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4@1033-18 3403945 <br /> Please print or type. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 2i.Generator ID Number 22.Page .Manffest Tracking Number <br /> (Continuation Sheet) CQL0 0390(35 of 12 002047472PSC <br /> 24.Generator's Name <br /> ORCHARD SUPPLY 1 155%0 <br /> 2650 X MRC ARTHUR D . , TRACY CA 5376 (269)662$0132 <br /> 25. Transporter ipany Name U.S.EPA ID Number <br /> ST. ICYCL SPECIALTY Y HSTFSOLUTIONS lac MNS000110 2 <br /> 26. Transporter Company Name U.S.EPA ID Number <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit <br /> HM and Packing Group('rf any)) No. Type Quantity Wt.Nol. 31.Waste Codes <br /> TJ <br /> C � <br /> W <br /> z <br /> w <br /> 0 <br /> 12 <br /> 3 <br /> l <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter Acknowledgment of Receipt of Matprials <br /> Printed/Typed Name Signature Month Day Year <br /> 0 <br /> a� <br /> Z 34.Transporter Advawledgment of Receipt of Materials <br /> PrintedfTyped Name Signature Month Day Year <br /> H <br /> 35.Discrepancy <br /> i <br /> Q <br /> G <br /> LU <br /> 36.Hazardous Waste Report Management Method Codes(i.e.,nodes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> w <br /> D <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />