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616823 1448671 <br /> ?lease print or type.(Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Ganwatorlo Number 22,Paged 23.Manifest Tracking Number 1 <br /> (Continuation Sheet) cm 1 r,, C <br /> 04 ?DAI <br /> 24.Generalols Name <br /> SAN 30AOUIN AIRPORT <br /> 25.Transporter_ Company Name U.S.EPA ID Number <br /> 26.Transporter_ Company Name U.S.EPA ID Number <br /> I <br /> 27a. 27b.U.S.DOT Description(including PmpwShipping Name,Hazard Class,ID Number, 26a. 31.Waste Codes.Contains 29. ! <br /> Total 30.Unit <br /> HM and Pacltlng Group(If any)) NType Quantity Wwol. <br /> 5 NON-RCRA HAZARDOUS WASTE SOLID (FUEL PUMP HOSE CONTAMINATED <br /> WITH ORSOLINE) 8 p ( A1: Q Li5 p j <br /> rzag9 o© I AM 1 -76 <br /> i <br /> 1 u f��' y�rc�{r1Nha 5d 7axlG �iu�un�M1b� no ( bel t5c) <br /> B <br /> 0 <br /> U <br /> z <br /> � 0 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 32,Special Handling lnswcBuns andAddltiomalInformation(5) BE000101-00 - SOIL/FILTERS/DEBRIS: <br /> 33.Trene mer_Acknmvledgmwi of Recel tofivaledels <br /> pdnledRyped Name Signature Month Day Year r/ <br /> I � - <br /> 34.Tramporlw_Acknowledgment ofRecapl of Materials ' <br /> Pdntted7lyped Name Signature Month Day Year <br /> 35.Discrepancy <br /> 1 <br /> i <br /> I i <br /> 36.Hazardous Waste Report Management Method Codes(Le.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> 5) <br /> ,Form 8700-22A(Rev.3.05) Previous editions am obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) J- <br />