Laserfiche WebLink
Please print or type. (Form designed for use on elitatch) typewriter.) <br />_ Form Approved OMB No. 2050-0039. <br />Style CF 16 L*jEj%AsT0t0(8o0)821-8808 w .Wxmnaxw.com EPA Form 8700-22A (Rev. 9-U Previous edition ay�q��p�ete.. <br />o«mm P r.n.m. GEN9RATOR V!''Y <br />UNIFORM HAZARDOUS <br />21. Generator's US EPA ID No. Manifest Document No. <br />L2. Page <br />Information in the shaded <br />WASTE MANIFEST <br />areas is not required by Federal <br />(Continuation Sheet) <br />C A D 0 g 9 1 A 9 Q ti 9 4 2 9 7 <br />t tett: 4 <br />law. <br />23 GeFnRed Aero3pace 3tructvu[ r Corp. <br />L. State Manifest Document Number <br />llQ71. 3 <br />3937 S. Airport gray, P.40. Box 6189 <br />M. State Generator's ID <br />Stockton, CA 9-1_i206 <br />ii LIr <br />24. Transporter Company Name 25. US EPA ID Number <br />N. State Transporter's ID <br />. 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 DDT Description (Including Proper Shipping Name, Hazard Class, and ID Number) <br />29. Containers <br />3o <br />Total <br />31. <br />Unit <br />R. <br />Waste No, <br />HM <br />No. Type <br />Quantity <br />WtIvol <br />a. <br />taat'a Flammable salide, organic, O.O.S., <br />0001 <br />X <br />(acetone, t ethly ethyl ketone) I 4. 1, um -325, <br />m <br />/� <br />t <br />T <br />( <br />b 1 <br />! <br />b. <br />.l.+��C�yyr''.{{��y.003 �cspxa e, so . i , n.o. ..F t. f <br />5r r <br />� ry <br />}7.(9,307 l d 11.l. <br /># <br />j <br />C. <br />waste 41 11gMI-Maj <br />o <br />s <br />, <br />G <br />d, <br />1:k -mm Razardauz Wa3te, LiquId (oil wa tar <br />.>-- <br />E <br />t¢ <br />3 <br />3Y3 <br />A <br />e,- <br />*an -RCM HazaG. 1`Yuw 'haste, Liquid (d-'..l.it1oI ene, <br />�y7rt•I <br />T <br />O <br />oil) <br />c t <br />P <br />3 <br />R <br />f f <br />�� t �►1 <br />� <br />� i <br />9 - <br />ID jMit <br />I" <br />h. <br />n— . of .Cite Xaato, Solid (graphite <br />t <br />C I <br />T` <br />11'ir.dCTw1 i Hide, Slid (film adhe ive) <br />�.2dd -. <br />'""� <br />8. Additional Descriptions for Materials Listed Above + y <br />`j <br />T. Handling Codes for Wastes Listed Above <br />¢ yy yip y <br />63, -F. tJW3 b f64C,26 c'I _i'�I0) , d1 2x,6+85 <br />- <br />) 216)UP l T 21.91511 9) 21199 ra 10 1i f5 4f,.,t t <br />32. Special Handling Instructions and Additional Information <br />a) 12,0: 133 bI}}G#'. 171 C) =04: 154 <br />Wear Proper PP.ic TliV'i]icez Premier Chemical <br />24 Hour Emer'goacy Phone lumber: Chaintrec (800) 535-5035 <br />T <br />33. Transporter Acknowledgement of Receipt of Materials <br />Date <br />R <br />A <br />Printed/Typed Name <br />Signature <br />Uonth pay Year <br />N <br />S <br />P <br />o <br />34. Transporter Acknowledgement of Receipt of Materials <br />Date <br />R <br />Printed/Typed Name <br />Signature <br />Month pay Year <br />R <br />A <br />35. Discrepancy Indication Space <br />Ci <br />r <br />L <br />! <br />T <br />Y <br />Style CF 16 L*jEj%AsT0t0(8o0)821-8808 w .Wxmnaxw.com EPA Form 8700-22A (Rev. 9-U Previous edition ay�q��p�ete.. <br />o«mm P r.n.m. GEN9RATOR V!''Y <br />