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t l j I Please print or type.(Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMS No.2050.0039 UNIFORM HAZARDOUS f.Generator ID Number 2.Page 1 of 3-Emergency Response Phone 4.ManifestTracking Number WASTE MANIFEST c a L p O D:3i6 1 17.9 1 (8UQ) 368-47780 08052286 JJ K 5 Generators Name and Maiiing Address Generator's Site Address(if different than mailing address) HEARTLAND STEEL PRODUCTS WEST,LLC LP 213 KELLY STREET 2420 WILLS STREET I LODI CA X240 IVWRYSVILLE1310 M4-74-12 P� 14SO40 Generators Phone: 6-Transporter 1 Company Name U.S.EPA ID Number ENVIRONfv1ENTAL RECOVERY 5ERViCE5,INC. CAR 0 0 0 1 8 8 2 0 '1 7 Transporter 2 Company Name { U.S.EPA ID Number TRR4D TRANSPORT,INC. I O K D 9 8 1 5 8 8 7 9 1 8.Designated Facility Name and Site Address I U S.EPA ID Number RINECO I 1007 VULCAN ROAD•HASKELL BENTON AR 7201 Facildy'sPhcne: 1501)778-9089 i A R D 9 8 1 0 5 7 8 7 0 9a 91h.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit HM and Paciring Group(d any)) IE 13.Waste Codes No. Type I Quantity WVVcI. 1 NON RCRA HAZARDOUS WASTE,LIQUID(WATER BASE PAINT) 343 0 } 1103-03134 D M t o o G LU Z 2- 3. i 4 14.Special Handling Instructions and Additional Information 981)HSP-PAINT-WATEIR BASE PAINT 2 x ss D rr ERGO:981. 41A "ER5 W.O#71294-SA" BILL TO ENV IR05ERV—WEAR PROPER PPE �-1 15. GENERATOR'SIOFFEROR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged, marked and labelediplacarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations.If export shipment and i am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgmenl of Consent. I certify that the waste minimization statement idantified in 40 CFR 262.27(a)(d 1 am a large quantity generator) b)(if I am a small ntity generale 's true. Gene r torsl0fferoes Printed/Typed Name I Signatu Month Day Year rr L ST�^on �ieqrT 13131 // 16.International Shi ents Z V Import to U.S. ❑Export Iran U.S. ortof enlryf :_, Transporter signature(for exports only): ; Date leaving U.S.: W 17.TransperterAckruMedgment of Receipt of Maledal4 Transporter 1 Pnntedff�ped Name f i Signature Month Day Year CL i rn , QTrans me yped nx I ture Month Day Year Volr r I 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quant¢yt ❑Type II ❑Residue ❑Partial Rejection ❑Full Rejection ` Manifest Reference Number 18b.Alternate Fadlrty(or Generator) U.S.EPA ID Number J U j LL. Facility's Phone: W 18c.Signature of Aftemate Facility(o(Gene!alor) I I Month Day Year 2 j 19 Hazardous Waste Report Management Method Codes(i e.,codes for hazardous waste treatment,disposal,and recycling systems) LU � 1. ` \ 2.1 2D.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in ftem 18a PrinledrTyped Nama I alure Month Day Year EPA Form 6700-ZZ(Rev.3-05) Previous editions are'obsotete. i DES! HATED FACILITY'TO DESTINATION STATE(IF REQUIRED)