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j wkease-*yt or type.(Form designed for use on elitr Itch)typewriter.) ORDER # 416540 1.Generator ID Number-- Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS 2.Page 1 of 3.Emergency Response Phone 4.Manifest racking Number WASTE MANIFEST CAD 9 8 0 8 8 4 8 1 1 i 800-535-5053 0 01932369 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: 2 0 9 466-1031 6.Transporter 1 Company Name U.S.EPA ID Number UNIVAR USA INC. CAD 0 7.Transporter 2 Company Name U.S.EPA ID Number 1 0 9 2 5 5 7t-; 8.Designated Facility Name and Site Address ROMIC ENVIRONMENTAL TECHNOLOGIES CRP U.S.EPA ID Number 2081 BAY ROAD E PALO ALTO, CA 94303 Facility's Phone: 800-766-4248 C A D 0 0 9 4 5 2 6 5 7 T U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containersd Packing Group(if any)) 11.Total 12.Unit 13.Waste Codes No. Type Quantity Wt.Nol. O )( i ETIiERS) D001 F003 3, UN1993, PG I, (ERG#127D M LU X 2. KETONE, BUTYL CELLOSOLVE)) L lS� 214 3, UN1993, PG II, (R¢=100), (ERG#126) D001 D035 F005 3. 3 � D M `� b' � 214 4. 14.Sprial Hypolirtp-IJS ctions and Additional InformIn 33ttSsbb��ttffllll �l. 386882 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 intemational 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 gener tor)is true. GeneratoeslOfferoes Printed/Typed Name Signature Month Day Year 16.IntemationalShipments Z ❑Import to U.S. ❑Export from U/ Port of entry/exit: Transporter signature(for exports only): Date leaving U.S.: W 17.Transporter Acknowledgment of Receipt of Materials Transp er 1 rintedlTyped Nam Signature O Month Day Year Qa. G2- b� Transporter 2 PrintedlTyped Name Signature Month Day Year H 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quantity ❑Type ❑Residue ❑Partial Rejection ❑Full Rejection 18b.Alternate Facility(or Generator) Manifest Reference Number: U.S.EPA ID Number J U LL Facility's Phone: LLJ 18c.Signature of Alternate Facility(or Generator) Month Day Year Q Z 0 19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) LLJ 4. 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a Printed/I yped Name Signature Month Day Year EPA Form 8700-22(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED)