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^rr�• •••� — ^r"=� t .�.. ...a.......v..a vs. v...n yr '.vye v. uepartmentof ioxtc'>ubstancesLontrot <br /> Please print or type. Form designed for use on elite(12-pitch)typewriter. Sacramento,California <br /> generator's US EPA ID No. Manifest Documen' 2. Page 1 Information in the shaded areas <br /> UNIFORM HAZARDOUS <br /> is not required by federal law. <br /> `, ,, �, WASTE MANIFEST CAD 19 $ 10 $ 18 14 jell Ill 6 1 $ 1 7 3 1 4 of 1 <br /> . 3. Generator's Name and Mailing Address A, State Manifest Document Number <br /> SILGAN-CONTAINER CORP. 25168734 <br /> 1815 NAVY DRIVE <br /> 00 STOCKTON, GA 95206 B. State Generator's ID <br /> 4. Generator's Phone (209 ) 466-1031 RMROENCY CONTACT: 801 15 IHIAIHj QI 3161 Otl 21712191 1 <br /> CIV 5. Transporter 1 Company Name 6. US EPA ID Number C. State Transporter's ID[Reserved.] <br /> co UNIVAR USA INC. <br /> CD ICIAIRIOIOIOIOIS13161317 0. Transporter's Phone <br /> 00 7. Transporter 2 Company Name 8. US EPA ID Number E. State Transporter's ID[Reserved.] <br /> J UNIVAR. USA INC. <br /> m Q GAD 10 1110 1912151 -51716 F. Transporter's Phone 408_435-9700 <br /> U 9. Designated facility Name and Site Address 10. US EPA ID Number G. State Facility's ID <br /> 00 ROMIC ENVIRONMENTAL TECHNOLOGIES CRF C I Al DI 0 10 191415121615171 <br /> 2081 BAY ROAD <br /> 0 PALO ALTO, CA 94303 H. Facili ys Phone <br /> _ CAD 0 0 9 4 5 2 61517 800-766-4248 <br /> J 11. US DOT Description(includingProper Shipping Name,Hazard Class,and ID Number) 12. Containers 13. Total 14. Unit <br /> .� U P p PP g No. Type Quantity Wt/vol 1.Waste Number <br /> (ME State <br /> T KETONo.RQE BUTYL CELLOSOLVE) ) •� 214 <br /> 3 G 3, UN1493, PG II, (RQ=100) , (EPA D001 D035 F005) , EPA/Other <br /> E (ERG 128) 5 DIM 3 1715 & D001 <br /> dao N ETAERS •• + 214 <br /> co E 3, UN1993, PG I, (EPA D001 F003) , (ERG 127) EPA/Other <br /> v R <br /> 01011v DIM alt D001 <br /> A <br /> o T C. <br /> Stale" <br /> a8o O <br /> R EPA/Other <br /> w d. State <br /> t— - <br /> ti, Z <br /> w <br /> U EPA/Other <br /> w <br /> 1. Additional Descriptions for Materials Listed Above K. Handling Codes for Wastes Listed Above <br /> O Ila. 386882 LIQUID COATING `WASTE (SOLVENT) a. b <br /> w 11b. 386880 LIQUID 3PC WASTE (SOLVENT) <br /> c d <br /> J <br /> 0 15. Special Handling Instructions and Additional Information WEAR APPROPIUATE PROTECTIVEG <br /> EMERGENCY CONTACT: CHEMTREC: 1-800-424-9300. CALLER MUST IDENTIFY UNIVAR USA AS <br /> Z SHIPPER. M> F <br /> L„ PLACARDS PROVIDED BY CARRIER/SHIPPER YES/NO DRIVER SIGNATURE <br /> 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name aj are classified,packed, <br /> Cal marked,and labeled,and are in all respects in proper condition for transport by highway according to applicable international and national governmedl t+Iations. <br /> 5 <br /> J If I am a large quantity generator,I certify that I hove a program in place to reduce the volume and toxicity of waste generated to the degree 1 have4l �mined to be economical]yy,- <br /> N practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and futue" threat to human health <br /> and the environment;OR,if I am a small quantity generator,I have made a good faith effort to minimize my waste generation and select the best waste m6agement method$fat is <br /> available to me and that I can afford. <br /> 0 <br /> } Printed/Typed Name Signature Month Day Year <br /> z /�tf H/P D E21e- 4 6 0 <br /> LU <br /> (.DT 17. Transporter 1.Acknowledgement of Receipt of Materials <br /> p <br /> LU 0 Pri d/T ped Nome Signa a Month Day Year <br /> LU M I'� E / �/ V (�f/ll <br /> 5 <br /> LL_ 0 18. Trans orter 2 Acknowled ment of Receipt of Materials <br /> 0 1 Printed/Typed Name Signature Month Day Year <br /> vw) It <br /> R <br /> UF 19. Discrepancy Indication Space <br /> Z <br /> A <br /> C <br /> I <br /> L <br /> 20. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. <br /> j Printed/Typed Name Signature Month Day Year <br /> Y <br /> DO NOT WRITE BELOW THIS LINE. <br /> DTSC 8022A(1/99) Blue: GENERATOR SENDS THIS COPY TO DTSC'WITHIN 30 DAYS. <br /> EPA 6700-22 To: P.O. Box 400,-Sacramento, CA 95812-0400 <br />