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-41 <br /> Form Ame'Weeny _ <br /> pprovad. MS No.2050-0039(Eap✓ae&3o-e,) See Instructions on Back of Page 6 On an nt o1 H elm's <br /> Pleeae pdnl ort Forte 8 P rvicea <br /> Ype. •eaigrled far / ,ypawrd«) and Front of� Tox lc Substances Control Division <br /> UNIFORM HAZARDOUS �urelw a US EPA ID Na. Sacramento,California <br /> ,p Manileal Pape t <br /> WASTE MANIFEST CAD 9 8 2 0 0 2 4 1 U '"jJi1 of 'n1ofni•1On""^•a^•dad areas <br /> 3. Generalor'a Mar °I 1 is not roquoed by Federal to.. <br /> and Mai'no Address <br /> SAN JAUQUIN DELTA COLLEGE - r State Man8aal Docum 1 <br /> 5151 Pacific Avenue, Stockton, CA. 95207 JCT 2 1q � 8 8 8 2 9 <br /> 4. Geuaralor's Phoaa(2D9) 474-5035 St'Is Ganar•t«••ID <br /> 5. Tr...porter t C«epany Ne_ <br /> " H & H Ship service Con an e. US EPA ID Number C. suteTr.n <br /> P Y C wa t«'ID 103767 <br /> D 0 0 4 7 7 1 1 6 0. rraneponar a phone 415 <br /> 7. rran,pP er2c.. ..Y—era 543-4835 <br /> e. US EFA 10 Number E. grate TnnepM«i ID <br /> O <br /> m F. Tran ortaYs Phone <br /> B. Deagoalad Fscity Name and Saa Atldreas <br /> H & H Ship Service Company 0 US EPA ID Number G grata Faegity'e ID <br /> v 220 China Basin Street 01 01 4I 71 71 11 <br /> i San Francisco, CA 94107 K FaaA Pl ons <br /> Q C D 0 0 4 7 7 1 1 6 <br /> 0 (415) 543-4835 <br /> w t 1. US DOT Da3cnP ion(Including Proper Shipping Name,Hazard Class,and ID Number) 12- Conlamers 13. Total 14. <br /> < a. Quantity Unit West.No. <br /> V No. Type Wt/Vol <br /> 3 G RESIDUE SOLVENT THINNER state 512 <br /> = NON-RCRA <br /> 3 E b HAZARDOUS WASTE 30LID 0 0 0 0 EPA/Olher <br /> 7o R P <br /> ARESIDUE LACQUER THINNER s"`° 512 <br /> T NON-RCRA HAZARDOUS WASTE SOLID 0 0 EPA/aner <br /> N 0 P <br /> v R c <br /> 0 <br /> 0 RESIDUE WASTE OIL State 512 <br /> NON-RCRA HAZARDOUS WASTE SOLID EPA/Other <br /> w a. 0 0 0 5 p <br /> W Stale <br /> U <br /> 'a EPA!Olher <br /> rn J. Addhionel Deit <br /> 1 ooiplioas for M Men.Listed Above <br /> N <br /> PUMPED OUT 3-500 Handling Codes for wastes Listed Above <br /> gallon tanks last containing h <br /> Ol <br /> solvent thinner, lacquer thinner, and waste O1 <br /> oil. <br /> Tanks inerted with dry ice for transport. ° <br /> z <br /> 0 <br /> Q I5. Special Handiinp btructiona and Adtlilional Inlwmalion <br /> z APPROPRIATE PROTECTIVE CLOTHING AND RESPIRATOR <br /> w <br /> JOB #5954 <br /> f 18. <br /> GENERATOR'S CERTIFICATION; 1 hereby declare that the contents of this consignment are fully and accurately described above <br /> and are clasadrd•packed,marked,and labeled,and are in all respects in proper condition for trans Y proper shipping name <br /> y national govene enl regulations- port by Mghwoy according to abpplicable international uoa <br /> 11 I am a large greNity,generator.I certify that I have a program in place 10 reduce the volume and toxicity of waste generated to the degree I nave determined I <br /> O to be <br /> nt and times practicable and that I have selected me Practicable method of Treatment,storage.or disposal currently available to ma whim mm�m¢na Ua <br />> present and titre#Meat to human health and the envoormtem:OR,it I am a small uantit <br /> U generation and stlect the bast waste ma nigemaol method that is available to me end that I can afford 9 y generator,1 neve made a good faith effort to mimm¢e my waste <br /> Z <br /> w Printed/Typed Name <br /> Signature Y _ <br /> Wj 11. Transporter t —ouene gement of Receipt of Materiels 01 91 1 9' 0 <br /> G A Printed/Typed Neme <br /> H JOSE J . signalu <br /> LL S /' v _ku Monrn Day Year <br /> O P C p <br /> L O 1B. Transporter 2 w�aowtetlpemenl of Receipt of Materiels x 9 0 <br /> G T Q Printed/Typed Name <br />� E signature <br /> t A Momh Day Year <br /> 19. Diacrepency IndcaSoe Spec. <br /> F <br /> A <br /> C <br /> I <br /> L <br /> 1 20. Facility Owner or Operator Cedilic <br /> T of receipt 1 haxartloua materiels covered by This manifest ecce t ea n ted in Item I9. <br /> Y Primal/T a <br /> Sionature <br /> Month nay Year <br /> iS 8022 A <br />'A 870G-22 Do of Write below This Lit <br /> ev.6.89)Previous editions are ecnolele. <br />