. d�xpoeai, and recydUrg syatemsl <br /> 19. Hazardous Wast6 Report Moneyernent iAel)wd Codas (l.e codestar hazardous ant . 3 q. <br /> 1. 2' <br /> wool <br /> I rel by the mardfext except as now In ttem 18a <br /> 20, Designated Faulty. Owner or Operates: Cartifrcation of recotpl of hazardous ma Signature y ear <br /> print Name <br /> Wool.EPA Form 870022 (Rov. ) Previous editions are vbsolo DESIGNATED FA t ITY TO D TINATION STATE (IF REQUIRED) <br /> � f <br />