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Please print or type.(Form designed for use on elite(12-pitclewriter.) 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 CAL000337276 2 (800)326-1221 600344337WAS .Generator's Name and Mailing Address Generators Site Address(it different than mailing address) PACIFIC ETHANOL STOCKTON, LLC / THAO HUYNH PACIFIC ETHANOL STOCKTON, LLC / THAO HUYNH 30228 NAVY DR 3028 NAVY DR STOCKTON, CA 95206 STOCKTON CA 95222% Generators Phone: (^209)'2'35-0370 GEN: 120323 6. ransporter 1 ompany Name U.S.EPA ID Number ERITA GE TRANSPORT, LLC INDO58484114 . mnsporter'2Company Name"" - - U.S.EPA ID Number �— — "esignated+aoility Nameand-Site Address-- -- U.S.EPA ID Number __HERITAGE_ENVIRONMENTAL SERVICES 7901 WEST MORRIS STREET IND093219012 INDIANAPOLIS1 IN 46^231 Facility's Phone: (317)24„,—(7811 ga, 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)) - No. Typc Quantity WLA101. 13.Waste Codes L o X RO UN3264, WASTE CORROSIVE LIQUID, ACIDIC, i DF, 25 F' INORGhNIC, N. 0.5. ,8 PGIII, (SULFURIC ACID, rppnmTi try,z 2. w c� 3. U4 ^p e v, 4. AUG 14 Z)14 Speclal Handling Instructions and Additional lnformakan .W1_GI635466 (1) DEPARTMENT T 537 13715 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 ail respects in proper condition for transport according to applicable international and national governmental regulations.If export shipment and I am the Primary Exporter,I caddy that the contents of this consignment conform to the terra of the attached EPAAcknowledgment of Consent. 1 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 quantty generator Is true. en roto 0 aro s note ype Nam ign u , on ay ear K (_u >� og 161 /I J 16.International Shipments F— ❑Import re U.S. ❑Export from U.S. Poco of entry/exit: Transporter signature for exports only): Date leaving U.S.: w 17.TransporterAcknowledgment of Receipt of Materials Transporter 1Prntedryped Name _ ignature on ay Year S l�1 h/4 z. QTransporter 2 PrintedRyped Name Signature —. on ay Year K t- t18.Discrepancy 18a.Discrepancy Indication Space __. ❑ Quantity.. ❑ ype ❑Residue ❑Partlal Rejection ❑Full Rejection Manifest Reference Number: --186.Alternate Facility(or Generator) U.S.EPA ID Number J U- LL Fadlitys Phone: W 18c.Signature of Alternate Facility(or Generator) Month Day Year a . z azardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) 2. 4. HO1D 1 3. 2 Designated Facility Owner or Operator:Codification of receipt of hazardous materials covered by the manifest except as noted In Item 18a Printedrryped Name Signature Month Day Year EPA Form 8700-22(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED)