Laserfiche WebLink
Please print or Noe. (Form designed for use on elite (12 -Ditch) tvoewriter.) <br />Form Approved. OMB No. 2050-0039 <br />r UNIFORM HAZARDOUS WASTE MANIFEST <br />(Continuation Sheet) <br />21• Gener Number <br />C A 5 7 2 8 9 0 5 1 9 <br />22. Page <br />2 <br />23.1 tTracking Number <br />007735723 <br />t. Generator's Name St0 kton CSMS <br />802 South Airport Way <br />Stockton CA 95206-399 <br />U.S. EPA ID Number <br />25, Transporter Company Name <br />0. C. Vacuum, - Inc. C A T 0 8 0 <br />26. Transporter Company Name U.S. EPA ID Number <br />27a, <br />HM <br />27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, <br />and Packing Group (if any)) <br />26, Containers <br />29. Total <br />Quantity <br />30. Unit <br />Wt./Vol. <br />31. Waste Codes <br />No. <br />Type <br />0 <br />Waste Aerosols, 2.1, UN1950 (DOT- <br />5' SP12842) <br />7h"1 <br />p <br />0 <br />01O <br />w <br />Z <br />w <br />O <br />r . .. <br />32. Special Handling Instructions and Additional Information <br />5 j OLI ArroeolQ F�FJf 30Gs?$-OE?at 1:.F <br />33. Transporter Acknowledgment of Receipt of Matedals <br />F <br />PrintedlTyped Name Signature Mont Day Year <br />U) <br />34. Transporter Acknowledgment of Receipt of Materials <br />F- <br />Printed/Typed Name Signature Month Day Year <br />35. Discrepancy <br />J <br />U <br />Hardou Wasttport Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) <br />!j <br />c� <br />W <br />0 <br />EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR <br />