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rr yam' _" ..— iV:,U—Vudy (expires Y-du-yYl ,ee Instructions on back of page 6.
<br />int'oMtype. RPM designed for use on elite (f2-pitcb) y ewriter. P 9
<br />UNIFORM HAZARDOUS _,.fors
<br />US�EPAID.Manifest Document
<br />WASTE MANIFEST y
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<br />3. Generator's Name and Mailing Address A. State Mani
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<br />Applied Aerospace Si Euctures, forp .
<br />3437 S. Airport Way, P.a. BG:� r_189
<br />in LO r s Aon
<br />Stockton, , CA 95206
<br />N 5, Transputer 1 Company Name -;� i
<br />Department of Toxic Substances Control
<br />Sacramento, California
<br />2. Page 1 Information in the shaded areas
<br />is not required by federal law.
<br />of A'
<br />st Document Number 22242975
<br />B. Stole Generator's ID
<br />CLO?
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<br />d. US EPA ID Number
<br />EnvironmentalS43i:V.�O�� 1.T1C.:. O rTi '�' d Q >7 � � L,}. � Ej 1 7
<br />7. Transporter
<br />C. State Transporter's ID
<br />D. Transporter's Phone
<br />that is
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<br />2 Company Name B. US EPA Ib CJumber
<br />E 1gte Tronsporter's 1p
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<br />F. Transporter's Phone
<br />month
<br />Day
<br />9. Designated Facility Name and Site Address 10. US EPA ID Number
<br />Pall t:i
<br />G. State Facility's ID
<br />u on Grants], l.nUtastarie-a
<br />O11856 White Pzck 1' oad
<br />.NJ2= Rancho Cordo.ya, CA 95670 C A D 9 8 0 8 8
<br />■ U I l . US DOT Description (including Proper Shipping Name, Hazard Class, and ID Number)
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<br />a. RQ, Paint related materjal, 3, UI`i1263, lI
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<br />b. R.
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<br />t1i1�ITS"C, , bi",. l'1xiQ
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<br />T RQ, Waste 1T'laimable liquids, n . o . s .. (methyl.
<br />op O ethyl ketone) , 3, UN1993, PGTI . (DO61)
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<br />900 24SslS B
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<br />H, Facility's Phone
<br />i 8 3 1. ('866) 7:24-2272
<br />12. Containers 1 13. Total ld. Unit
<br />No. T pe . Quantity Wi/Vol t. Waste Number
<br />State
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<br />d. RCS, Waste Am'y.naa, Liquid, corrosive, 08 b I M 4 A6 11
<br />flammable, n.a.s. (t.r.iethyl,ami.na), 8, UN2734,
<br />PGII <(D001, D002) F
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<br />k9�)Adit20219r ion aterrials Listed /boFD�}� l*"f�Q3,� a Handling Code farW Listed Alan,
<br />25 T iib, D035, FOOS d) 21.952`x, D002 �� b. �
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<br />1$ S eci andli3ng1rt�trucb) Fs �dGAd�d::ionpl2) norm0.ERG#` 128 d) ERG#. 132
<br />Near Proper PPS. 3 Invoice: Premier Chezical
<br />24 .-Hour Eimer gency .Phone. Number: Cheintlrea, (800) 535-5o3s
<br />State
<br />__231
<br />EPA/Other -
<br />16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed,
<br />marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable international and notional government regulations.
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<br />If I am a large quantity generator, I certify that I have a progrom in place to reduce the volume and toxicity 8f waste generated to thg degree I hove determined to be economically
<br />practicable and that I have selected the prociica6le method of treatment, storage, or disposal currently available to me which minimizes the present and future threat to human heofih
<br />and the environment OR if I am a II 1 h
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<br />1 sma
<br />available to me and that I can afford.
<br />quart icy generator, I
<br />ave made a good Faith effort to minimize my Waste generation and select the best waste management method
<br />that is
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<br />17. Transporter 1 Acknowled ement of Receipt
<br />of Materials
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<br />Printed/Typed Nam
<br />Signature
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<br />Month
<br />Day Yeah
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<br />18. Transporter 2 Acknowled cement of Receipt
<br />of Materials
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<br />Printed/Typed ed Name
<br />YP
<br />Signature
<br />Month
<br />Day
<br />Year
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<br />19. Discrepancy Indication Space
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<br />14
<br />20. a[1fi Owner -c i Q rat or e�m
<br />tifi1!: of recei i azar
<br />to ials co Bred by tis=wi3nif
<br />ace t as not in Item 19.
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<br />Year
<br />DO NOT WRITE BELOW THIS LINE.
<br />Yellow; TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS.
<br />)TSC 8022A (1/991 (Generators who submit hazardous waste for transport out-of-state,
<br />PA 8700-22 produce completed copy of this copy and send to DTSC within 30 days.)
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