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"' ••--••'• •'���^_•••� •'-v��� ryew rwy. Sacramento,California <br /> UNIFORM HAZARDOUS �I. Ge-�neratorsPA ID No. Manifest 2. PageFDMument <br /> Document No. tion in the shaded areas <br /> i WASTE MANIFESThe I quired by Federal law. <br /> 3. Generator's Neme and Mailing Atltlreae a Mnt NumberASCO DELTA 705 NORn CARLTO.y AVELiU3 90083813STOCKTON, CAL17ORNIA 95203 B. State G4. Generator's Phone 409 ) 941-4111 H A — Ob5. Tranaportar 1 Company Neme US EPA 10 Number C. State TrNE <br /> C 4 <br /> N CHEMICAL WASTE :4ANAGE30,M IC IA ID 1010J319131617 11 Is D. Transponer's Phone <br /> m 7. Transporter 2 Company Name S. US EPA 10 Number E. State Transporter's ID <br /> g F. Transporter's one <br /> :. 9. Designated Facility Name and Site Address 10. US EPA ID Number G. State Facility's W <br /> C:iEMICAL 'WAST.^'. _4A:lA,E:4a^,iT <br /> 35251 OLD S7CYLI:TE ROAD H. Fac ilityIa Phone <br /> Z �TTLF.MA'4 CITY, CA 93239 T 10 tO 10 16 14 16 11 11 17 <br /> 12. ContLorsI3 f4. I. <br /> <L 11. US DOT Description(Including Proper Shipping Name.Hazard Claes,and ID Number) Unit Waste No. <br /> < No. Wt/Vol <br /> U e <br /> Z > ite <br /> 'USTE BLAMABL'1. LIQUID N.O.S. PLA:4ABLE 461 <br /> Fx, E LIQUID UL7 1993 (?005? EPA/Other <br /> N <br /> 3 E b. 0 G Swn ')Ofi RCRA RAZ WASTE LIQUID Seta.m T /• ,I/%/ IL CL 4'"/z, EPA/Other <br /> e G d l u/-� 0 r N/A <br /> 8 N Ro%ON RCRA SOLID WAST~ IIAXAs';DCUS WASTE SOLID, State <br /> A.O-S- ORM,.,'' SA9139 (=S= EMPTY CONTAINERS 513 <br /> BLESS TUuq 30 GAL) 0 0 0 0 0 1 Y EPAINAOther <br /> Z state <br /> W <br /> C) <br /> EPA/Other <br /> W <br /> m J. Additional Deacnptiona for Materials Listed Above K. Handling Codes for Wastes Listed Above <br /> a A PROFILE # E02623S70 a, b. <br /> 8 PFJV LE # AJ8890 f <br /> C PRAFILS # G16634SPO C. d. <br /> J03 <br /> Q <br /> 0 <br /> Q15. Special Handling Instructions and Additional Informations <br /> = 1-800-742-1671 24 HR EMERGENC7 D MGRR 41 r" �+j L/G>✓y s� �_ O l ' <br /> e ^i <br /> J ' <br /> CQJ 16. <br /> GENERATOR'S CERTIFICATION: 1 hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name <br /> and are classified,packed,marked,and labeled,and are in all respects in proper condition for transport by highway according to applicable international and <br /> d national government regulations. <br /> N <br /> It I am a large quantity generator.I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined <br /> O to be economically practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the <br /> _ present and future threat to human health and the environment;OR,if t am a small quantity generator,1 have made a good faith effort to minimize my waste <br /> U generation and select the best waste management method that is available to me and that I can afford. <br /> W Printed/Typed Name Signature t Month Day Year <br /> I ' <br /> ALAN T. ESTES J . :•/ 4 <br /> w -/ <br /> W1 R 17. Transporter 1 Acknowledgement of Receipt of Materiels ` <br /> Q A frrihtap,Typed Name Spneture MonthDa Year <br /> N er y <br /> O p <br /> W O 18. Transporter 2 Acknowledgement of Receipt of Materials <br /> h <br /> Q RPrinted/T ed Name <br /> O E <br /> Printed/Typed Signature Month Day year <br /> 9 <br /> 19. Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> I <br /> L <br /> 1 20. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. <br /> T <br /> y Printed/Typed Name Signature Month Day Year <br /> DHs w22 A(1/88) Do Not Write Below This Line <br /> EPA 6740-22 <br /> (Rev.9.86)Previous editions are obsolete. <br /> YELLOW: GENERATOR RETAINS <br /> .. I <br />