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P print or type. (Form designed for use on eh' '-pitch) typewntea)
<br />Form Approved. OMB No. 205000.39.
<br />"ANIFORM HAZARDOUS
<br />121.GehwitoesUSEPAIDNO. Manifest Document Nof
<br />2. Peg93
<br />Information in the shaded
<br />WASTE MANIFEST
<br />areas is not required by Federal
<br />(Continuation Sheet)
<br />',Ah�000002279 45368
<br />3
<br />law.
<br />23. Generator's Name
<br />L. State Manifest Document Number
<br />Advanced Interconnect.
<br />22745268
<br />555 Carnagie 3tceet
<br />M. State Generator's ID
<br />nteca, CA 95326
<br />24. Transporter _Company Name 25. US EPA ID Number
<br />N. State Transporter's ID
<br />O. Transporter's Phone
<br />26. Transporter _Company Name 27. US EPA ID Number
<br />P. State Transporter's ID
<br />O. Transporter's Phone
<br />28. US DOT Description (Including Proper Shipping Name, Hazard Class, and ID Number)
<br />29. Containers
<br />30.31.
<br />Total
<br />Unit
<br />R.
<br />Waste No.
<br />MITI
<br />No. TyDe
<br />Ouanti
<br />Wt(Vol
<br />a.
<br />NON-RCRA Hazardous Wastes Liquids iACTIVATED
<br />S51
<br />ALUNIHA,LATEX FAINT)
<br />of
<br />a
<br />oa7s
<br />one
<br />b,
<br />.sate, Jtci ,,sang Volld, eoerosive,
<br />n.o.s_f3odium ehlocite, Sodium81 hydroxide,,, 5.1,
<br />Lai
<br />5 t0eot��
<br />o
<br />eO
<br />)001
<br />l aSV
<br />C.
<br />orrve,
<br />n.o.s.(Sodium chlorite, Sodium hydroxide), 5.1,
<br />81
<br />Mots PC tl)OOI)"^
<br />001
<br />-u
<br />u 1
<br />N
<br />0 4 5 G
<br />G
<br />d
<br />, as e, orroslve aqui , as ic, organ ac.
<br />R
<br />dimethyldithiocarbamatef, 8,
<br />31
<br />E
<br />�na�.o.�_s_r3odiuit
<br />Ur'J 4 PC 3 (D'6D^{ •��-..-
<br />0 3
<br />F
<br />0 1 6$
<br />002
<br />R
<br />A
<br />e.
<br />tion RCRA Hazardous Waste Liquids(Anionici
<br />121
<br />T
<br />polymer), NONE, NONE,
<br />RD
<br />0
<br />a
<br />D 0275
<br />n•
<br />f.
<br />K
<br />R4, Waste, Sodium hydroxide solution, 8,
<br />S51.
<br />Utf1824, PG II (Doo2)002
<br />0 1
<br />F
<br />0 0 3 0
<br />g.
<br />Non RCRA Hasardous Waste Solids(Eept;
<br />511
<br />containers), NONE, NONE,ion"
<br />p_
<br />h.
<br />Non RCRA Hazardous Waste Solicis(Empty
<br />511 -
<br />containers), NONE, NONE,ns
<br />0?❑
<br />F
<br />i 0 1 7 5
<br />i.
<br />Hon-RCRA Hazardous Waste Solid, (Absorbanta
<br />Lai
<br />with Oil)
<br />11:1
<br />ne
<br />0 1
<br />H
<br />0150
<br />P
<br />,
<br />S. Additional Descriptions for Materials Listed Above
<br />T. Handling Codes for Wastes Listed Above
<br />a: LCCRN LP 1x$5((S,) f: CH230700.1x55 (L
<br />C)
<br />b: CH5236a 1x55 (S,I,C) g: CM2362 14x55
<br />c: CH52366 1x55 (S,I,C) h: CKS2362 7x.55 (� )
<br />d: CH52391 3x55 (L, C)
<br />a:-CH52287 5x55 (L,)
<br />P. jpeci iiadung InCsggtiggsand Additional Information
<br />tiS
<br />CJ693677
<br />R
<br />33. Transporter _ Acknowledgement of Receipt of Materials
<br />Date
<br />A
<br />Printed/Typed Name
<br />Signature
<br />Month Day Year
<br />N
<br />s
<br />P
<br />034.
<br />R
<br />Transporter _ Acknowledgement of Receipt of Materials
<br />Date
<br />I.,
<br />Printeti/Typtx! Name
<br />Signature
<br />Month Day Year
<br />R
<br />F
<br />35. Discrepancy Indication Space
<br />c
<br />I
<br />T
<br />Y
<br />EPA Fwm 6] - 9- ,i U ad�eMa are Otosalete
<br />e c^aoisztceo^ —. aaw. &PA&&9.0
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