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ATTACHMENT 9 <br /> Signed Hazardous Waste Manifest• • <br /> Manifest Tracking Number 00300637GBF D T a4, 00508, Og62 I <br /> s n,1 nv=n =tea = •-v- Form Approved.OMB No.2050-0039 <br /> ce UNIFORMHAZARDOUS 1.Generator to Number T 2.Pagetd 3.Emergnlry Resparte Phore 4.Manifert Tracking Number <br /> WASTE MANIFEST CAL000276612 1 600-42493 M-CHEMTREC 0 HMO 3 0 0 6 3 7 G B F <br /> 5.Generators Name and Noting Address - Getreatoes Site Address(dd8emntnmmamngadlress) <br /> MCNEILUS TRUCK&MANUF ' <br /> 3100 N AD ART i <br /> STOCKTON,CA 95215 <br /> Gareratofs Plane: <br /> 6.Traaporter l Company Name U.S.EPAIDNwrber _ <br /> FreMOLra ErMronmerdal Services,Inc. Phone#80055 74 CAR000171017 <br /> 7.Transporter 2 Company Name U.S.EPA ID Number <br /> I <br /> 8.Designated Facility Name and Site Address U.S.EPA ID Number <br /> GEM Rancho Cordon LLC rar a+wa <br /> 11855 WhRe Rock Road <br /> Rancho Cordon,CA 95742 <br /> Facr'Gtys Wane: 9163514M <br /> ga. 9b.U.S.DDT De npfion Qntludng Roper Shipping Name,Harard Class,ID Number, 10.Containers 11.Total 12.Una <br /> HM and Packing Group(if any)) No. Type Quantity WINOL 13.Waste Codes <br /> Waste Aerosols,(Flammable,(Each not exceeding 1 L Caoacny)),2.1. OFL, P 0001 331 <br /> UN1950,PG0 001 O4� <br /> w <br /> 2' N01HtCRA HaZardoOs Waste,SOltd (OILY DE8RI5) _`�. ^ OM P 223 <br /> CJ. U <br /> 3. <br /> 4. <br /> 14.Special Handling Im9ummhs acrd Additional Infmnatw <br /> ALL HANDLERS TO BE 40 HR.TRAINED AND WEAR PPE <br /> 9b1) R11882 FRG#128 <br /> 902) R169M ERG#171 <br /> 15. GENERATOR'&OFFEROR'SCERIIFICATION:I hereby declare thatthe contents of this carsignmemarefully and accurately described above bytheprepershfppig name,and are classified,packaged. <br /> marred and labeledrplacarded,andare in all respects in proper mnditlon for banspod according to apskable intemationaland naGmal governments!regulations.IfeWd shipment and I am the Primary <br /> Everter,I centy that the comem s of this consignment=to.totte terms of the aeadhed EPAAckmnledgmentof ConsanL <br /> I -11"t the waste mwlmrali statement iaentifed 1140 CFR 26217(a)(if I am a large ghanbty geneator)or(b)(d l ama small quantity geneamp isvue. <br /> alory080'ors PnnfedlTyped Name 1;QnaWm Month Day Year <br /> altnal 51cameads <br /> �- ❑anpwl to U.S. ❑Eapad koro U.S. Pworerlowt <br /> TranspoMr signmune(for expona on)y): Data leaving U.S.: <br /> w 17.TranspMer ActrowlMgmenl cl Remiptd Naterels <br /> T Printdliyped Monty Day Year <br /> a t <br /> Ger Plin yped Name Signature Month Day Year <br /> a <br /> 18.Discrepancy <br /> t8a.Diwepahwy indicatpn Space ❑ Quantity ❑Type ❑Residue ❑Partial Refection Elul Rejection <br /> Manifest Reference Number. <br /> 18b.A8emate Fadifry(or Geiemar) U.S.EPA ID Number <br /> J <br /> V <br /> Facadys Phone: <br /> 180 Sigature ofNtnmate fadey(or Genearor) Montt Day Year <br /> Q <br /> z <br /> H19.Hazardous Waste Report Management Matlack Cod%(ie.codes for hazamousvmstetreatment.disposal,and mcyding systems) <br /> 0 1. 2. <br /> 20.Designated Facility Ownerm Operaw Certification ofreceipt otbaaa usmakdals covered by the maniWaxceln as wed in Item 189 <br /> 1 Pdnlelrfyped Namet. SquIure Mo Y Year <br /> EPAForm 8700-22(Rev.3-05) Previous eftons are absfiBle. <br /> 10306.1455 DESIGNATED FACILITYTO DESTINATION STATE OF REQUIRED) <br />