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Please print or type. (Form designed for use on elitisitch) typewriter.)
<br />Aft Form Approved, OMB Mo. 2050-0039.
<br />Olyltl Ur ro 1J10EU'IASfFJ1.'t` (0W j521 -b008 www.W)eknaSW.Com EPA Form 8700-22A (ReENEAeAT© Irl nLa�./q�TE
<br />M PRMrt'FO (1rnEa NI VAi9i prtomrx r
<br />USING SOYBEAN IH( SLNIYY
<br />UNIFORM HAZARDOUS
<br />21. Gen or's US EPA ID No. Manifest Document No. 72. Page
<br />'Information in the shaded
<br />WASTE MANIFESTareas
<br />is not required by Federal
<br />(Continuation Sheet)
<br />law.
<br />23. Genbrator's Name ""
<br />Lttat W nifest Document Number
<br />AI3p l Ied Aa r'oo,"ce S't r uct ll k , co p .
<br />3437 S. Airport Way, P.O. Box 61.89
<br />M. State Generator's ID
<br />Stockton, CA 95206
<br />9A ('r 3 605
<br />24. Transporter Company Name 25. US EPA ID Number
<br />N. State Transporter's ID
<br />O. Transporter's Phone
<br />26. Transporter Company Name 27. US EPA ID Number
<br />P. State Transporter's ID
<br />Q. Transporters Phone
<br />28. US DOT Description (Including Proper Shipping Name, Hazard Class, and ID Number)
<br />29. Containers
<br />30.
<br />Total
<br />31.
<br />Unit
<br />R.
<br />Waste No.
<br />wM
<br />No. Type
<br />Quantity
<br />WtNol
<br />a.
<br />Hazardouo want , 1#quid, n.€x.s.. (nothylert r
<br />�{
<br />chloride, i*oprcpyl alcohc.)I) ! 9, WOU8 , P01,11
<br />b.
<br />Envicolutentally hazy dou. oubatances, liquid,
<br />(hydrofluoric scid) , 9, UN3082, PGM
<br />bF
<br />C.
<br />Waste rworroZiVa 1ic Uid, acidic, 'inoc9arti.c,
<br />0004"
<br />n.Q.a., Mt:rid Acid, Hydrofluoric Acid), 8,
<br />/50�
<br />tF�+
<br />%
<br />t !�
<br />E
<br />d
<br />zat~dous waste, liquid, n.o.s. (chrotaium) r 9,
<br />N
<br />a
<br />NA3002, PG11I
<br />F
<br />2q3
<br />A
<br />T
<br />e
<br />�l *a�1te - oCr �.vo liquid, .aoidiC �.tlor m-nia.,
<br />! S%
<br />'},�ww
<br />�ta",E ('1�...,•,;Vy�y�y'yf
<br />O
<br />X
<br />(]y�yy yy�� {,��.yy �y,�y
<br />11--ri-O., i11.�.ric fALid, Copper, Nater), 8,
<br />f,�y
<br />R
<br />tM3264, Pan, fsf)0�11
<br />iF
<br />}°
<br />Waste Corrosive li uid� oxtdizin , n.o.
<br />liquids, � s
<br />�Jtl�r`
<br />(VU 'XC 033, hydrogenperoxide), 8, UN3093,
<br />+M
<br />g.
<br />flaza rdou3: waste., liquid, id, ti .o. o . (chrowtu ►)9 !
<br />LOUi�t;)>I ;
<br />t
<br />bF
<br />h.
<br />Hazardous waste, *01id, P.O.U. methyl ethyl.
<br />...;
<br />irtt ;x
<br />is fh ae) ! , t 7, PG1111
<br />tom;
<br />PM
<br />on
<br />350
<br />.�7
<br />.k7�.�.��,L�Ip �n n� . � W � ..��, i f
<br />�'%f�fl
<br />ft
<br />ip.�r��t...,
<br />3Tlr
<br />,✓gyp, 1y
<br />/�`>�.+"�(j��
<br />�
<br />S. Additional Descriptions for Materials Listed Above
<br />T. Handling Codes for Wastes Listed Above
<br />4 1+3 `"09 i ci #f`A)4 ,1611 (1)
<br />����k2i4r
<br />32. Special Handling Instructions and Additional Informatior
<br />,a) ERG! .* 171 13) ERG#» 171 G) ERG#: 154 et) MM: 111 e) G#,' 1.54 f) Lim.: 140 '.g3
<br />171 h) tVa 171 :t) MG#t 17.1
<br />wmajl '�'iit-mvASlnIF tT�Ikl sHMiu.1 i.AWYLr L'�1r.19Mil A,Bfa !71!2�MI j: ..
<br />4 Mot Fmergeavy Phone Numbers Cheoat rec (000) 535-.5035
<br />T
<br />R
<br />33. Transporter Acknowledgement of Receipt of Materials
<br />--
<br />Date
<br />N
<br />Printed/Typed Name
<br />Signature
<br />Month Day Year
<br />S
<br />0
<br />R
<br />34. Transporters Acknowledgement of Receipt of Materials
<br />Date
<br />T
<br />E
<br />Printed/Typed Name
<br />Month Day Year
<br />R
<br />F
<br />A
<br />35. Discrepancy Indication Space
<br />c
<br />I
<br />L
<br />1
<br />T
<br />Y
<br />Olyltl Ur ro 1J10EU'IASfFJ1.'t` (0W j521 -b008 www.W)eknaSW.Com EPA Form 8700-22A (ReENEAeAT© Irl nLa�./q�TE
<br />M PRMrt'FO (1rnEa NI VAi9i prtomrx r
<br />USING SOYBEAN IH( SLNIYY
<br />
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