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Please print or type. (Form designed for use on el Aitch) typewriter.) <br />A& Farm Approved. OMB No. 2050-0039. <br />Style CF 18 WE PLAsT R®(mo) 8216806 ..womasw.cam EPA Form 8700-22A (Rev. 9-88) Previous edition ar o te_ <br />�\ PMNIEp ON RECY W PlIPEA ruMrro wrr <br />GENERATOR U60V <br />�7"! iic.n cnwewwe ruv <br />UNIFORM HAZARDOUS <br />21. Gen toes US EPA ID No. Manifest Document No. <br />2. Page <br />Information in the shaded <br />WASTE MANIFEST <br />areas is not required by Federal <br />(Continuation Sheet)r <br />law. <br />23. Generator's Name <br />L. State _—Aniffejst'yDocumei^nt tuber <br />Applle(l AerOvpaco 1.5uruCCktres, Corp. <br />3437 S . i ii r pstt stay, P.O. &)x 6189 <br />M. State s ID <br />h ►c;l t«tt, CA 96206 <br />)Generator <br />f <br />JJA F 11 A '! <br />24. Transporter tP Company Name 25. US EPA ID Number <br />N. State Transporter's ID <br />Q. Transporter's Phone <br />26. Transporter J({ Company Name 27. US EPA ID Number <br />P. State Transporter's lD <br />Q. Transporter's Phone <br />26. 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 />rlre <br />No. Type <br />Quantity <br />WtNol <br />a. <br />t t - t ^~tt <br />. c Q <br />,4 <br />b. <br />t r'`ys/t 4 a5"n#lk-�7 1 at%i: <br />a (. ✓ <br />rx)9 <br />C <br />1 j <br />t . -4. ,'u P �-Irxz.el Ur s A t v.'ry s (Wi4A -t r 1' '{ ",.t.r <br />-L�J <br />f�(i <br />.la 11U r <br />oG <br />1 <br />d.N <br />Kf ttV & iv3f .G9.ea', hfe.•>+r dt"{/�{C: <br />R <br />13 r,� <br />004 <br />tr <br />irxn� <br />'-� <br />Te. <br />7Q + + F i r . (the"tik5"( i <br />o <br />h <br />R <br />�r�, <br />"'Jut Ake; Jto � ►V `7 ; / <br />col <br />---Is <br />blij_ <br />h. <br />i <br />S. Additional Descriptions for Materials Listed Above <br />T. Handling Codes for Wastes Listed Above <br />32•sSp®cial.•kla�adfirkq IInf uctions and Additional Information <br />. <br />iYL ip 4SF�"7iS A. <br />2 Bout kmwL ancsy khoara WitAbar: heftty 4900) S36 -S036 <br />T <br />R <br />33. Transporter Acknowledgement of Receipt of Materials <br />Date <br />A <br />N <br />Printed/Typed Name <br />Signature <br />Month Day Year <br />S <br />P <br />R <br />34. Transporter Acknowledgement of Receipt of Materials <br />- <br />Date <br />T <br />E <br />PrintedlTyped Name <br />Signature <br />Month Day Year <br />R <br />F <br />35. Discrepancy Indication Space <br />C <br />L <br />F <br />T <br />Y <br />Style CF 18 WE PLAsT R®(mo) 8216806 ..womasw.cam EPA Form 8700-22A (Rev. 9-88) Previous edition ar o te_ <br />�\ PMNIEp ON RECY W PlIPEA ruMrro wrr <br />GENERATOR U60V <br />�7"! iic.n cnwewwe ruv <br />