WASTE MANIFEST 95374 Attachment IIT Refer to GI. 0430,001 ‘Waste Originator; confirm that (12 M3) of OILY SLUDGE was loaded on'10/09/2019 From {WESTERN REGION DISTRIBUTION DEPT / SSSP-s #_} a8 approved by EED or HMA Ghamdi, Abdullah S #277877 ‘Name, ID No., Signature & Tel. No. of Saudi Aramco Waste Originator Representative Oo 1 shall Transport the aforementioned waste to,_ GEMS- Western Region Contractor Transpoter ‘Name and Tel. No. of Company Transporting Waste ‘Name, ID/Igamah No. and Signature of Driver ‘Arabial Fall Company 3 Sugreev # 8265433 AD ieee ‘Vehicle Plate No. 9901 TKA. ‘Saucl Aramco: Company General Use Printed on: 1092019, Page 1 of 2 ‘Saudi Aramco: Company General Use‘Waste Receiver: Contract No: 1 oonfirm receipt ofthe stated waste («2M Jon (date 10 lof doi &time + eral ) atthe abov. location and will dispose offtreat the waste as approved by EED. Method of disposal/treatment is GI EMS - Western Region (c.g., Landfarm, TEL ‘weathering, Incineration, Class ] Landfill, ete.) ARIF 24 2S OE ‘Name, ID/Igamah No. agff 3 Receiver ‘Te Was Org a Par of tis orm ein on epy (ew fr eens td lew oped Fo op te Geer Soper, ED an te We 3." Was Tapani sta compete Parzen verte sg ante ening 3 epithe Wate Ress, 4. wat eve a complet of forma nye) nd ste ince we: grin We ger em in) © Gene Super, EnvcanestlEapoing Dvn. 247, Diss 3 ep (en) w Wate Tater ‘5. sem ota nen win? wek Wa Onin acne Wane Rete ner Whe Tanore ein oe wn We treolology oil Tecovovg, Shiekye bn remebibon, eis cbg. ‘Saudi Arameo: Company General Users) GEMS Sa gdoredl Apethad AL Let d Syfal aS pt GLOBAL ENVIRONMENTAL MANAGEMENT SERVICES LLC. SUIPNO.: 83263 WASTE COLLECTION SLIP JEDDAH JOHFA RABIGH YANBU. DAMMAM JUBAIL DATE (OLOxeZOfD. TRUCK NO. PI0/ Vi TRUCK __ SOURCE PRAR INN FAL PRODUCT wo DIESEL HYDROCARBON: CRUDEOIL | KEROSENE BUNKER OIL BITUMEN C.WATER | OTHER REMARKS FOR OTHER PRODUCT Olly SLUDGE LAB ANALYSIS LAB INCHARGE SIGN TOTAL QUANTITY [2x9 ACTUAL QTY (WLO) RATE PER METRIC TON PAYMENT TERMS CASH CREDIT DEBIT FREE CASH PAID SELLER SIGNATURE DRIVER SIGN AT LOADING POINT SITE SUPERVISOR SIGN AK It oh DRIVER SIGN AT DISCHARGE POINT [0 07K/ | 7 AKA -PUTREMARKS BELOW te WMN= 95474 (Gi erred Cie) PUNT gb iar Gp CW) MEO ga” (1) WENT pag GUT Tet ban eRe EO We CR Aenz00as7t A. Box 5258 dah GIL 0. Tel: (012) SUSTID- Fa: (012) 148006 nedoh Sto Tl Fae (O12) 2605012. Yen OF (44) 2022757