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i <br /> G.16822 1440671 <br /> P'easa print or type. Form designed for use on elite 12 itch)typewriter.) Form Approved.OMB No.2050-00391 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 1 21.Generator lD Number 22-P89e3 1 23.Manifest Tracking Number I <br /> (Continuation Sheeq 0000033963 of 3 1 000039045DAT <br /> 24.Genannofs Name <br /> SAN JOAQUIN AIRPORT <br /> 5000 AIRPORT UAY , STOCKTON CA 95205 (209)4504729 <br /> j <br /> 25.Transposer_Company Name U.S.EPA IO Number I <br /> i <br /> U.S.EPA ID Number I <br /> 25.Transposer Company Name <br /> 27s. 27b.U.S.DDT Descdpgon(including ProperShippNg Name,Hazard Class,ID Number, 29.Containers 29.Total 30.Unit <br /> HM and Packing Gmup(if any)) - No. Type Duantlty wtuvol, 31.Waste Codes <br /> 15 NON-RCRA HAZARDOUS UASTE, LIQUID (OILY SLUDGE, NATER ZZ <br /> CONTAMINATED WITH OIL) l`�C>� D11 `fZf� P <br /> L <br /> 16 <br /> 1i <br /> z iD <br /> O <br /> w <br /> 3� 19 <br /> 20 <br /> I <br /> 21 <br /> 22 { <br /> 23 <br /> 24 <br /> 32.Special Handling Instructions andAddiaonal lnfamadan i1bi EEUUUIUb-UU <br /> I <br /> 33.TrempMer_Acynmeled menlofRacelPtothlaletlals <br /> Va Prinledlryped Name Slgnalum34. <br /> Month Day Year <br /> a <br /> m Rntedr Imes _AcknmdedgmentafReceiDtof Motorists <br /> Pdnletlllypatl Name signature Month Day Year <br /> F <br /> 35.Dlsuepaecy <br /> J <br /> a <br /> a <br /> 4 36.Hazardous Waste Report Management Meewd Codes O.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> � 151 <br /> ui I <br /> i <br /> o I <br /> EPA Farm 8700.22A(Rev.3-05) Previous edittons are obsolete. DESIGNATED FACILITY?0 ETESdIN,ATI®NSvA 2(IFF P-fEQU!rr-D) <br />