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-Ilor : <br />, (Foan des' red for use on alit 1 . <br />& 2 pttctt <br />UNIFORM NAZAFtp0U5 ' -Numtaet 2, t � <br />WASTE MANIFEST CAI,000251953 <br />Form Approved. OMB No. 2050.0039 <br />3, ar�y ftp Phoma 4, flan fdst t Ing Numbor <br />2 <br />9. Goner's Nam ard AOdross <br />(800) 326—IOlI ,,, 78JJ <br />8 A C Painting Solutions <br />Gtneralm a Site (lft er tlOan ) <br />107 Val Dervin Pkwy <br />Stockton, Ch 95206 <br />Ganeratw's Ptume: 209982-0422 <br />g. T r 1 arparsy Natna _ <br />,� <br />General Environmental M t I»r~s,. <br />7.7ra t 2 Nam <br />CAD983649680 <br />tf.S. PPAtDhlwnber <br />8, ed F N act Sko Addr+sss <br />GEL! Rancho Cordova, I,LC <br />U.S. EPJttOfiwrnt�r <br />11OS5 White Roo& Road <br />Rancho Cord ��ssvv�t <br />F 916135�0990�4 <br />ePhone: <br />ga, 96. U.S. DOT Description (Including Proper Shipping Name, Hazard Class. ID Number,.. <br />580884103 <br />HM and Packing Gip (if any)) <br />�tQ, <br />10: Containers T1. Totcl 12, <br />hka. Tye . Unit 13: waste s <br />VKW <br />o yR Waste Corrosive liquid, acidic, <br />inorganic, n.o.s., 8, UN3264, II <br />, <br />LU Res <br />x 14aste Ferric chloride, solution, 8, UN2582, <br />III <br />Aix— <br />14ANte Sodium hydroxide solution, 8, UIN1824, <br />111 <br />1 <br />DI <1� <br />ta. t a ati <br />11 R15527 Mt 184 (` I$t <br />9- : 154 <br />VO# 169132 <br />3) 810920 ; IS4 1YS0 I KS <br />r <br />TIFICAMON: I hereby declare that the.contetds of this consfnmnt afutlnd accurately described above by the proper shipping <br />marked and labele4facarded, and are In off respects in proper condition for frena PP�g name,. and ta classified,the packaged, <br />on <br />Exporter, applicable International national <br />I cerily that the contents at con <br />consignment t;onfformm to the terms of the al <br />governmental! regulations. H exportshlpment and ! am the Primary <br />of <br />p f �n�e�. <br />segL <br />I attlfythat the waste minimization statement klentliled'(n 40 CFR 262.21(0) (N i am Or t am a small quantity <br />9 tdY generator) ie trus. <br />Genera tgr Printadf j Nom() <br />!!ME= <br />'Year <br />r 16: in <br />ImpW to U.S. ri from t i S: <br />C f 0f�i <br />Port <br />Transporter aig (kxaxparta enty): <br />of 0 <br />17. TranspoftAdmWedgmeM of Receipt of Materials <br />i'�te U.S:s <br />E Trartspattitt 4 <br />Year <br />tans 2 n t <br />t orta <br />i 1 �� 62 <br />Y ear <br />fila. Discrepancy Indication Space ❑ Ouantlty EITypo <br />E] Roodue ElPerwi Ro ction EJ Fun Rejection <br />