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Please print or type. Fonn desi ned for use on elite 12- 8c ewdter. Form Approved.OMB No,2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST- 21:Generator ID Number 22.Paga2 23.rAaniteat Tracking Number <br /> (Continuation Sheet) CAL000337276 of 2 000344337WAS <br /> �'G0ft?"ETHANOL STOCKTON, LLC / .THAO HUYNH PACIFIC ETHANOL STOCKTON, LLC ,/ THAO HUYNH <br /> 3028 NAVY DR 3028 NAVY DR <br /> STOCKTON CA 95206 STOCKTON CA 9520E <br /> Number <br /> 25.Transporter_ Company Name <br /> U.S.EPA 1p Number <br /> -26 Transporler-- Company Name----uL <br /> 27h.U.S.D0T Descn,?IbnAmdud ppper Shipog Name,Hazard Class,ID Number, 16.Containers 29.Total 30.Unit 31.waste Codes <br /> ---- - HM and Paddrp Group(6any)) No. Type Quantity WUVol. <br /> 1.- ER13#154, (lx5QDF) XXX XX XXX X XXXX XXX XXX <br /> 1xxxx XXXX XXX <br /> 0 <br /> RB <br /> w <br /> z <br /> W <br /> t7 <br /> I <br /> w <br /> UG 14 2014 <br /> ALT <br /> 32,Special Handling Instructions and Addibonal Information <br /> -�Z.Transpprter.AcknoWedgment ofRecel tof.Materials <br /> W PdntecirTyped Name Signature Month Day Year <br /> <Y <br /> _....G._.-_.... <br /> a <br /> = 34.Transporter Acknowledgment ofReeel tof Materials <br /> Pdntedrryped Name - - - - Signature Month Day---7ear <br /> f- <br /> 36.Discrepancy <br /> J <br /> Q36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> c7 <br /> co <br /> W <br /> D <br /> EPA Form87M22A(Rev.3-05)-Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />