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Stateof California—Environmental Protection Agency <br />Form Approved OMB No. 2050-0039 (Expires 9-30-96X.. <br />Please print or type. Form designed for use on elite (12pitat, ./pewriter. <br />C <br />r <br />0 <br />C <br />a <br />H <br />C <br />C <br />a <br />a <br />C, <br />C, <br />c <br />C <br />a <br />Ck <br />LL <br />t- <br />2 <br />LL <br />L <br />LL <br />V, <br />Z <br />0. <br />V. <br />LL <br />oc <br />a <br />Z <br />Q <br />a <br />Z <br />LU <br />x <br />J <br />J <br />a <br />U <br />J <br />CL <br />N <br />W <br />0 <br />U <br />Z <br />W <br />OS <br />W <br />LU <br />W <br />LL. <br />0 <br />W <br />N <br />a <br />U <br />Z <br />See Instructions on back rage 6. Department of Toxic Substances Contr <br />Sacramento, California <br />DO NOT WRITE BELOW THIS LINE. <br />DTSC 8022A (1/95) Yellow: GENERATOR RETAINS <br />EPA 8700-22 <br />UNIFORM HAZARDOUS 1. Generator's US EPA ID No. Manifest Document No. 2. Page 1 <br />Information in the shaded areas. '..: <br />is not required by Federal law.. <br />WASTE MANIFESTof <br />t <br />3. Generator's Name and Mailing Address <br />STOCKTON UNIFIED SCHOOL DISTRICT <br />t <br />t <br />1392 F ALS STOCKTON, CA 95205 <br />4. nerators one <br />t <br />t <br />5. Transporter 1 Company Name 6. US EPA ID Number <br />ENVIRONMENTALRAMOS SRVICES C1 A D044003556 <br />I <br />7. Transporter 2 Company Name 8. US EPA ID Number <br />9. Designated Facility Name and Site Address 10. US EPA ID Number <br />DED21ENNO/KERDOON <br />=7 <br />i <br />2000 ALkMEEDA STREET, COMPTON, CA 90222 <br />i <br />11. US DOT Description (including Proper Shipping Name, Hazard Class, and ID Number)r"6 <br />12. Containers <br />13. Total <br />Quantify <br />14. Unit <br />Wt/Vol <br />f�G <br />No. <br />Type <br />a. <br />tliA S7E (,,ts <br />Q . Fx/• /,5 3, 0V 1203, <br />27— <br />O <br />EPA/Other fi <br />E <br />E <br />OO / <br />N <br />E <br />b. <br />State <br />` <br />R <br />EPA/Other <br />A <br />T <br />C. <br />state, <br />O <br />EPA/Other <br />R <br />d. <br />State r <br />EPA/Other <br />J. Additional for <br />rraMaterials L,ntjed Above <br />K- Handling Codes for Wastes <br />listed Above <br />�Descriptions <br />t�f�,� �/✓rt-.S l rZ. G.le'T � L /�f� <br />a <br />b. <br />C. <br />d. <br />15. Special Handling Instructions and Additional Information ��. <br />F-kNDLERS�\TTi?E HOUR OSBA]/SARA TRAINED 7(G <br />t40 _SJ�J(`�� S / <br />. <br />AN'D 'U'SE'U'SENIOSFI A -Pr RO rrL TL PPE. <br />24 KOUR &MRGENCY C014TACT: (916) 371-5747 <br />16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, <br />pac�_d, marked, and labeled, and are in all respects in proper condition for transport by highway according to applicable iMe-iational and national government regulations. <br />If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the <br />degree I have determined to be <br />economically practicable and that I have selected the practicable method of treatment, storage, or disposal currently available to me which <br />minimizes the present and future <br />threat to human health and the environment; OR, if I am a small quantity generator, I have made a good faith effort to minimize my waste generation and select the best <br />waste management method that is available to me and that I can afford. <br />P 'n ed/Typed Name <br />Signatur <br />j <br />Month Day Year <br />Q19 41 <br />�Rc <br />3 r <br />oil �L <br />T <br />T <br />1 . Transporter 1 Acknow a ement ei t of Materials <br />A <br />Printed/Typed Name -_ <br />Signature �� <br />Month Day Year <br />s <br />0 <br />18. Trans iter 2 Acknowleag4ment of Receipt of Waterials <br />T <br />T <br />Printed/Typed Name <br />Si re <br />Month Day Year <br />E <br />It <br />19. Discrepancy Indication Space <br />F <br />A <br />C <br />I <br />L <br />1 <br />20. Facility Owner or Operator Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. <br />T <br />Printed/Typed Name <br />Signature <br />Month Day Year <br />Y <br />DO NOT WRITE BELOW THIS LINE. <br />DTSC 8022A (1/95) Yellow: GENERATOR RETAINS <br />EPA 8700-22 <br />