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DT5I—.5 . 1EJ43 <br /> PIeA nota e. Form Aesi ned for use on elite 12 itch water. 'g Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generstor ID Number - 22.Page23.Manifest Tracking Number <br /> (Continuation Sheet) <br /> 24.Generator's Name <br /> PAQ Inc DBA Rancho San Miguel <br /> 25.T.ns;;lrf Company Name <br /> U.S-EPA ID Number <br /> 26.Transporter_1Company Name r•w' U.S.EPA ID Number <br /> 27a. T26.U.S.DDT Description(inducing Pmper Shipping Name,Harard Class,ID Number, 28.Containers ;29:Total .SOalni� `37 Waste Caries. <br /> HM and ParYSig Group(8 arry)) No. Type 0vanlity w6voh <br /> r r <br /> eORROSeVE LIQUID, <br /> . IUh�FHMDR6kt <br /> r <br /> IN <br /> o� <br /> S. NON RCRA HAZARDOUS WASTE LIQUIDS,(SOAP, DETERGENT) <br /> z <br /> 331 <br /> f <br /> 32.Special Handlingnsbudans Iand Additional InfanratlonIs I <br /> � <br /> $.I?if36B7£B6 i3ict3�354 =� ' <br /> »•. ` <br /> i . <br /> 8.CH1007 75 l k 'SS,VA//h- <br /> a. 33.Transporter Acknonled mens of Receipt of Materials <br /> F Prin yped Name _ Sonatu Month Day Year <br /> a 7 /J_ r <br /> z 36:Tmipallier_PAnoWedg&jV of ftcM of Materials <br /> Prime iffyped Name gignaunns Mown Day Year <br /> F <br /> 35 rq <br /> zi <br /> LL <br /> 36.ffarardous Management McAmd Cods(I.e. es for hmrdoswaste lreatrnem.da;pvsat�°rerydug systerns) <br /> b.H0 W — 1� �1f04� 8.ND40 <br /> N <br /> W <br /> EPA Form 8700-22A(Rev.3.05) Previous edrdons are obsolete. DESIGNATED FACILITY TO GENERATOR STATE(IF,REQUIRED) <br /> Clean Harbors has the appropriate permits for and vd"12206.10563 the generator's shipping. "` <br />