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<br /> Form Approved,OMB No.205()-0039
<br /> lease rint or t e. Form desi ned for use on elite 12-
<br /> 2 itchi roer 10 Number
<br /> 22.Page 23.Manifest Tracking Number
<br /> UNIFORM HAZARDOUS WASTE MANIFEST
<br /> (Continuation Sheet)
<br /> 24.Generator's Name
<br /> SAN JOAQUIN HOUSEHOLD HAZARDOUS WASTE FACILITY umer
<br /> 25.Transporter Company Name
<br /> 26.Transporter Company Name
<br /> 27a. 27b,U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29,Total 30.Unit 31.Waste Codes
<br /> HM and Packing Group(it any)) No. Type Quantity WI.N0.
<br /> )�-AUSTIC ALKALI LIQUIDS, N�R
<br /> (FF:769885)
<br /> N.0.S. ,8,UN1719,PGII, (ERG:154 ) , D l= " s6 P
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<br /> CORROSIVE LIQUID, ACIDIC INORGANIC .
<br /> N.O-5. ,8,UN3264,PGI1, (E G:154) , {P :769884) ,sem
<br /> D F
<br /> AEROSOLS CONSUMER COMMODITY, ORM—D N/R
<br /> (AEROSOLS} (LIMITED QUANTITY) , (ERG. ) ,
<br /> LIMITED
<br /> C F 10 P
<br /> tr I)AMMONIUM NITRATE FERTILrTZERS,9,UN2071,PGIII, N/R
<br /> O (ERG:140) , (PF:?44993)
<br /> D F
<br /> P
<br /> U.S
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<br /> OXIDIZING SOLID N.0.S. ,5. 1,UN1479,PGII, N/P. E.
<br /> 0v (ERG: 140) , (PF:�98442)
<br /> D F ,�"��,� P
<br /> ESTICIDES SLID� (D'IAZINON, DI�ULFTQN 6.1,UN2588,PG�II, N/R, f
<br /> (ERG.-151) , (PF:74452 F lot ?C � I
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<br /> 32.Special Handling Instructions and Additional Information _
<br /> 5: 769885, (0 X 30 DF, 6: 769884, X 3O DF,7: 744528, X MBCF, 8: 794993, X 30 DF,
<br /> 698402, _Z,--R-30 DF, 10: 744523, 1--Y—MBCF
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<br /> 33.Transporler_AcknovoedgmentotReceiplofMatefials
<br /> F Printedflyped Name Signature MDnth Day Year
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<br /> zrPO—niedTraiTyped
<br /> ns erAcknowled ment of Recei t of Materials
<br /> Name
<br /> Signature Monthay Year
<br /> 35.Discrepancy
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<br /> a36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems)
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<br /> EPA Form 8700-22A(Rev.H5) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED)
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