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OCT-27-2008 18:25 CITY OF LODI 209 333 6710 P.28
<br /> l Form Approvyd OMB No.2050-0VVv Imprre,riN-yvl
<br /> Plawe print or type. Form desfgeodlar use a.!life(12•plah) ds Sacramenle,California
<br /> IF HAZARDOUS I. natal,US EPA ID No. onifesl Decurrent No. 2. Pegs 1 Information in the shaded areas
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<br /> WASTE MANIFEST aP
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<br /> 11. US DOT Description(baluding Paper Shipping Name,Hazard Class,and ID Number) No. Type Owntiy wt/v.l '11 wpsN•Nagi'bii{iY,:�,`.1'b';'.
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<br /> .� 16. OENSRATOR'S CERIIPICATION: I hnabydadeso that ihocontems of this—Agnmenlaro fully and aecurarolyy dv,arlbd!bent by proper ship ing....and are dossi8ad,peeked,
<br /> Umarked,and labeled,and are in all mspetts in proper modilion far rompers by highway eaearding b applicable mimerstienal and nation.Pg6vernmem regulations.
<br /> If I am a large q ti generator,I certify that I have o program in place b reduce the volume and Naicity of waste genarakd m the degree I have determined to be eeonomiaoRyy
<br /> i practicable and Ihat hove relecnd the pracficcble muhed of ,eelmem,storage,or disposal wrrendy available to me which minimizes the pr.rent and Pomra threat m human haohh
<br /> r� and the..,. mem;OR,if I om a rmall quomiy generator,I have made o good faith off,"m minimize my waste generation and select Ibe best rrosle m rn°gemenl method that is
<br /> a available to me and Ihol I to.afford.
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<br /> ON 18. Trans onar 2 Acknewled errant of Reeel 1 Momriols
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<br /> V 19. biscrepanry Indication SPaca
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<br /> 20: cili Owner,or O ermor Go liRtatlen of rar<i 'ef hazardous moshAals amend h Ihi,mpnlfosl me I ae�md i° Neste.
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<br /> Prim T ,Nome �M}onsh NY Year
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<br /> DO NOT WRITE BELOW THIS LINE%
<br /> Yullaw: YSDF SEN05 TH15 COPY TO GENERATOR WITHIN 30 DAYS.
<br /> 1/9P) (Genelolors whe ..broil hazardous want for l,ansport oul-alauta,
<br /> DISC 8022A
<br /> 1 prnrhica complood copy of This copy and snnd so DTSC within 30 days.)
<br /> EPA 8700-22 ,
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