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a 96(:1 r 3 1349790 <br /> Please print or type (Form designed for use on elite(12-pitchwriter.) Form A proved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21 Generator Io Number 22,Page 2 23.Manifest Tracking Number <br /> (Continuation Sheet) CAD0091B9069 of 2 000037722DA'I' <br /> 24.Generalar's Name <br /> Applied Aerospace Structure <br /> P.O. Box 6189 , Stockton CA 95206 (2691983-3339 <br /> 25 Transporter Company Name <br /> U.S.EPA 10 Number <br /> 26,Transporter Company Name <br /> U.S.EPA ID Number <br /> 27a, 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class.ID Number, 28 Containers 29.TctaV 30.Unit <br /> HM and Packing Group(if any)) 34.Waste Codes <br /> No. Type Quantity WtNol. <br /> 5 NA3077 HAZARDOUS WASTE, SOLID, N.O.S. (CHROMIUM) 9 PGIII D007 181 <br /> 6 NA3017 HAZARDOUS WASTE, SOLID, N.O.S. (PERCHLOROETHYLENE) 9 D039 F001 351 <br /> X PGIII Ur DP( la4 P <br /> 7 NA3092 HRZARDOUS WASTE, LIQUID, N.O.S. CHROMIUM 9 PGIII DUI 343 <br /> RC iW F' <br /> 8 03082 HAZARDOUS WASTE, LIQUID, N.O.S. OIL, D939 -TW 343 <br /> RQ TETRACHLOROETHYLENE) 9 PGIII DM P <br /> LU 9 NA3071 HAZARDOUS WASTE, SOLID, N.O.S. (CHROMIUM) 9 P6111 D007 191 <br /> !< 0DM �c� � P <br /> 10 NON-RCRA HAZARDOUS WASTE SOLID (PALSTIC, ADHESIVE) 352 <br /> U ! DM 7 1 <br /> 11 NON-RCRA HAZARDOUS WASTE LIQUID (USED OIL) 221 <br /> 0 DPI i P <br /> 12 NON-RCRA HAZARDOUS WASTE SOLIB GRAPHITE PRE-PREG <br /> 13 1`(90~AC-VA AA-ZWANP�- 5 C,u n 4�ILA <br /> o f bill 14 <br /> At-04- W OELJArsTV—< UA-uip(WAn.-A- 9111i;�, o F 4LILI P 33l <br /> 32.Special Handling Instructions and AdditionalInformation 5 GR9872-00 - ERG(171) SANDBLASTING SAND 6 6RID256-00 - E 171 H <br /> (7) GR16294-00 - ERG(171) CHROMIUM CONTAMINATE (8) SR4278-D0 - ERG(171) OIL/WATER/TETRACHLOR l9) GRI919-00 - ERG(171) CHROMIUM <br /> CONT. DEBRI (10) GR3183-00 - FILM ADHESIVE (11) 6R7283-00 - USED OIL (12) GR6733-00 - GRAPHITE PRE-PRE6 <br /> Cly Cs� $ o:� �►►�- l 6,€t-4--5o .rbe A4x. Iz,c�-- <br /> 33.Transporter--Acknowledgment of Receipt of Materials <br /> H Printed/Typed Name Signature Month Day Year <br /> O <br /> CL <br /> z 34.Transporter__Acknowledgment of Receipt of Materials <br /> PrintedfTyped Name Signature Month Day Year <br /> F- <br /> 35.Discrepancy <br /> J_ <br /> LL <br /> 0 <br /> W <br /> 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> (51 (61 l71 (8l (9l <br /> LU <br /> LU <br /> Q (16l ill) (12) <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED) <br />