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l.. rr...... dee:..ned,... RIM <br />Form Approved. OMa No. 20W6 39. <br />Style CF 18, LIBIZ IASM6 wol mla w.w.aotlmow.c— <br />erAro.me7&N&AqfOR COPY <br />®wnma,�a.+aeo..,e, ��j���. �+� <br />VlM�µM En SQ'Illlf <br />UNIFORM HAZARDOUS 21. Gen`,ufs US EPA ID No. Manifest Document No <br />J. Pae Information in the shaded <br />areas is not required by Federal <br />WASTE MANIFEST <br />(Continuation Sheet) ]18000002279 45368 <br />of 3 law. <br />23. Generator's Name <br />L. State Manifest Document Number <br />vanced Interconnect <br />22795368 <br />M. State Generators ID <br />555 Carnegie 9tceet <br />ntieca, CA 95336 <br />24. Transporter Company Name 25. US EPA ID Number <br />N. State Transporters ID <br />O. Transporters Phone <br />— <br />26. Transporter Company Name 27. US EPA ID Number <br />P. State Transporters ID <br />O. Transporters Phone <br />— <br />28. US DOT Description (including Proper Shipping Name, Hazard Class, and /D Number) <br />29. Containers I <br />Total <br />oral <br />Unit <br />Unit <br />H. <br />Wase No. <br />No. T <br />Quantity <br />r <br />a' <br />KRQ, <br />Waste, Carbon, activated, 9.2, UN1362, PG <br />51 <br />III iD0o1) <br />n: <br />001 <br />b' <br />g <br />Waste, Sodium chlorite, 5.1, UN11196, PG II <br />51 <br />001 <br />0 1 <br />F <br />0 0 1 0 <br />C- <br />K <br />Waste, Acetic acid, glacial, 8, Ut(2789, PG II <br />51 <br />002 D001 <br />O 1 <br />F <br />0 0 1 4 <br />E <br />d. <br />Waste, Triethylenetatramine, 8, [8(2259, BG II <br />51 <br />N <br />002 <br />E <br />of <br />a <br />0005 <br />R <br />A <br />e. <br />K <br />Waste, Hypochlorite solutions 8, UN1791, PG <br />51 <br />T <br />III <br />002 <br />R <br />f <br />Aerosols, non-flammable, 2.2, 1 <br />51 <br />Limited quantity, <br />F <br />0o0a <br />o <br />ione <br />,oi <br />9 <br />Waste, PROPANE, 2.1, Ut11978, NONE <br />451 <br />001 <br />O 1 <br />D F <br />0 0 0 0 9 <br />h. <br />K <br />Waste, gNDKXC LIQUIDS, ORGANIC, N_o.3.(LEAD, <br />51 •" <br />METHYLENE CHLORIDE), 6.1, UN2810, PG II <br />002 D005 <br />] O l <br />D F <br />0 0 2 0 5 <br />i. <br />Non-RCRA Haeacdous Waste 3olid(3HARP3 (IN <br />51 - <br />3HARP3 B!tE3)i <br />0 1D <br />F <br />000012 <br />S. Additional Descriptions for Materials Listed Above <br />T. Handling Codes for Wastes Listed Above <br />a: LCCRD LP 2x55 (3, I) £: LCCRQ LP ix5 (L) <br />b; LCCRD LP1x5 (3,I) g: LCYl LP 1x5 (L <br />I) <br />c: LCCRC LP 1x5 (L CII) h: LCCRC LP 1x55 (3 <br />T,E) <br />ci LCCRIS LP 1xS (L, C) �•, L(( Rill 1.F 1; <br />e: LATS LP 1x5 (L, C) <br />32. Special Handling Instructions and Additional Information <br />h:Do08 LP Profile , CH52059 <br />CJ69j777 <br />T <br />33. Transporter _ Acknowledgement of Receipt of Materials <br />Date <br />Printedrryped Name Signature <br />Month Day Year <br />NS <br />0 <br />34. Transporter _ Acknowledgement of Receipt of Materials <br />Date <br />i <br />Printed/Typed Name Signature <br />Month Day Year <br />E <br />R <br />F <br />35. Discrepancy Indication Space <br />M <br />v <br />Style CF 18, LIBIZ IASM6 wol mla w.w.aotlmow.c— <br />erAro.me7&N&AqfOR COPY <br />®wnma,�a.+aeo..,e, ��j���. �+� <br />VlM�µM En SQ'Illlf <br />