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ORDER # 416542 Please print or type.(Form designed for use on elite(12-pitch)typewriter.) Form Approved,OMB No.2050-0039 UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4.Manifest Tracking Number WASTE MANIFEST C A D S 8 0 8 8 4 8 1 1 2 800-535-5053 0019,32370 JJ K 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address) SILGAN CONTAINER CORP. 1815 NAVY DRIVE STOCKTON, CA 95206 Generator's Phone: 6.Transporter 1 Company Name U.S.EPA ID Number UNI VAR USA INC. C A D 0 1 0 9 2 5 5 7 6 7.Transporter 2 Company Name U.S.EPA ID Number MXI MAUMEE EXPRESS INC N J D 9 8 6 6 0 7 3 8 0 8.Designated Facility Name and Site Address U.S.EPA ID Number VEOLIA E5 TECH SOLUTIONS-AZUSA 1704 WEST FIRST ST AZUSA, CA 91702 CAD 0 0 8 3 0 2 9 0 3 Facility's Phone: 62 6-33 4-5 117 9a 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit HM and Packing Group(if any)) 13.Waste Codes No. Type Quantity Wl.Nol. 1, Q, WASTE FLAMMABLE LIQUID, N.O.S. WATER WITH METHYL ETHYL KETONE, MINERAL SPIRITS) r �/^ F005 D001 D035 X 3, UN1993, PG II, (R(�100) , (ERG#128) ' D M 9 133 LU W }C 2 Q, WASTE FLfi0TMKBTE LIQUIDS, N.O. S., UT CELLOSOLVE, N-BUTYL ALCOHOL) D M � n D001 3, UN1993, PG II, (RQ=100), (ERG#128) (S) 'll4 Y 3, RQ, WA FLAMMABLE SO LIDS, ORGANIC, N. .S (DRIED EPDXY COATING) D001 4.1, UN1325, PG III, (RQ=100), (ERG#133) 2 D M �dC� 352 HAZARDOUS WASTE, LIQUID, N.O.S., X 4 (METHY ETHYL KETONE, OIL) D M D035 F003 9, NA3082, PG III J 22'1 14.Special Handling Instructions and Additional Information 1. DD5486-AZU 2. '686389 3. 523372 4. DD5481-AZU PLACARDS PROVIDED BY CARRIER/SHIPPER YES/NO DRIVER SIGNATURE **** ER CALLER MUST IDENTIFY UNIVAR USA AS REGISTRANT **** 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 labeled/placarded,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 EPA Acknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)or(b)(if I am a small quantity generator)is true. Generator'slOfferor's Printed/Typed Name Signature Month Day Year -J 16.International Shipments F- 1:1Import to U.S. El . .Export from Port of entry/exit: Transporter signature(for exports only): Date leaving U.S.: w 17.Transporter Acknowledgment of Receipt of Materials Transp er Printed Typed Na Signature Month Day Year a Q Transporter 2 Printed/Typed Name Signature Month Day Year rY 18.Discrepancy 18a.Discrepancy Indication Space Quantity El Type ❑Residue El Partial Rejection El Full Rejection Manifest Reference Number: 18b.Alternate Facility(or Generator) U.S.EPA ID Number -D U u- Facility's Phone: w 18c.Signature of Alternate Facility(or Generator) Month Day Year a Z C) 19.Hazardous Waste Report Management Method Codes(i.e..codes for hazardous waste treatment,disposal,and recycling systems) o t. 2. 3. 4. 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a d(fyped Name Signature Month Day Year Printe EPA Form 8700-22(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)