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Statc,of California—Environmental Protection Ag`e`ncy 11
<br />Form Approved 6MB No. 2050-0039 (Expires 9-30-991
<br />Please print or". ype. Form designed for use on elite (12 -pitch) 1.
<br />See Instructions on back of page 6. Department of Toxic Substances Control
<br />AO. Sacramento, California
<br />DO NOT WRITE BELOW THIS LINE.
<br />DTSC 8022A (1/99) Yellow: GENERATOR RETAINS
<br />EPA8700-22
<br />1 • erasor's US EPA ID No. Manifest Document N 2. Page 1 Information in the shaded areas
<br />UNIFORM HAZARDOUS
<br />is not required by Federal law.
<br />WASTE MANIFEST' c '�
<br />of
<br />3. Generator's Name and Mailing Address
<br />A. State Manifest Document Number
<br />r� .17
<br />AINplied Aerosp-,�c a Structures, Corp.
<br />! 2 2 2 4 290 5
<br />3437 S. Airpt>4l— qty, P.O. 'BOX 6118
<br />8, SYaie Generator's ID t
<br />tiocktC:N C C Y5206
<br />A. Generator's one O91 9839Aont nl�
<br />AM(A 5IQ I
<br />5. Transporter i Company Name d. US EPA ID Number
<br />C. State Transporter's ID [Reserved.] -
<br />D. Transporier's Phone
<br />MP Enviresnxenta l Serviaos .Inc. a� A T +7 0E� 6 2 4. 21417
<br />200:l4x�-���
<br />7. Transporter 2 Company Name 8. US EPA ID Number
<br />E. Siore Tronsporter's TD [Reserved]
<br />- -
<br />F. Transporter', Phone
<br />9. Designated Facility Name and Site Address 10. US EPA ID Number
<br />G. State Facility's ID
<br />Pollution Conttol Induatriev
<br />111 11 11-1-1-11
<br />118:55 Wbite Rock Road
<br />H. Focilety's Phone
<br />Rancho Cordova, Cis, 95670 ICIAD191C01811314111813i���;�,►
<br />���-;�2 ��
<br />11. US DOTDescription (including Proper Shipping Name, Hazard Class, and ID Number)
<br />12.
<br />Containers
<br />13. Total
<br />Quantity
<br />14, Unit
<br />WI/Vol
<br />-
<br />i. Waste Number
<br />No.
<br />Type
<br />��11
<br />a. RQ, Paint related material, 3, uN1263, 11
<br />State _
<br />(D061)
<br />31
<br />EPA/Oihe �
<br />G??
<br />E
<br />N
<br />b. RQ, Wast Paint, ;3, UN126.3, PGT.I (D001)��T
<br />,rate
<br />E
<br />� 72
<br />EPA/Other
<br />R
<br />116PV
<br />P11
<br />r r
<br />D001
<br />Tc.
<br />-K�, waste rlaiaAable liquids, n.o.s. (methyl
<br />State
<br />p
<br />ethyl. ketone) , :3, UN1993, PUTT M001)
<br />7
<br />him(5
<br />EPA/Other
<br />R
<br />oo
<br />I
<br />0 050
<br />P
<br />d - N,, Wast.'-Aminez, liquid, aorr[}5;Ll e,
<br />State
<br />flammahlo, n.t9.s. (trietI'1ylam'ine), 8, UN2734,
<br />EPA/Other
<br />V311 (D001; 0002'.,PP.
<br />l
<br />F
<br />IiCI't3
<br />}, Additional Descri,ptions for Materials Listed Above
<br />a) �F`202196p nO35, F003, F003,
<br />K. Handling Codes for Wastes
<br />Listed Above
<br />256986, L035, F005 d) 21954-7, D002
<br />C.
<br />d.
<br />1$. SandliAg�rt�ir I[?nsS`ni t�$ioripl In[or tJon� 1.28 d) LRQ# ' X.32
<br />f L�Sinvoice;
<br />wear Proper- PPF Premier Chemical
<br />24 Hour_ Einer, jen :y Phone Member: Ch tree (800) 535-5035
<br />18, GENERATOR'S CERTIFICATION: t hereby declare that the contents of this consignment are Fully and accurately described above by proper shipping name and are classified, packed,
<br />in for transport by highway according to applicable international and national government regulations..
<br />marked, and labeled, and are in all respects proper condition
<br />If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity
<br />(ave ireatment, starago, ar disposal currently available
<br />of waste generated to ilii' degree I have determined to be economically
<br />tome which rsljnimizes the present and Future threat to human health
<br />practicable and that I selected the practicable method of
<br />and the environment; OR, if I am a small quantity generator; I have made a good faith effort to minimize my
<br />waste generation and select the best waste management method that is
<br />available to me and that I can afford.
<br />Printed/Typed Nci ie
<br />Si'}i *
<br />1 7��
<br />Month Day Year
<br />o- �,3 r,, &-w k- —
<br />3 LQ
<br />DO NOT WRITE BELOW THIS LINE.
<br />DTSC 8022A (1/99) Yellow: GENERATOR RETAINS
<br />EPA8700-22
<br />
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