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533722 • • DTSr, 0L8fA2N21 <br /> Please print or type.(Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 <br /> UNIFORMHAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.FagO 23.Manifest Tracking Number <br /> (Continuation Sheet) CAR000211540 f 2 1O T <br /> 24.Generator's Name <br /> SAN JOAQUIN DELTA COLLEGE <br /> 071 SOOUTH CENTRAL PARKWAY , MOUNTAIN HOUSE CA 95391 (2091598-9840 <br /> 25.Transposer_ Company Name <br /> U.S.EPA ID Number <br /> 26. Transposer_ Company Name <br /> U.S.EPA ID Number <br /> 27a. 271b.U.S.DOT Description(including Proper Shipping Now,Hazard Class,ID Number, 26.Containers 29.Tatal , 30.Unit <br /> HM and Packing Group(if any)) W. <br /> Type Quantity Wtfvol. 31,Waste Codes <br /> BARIUM CHLORIDE) 8 (6.11 PGII o CF 6 13 P <br /> ACID, UREA) 8 PSII 4 1 CF O s P <br /> NITRATE, NITRIC ACID) 5.1 (8) PGII O If DF P <br /> bL� sl <br /> CF P <br /> z <br /> GORR 46 Ifil ;"l All PPA <br /> w <br /> O <br /> 32.S dal a dlin Instructions and Additional l formation <br /> ACI�IC C7P 14 <br /> 54343-00 ER611f0� OXIDIZING CORROSIVE (8) 514346-00 EMPTY MISC. BOTTLES <br /> 33.Tmnsporter_AcknoWe mentof Receiptof Materials <br /> ti Psnteciriyped Name Signature Month Day Year <br /> K <br /> O <br /> n <br /> Z 34.Transporter ArknorAedgment of Receipt of Materials <br /> PdntedlTyped Name Signature Month Day Year <br /> r <br /> 35.Discrepancy <br /> J <br /> U <br /> LL <br /> W <br /> Q �6,F{aza7dpys Waya Repos Manageme iflethod fydey(i gaayeyOr hazardous wa t7)rea nt, is recytling system81 I ,/ <br /> N <br /> W <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br /> 11193.0006 <br />