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OCT-27-2008 18 25 CITY OF LODI 209 333 6710 P.25
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<br /> pleato prim ai ype. Form deaipned For use on&lift f12-pikh) So,rvmama,Colifomio
<br /> 1. crater's UE EPA ID No, Momilest Document No. 2. Fog. 1 InFaemalion in the shaded areas
<br /> UNIFORM HAZARDOUS ,!x; ,..r1j,•„ , _'_ ;:. 1 it not required 6yPoderollaw.
<br /> WASTE MANIFEST °F
<br /> 3. Gernaalves Name and Mailing)Addles f- + ° ' •� '��'�^ ' A:Stets Mail Docsimaol Number '
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<br /> N 5. Transponar 1 Campany Nameart
<br /> 6. US EPA ID Number C. TronspeneYs 10[Reirved,l .
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<br /> $O SACRAMENT(? l' Ft y"iEi ?�: G(•,L?4;1;: 1:; . ;;'” H.'FaEByJ. e
<br /> QQ12. ;Conmlwa 13. Total 16. Unit
<br /> U11. US DOT Description(including Proper Shipping Name,Haaard Class,and ID Number) Omntily Wr/Vol 1. Wmle NumborZ
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<br /> • 16. GBNFRATG4'S CERTIFICATION: Ihereby declare)hot the contents of)his consig men)are fully and accurately described above�y pr°pershi, og name and ata doWflaJ,pocked;1.
<br /> maicad,and'labep.d:and are in all ra-pa d-in proper condi Non for rrmapwf by highway vccmr flrg Is applicable intwnalior and nagoral'g'aernmonr regulations.
<br /> ::I If I am o large lkquanllly ganaoer,I c.rilly that I haw a program in place la reduce rho volume and maiciy of vase generated to the degree I haws datarmi ed to be ecanomimllr
<br /> H peaeable and Bmf t ham saleded the p sai;4,bk method off lraoknanl,terage,°,dispes°I currently aroil ble to ma which minimizes the present and future threat Io hymn hv°hh
<br /> and IF.envirmnenl;OR,if I am 0 small qumliy generatet,I how made a good loilh affo t is miyplim my waste generolion and salecl the 6est waste monolimn.0 malbed that is
<br /> oG ovo3able le me end rbor I mn.Ilord.
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<br /> . .3T 17, Trans oder 1 Aanowled emenl of Rmmipt of Material.
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<br /> �" 0 10. Trans erer 2 AcFaavded omoal of Reeei I eF Maeriois
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<br /> VQ .19. Discrepancy Indication Space
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<br /> 20. (stili at or O eroler Carafics ion of recei 1 of hazard--G ahriah c Md 'L Ihp encs s noted in Item 19.
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<br /> L DO NOT WRITE O H LINE.
<br /> Yellow: ISM SfNUS THIS COPY TO GENERAIQR WITHIN 30 DAYS
<br /> (Genemlols who submit havordous waste for tmnsporl oul-ol-slole,
<br /> DTSC 8023A 0/9F) produco compinmd ropy of ihis copy and sand m DISC wdhia 30 days.)
<br /> EPA 8700-22
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