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----- ----- ---- State of Colifomia—Envirtpnmental Protection Agency e Form Approved OMB Nb.'205O-W39(Expires 9-30.94) See Instructions on back of a b. LC�—a�epartment of Toxic Substances Control Please print or type. Form designed for use on elite(12-pitch)ty, —der. Sacramento,California UNIFORM HAZARDOUS 1. Generator's US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas is not required by Federal law. WASTE MANIFEST _ of 3. Generator's Name and Mailing Address - ` , State Manifest Doeument Number a t F J H.J HEINZ �---- ` a 2800 South California, St. Stx,tton,Ca. 95200 -- .- B. State Generator's ID LO 4. Generator's Phone (2 ) 7 p 5. Transporter 1 Company Name b. US EPA ID Numbei c' C.-State Transporter's ID O i - a0 _ D. Transporter's Phone 7. ransporter 2 Company Name 8.-US EPA ID Number E. State Tran`sporter's ID — F. Transporter's Phone Y) Z 9. Designated Facility Name and Site Address 10. US EPA ID Number G. Stata Faci ity's D 0 Statar«ida Envirownental L F4,1 wi�518 South Main St. -n H. Foc`14ity's Phone-_ Q i .mac- (` R - --� V ., 1 ^12.,Containers 13. Total 14. Unit ,Y,, Z 11 11. US DOT Description(including Proper Shipping Name, Hazard Class,and ID Number) No. Type Quantity Wt Vol I. Waste Number 2 a. State 3 RQ WASTE FLAMMABLE LIQUID,NOS,3,UN1993 PGI I ' ' '' G (lac:;uar thimaers) RQ-1001us. 00 1 EPA/Other coo N b. State 00 E WASTE RXXXFLAMMAF3LE LIQUID,NOS,3,UN:993 PGI I EPA/Other vlv c,4 a �>ro��anol) o t 0 Tc State00 ^ O WASTE OXIDIZING LIQUID,CORROSIVE,NOS,5.1,UN3098 EPA/Other' R 'GI I (�)icric 1% or less) LU _ Z d. State LuZ U WASTE TOXIC LIQUiD,OP•GNNIC,NOS,6.'_,UN?810 PGIiI EPd�>her Lu at :iaiuh or..rnL:'_i 01 C' 0 _ O L LO Z .1—Additional Descriptiors for Materials Listed Above .. _..... _.-. _.. K. handling Codes for Wastes Listed Above 0- a. �P12-7019 -L b j .. uj a. LP8-7059 -C ++ a c. LP7-70593-CJt z !. Z 0 15. Special Handling Instructions and Additional Information P Z ERG= 128, 140,133 w _ ear aJ:rOJCld't2 clot.' r - 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of the consignment are fully and accurately described above by proper shipping name and are classified, packed,marked,and labeled,and are in all respects in proper condition for transport b highway according to applicable federal,state and international lows. Q P PK P P P Y 9 Y 9 PP� U If I am a large quantity generator, I certify that I hove a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future Nthreat 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 waste management method that is available to me and that I can afford. O Printed/Typed Name Signature Month Day Year U T 17. Transporter 1 Acknowled ement of Recei t of Materials ! -T I J Lu (w A Printed/Typed Name Signature - �: ,'� Month Day Year ws / nt of R P 0 8. Tr sorter Acknowled emeecei t of Materials w R Printed/Typed Name Signature Month Day Year w E 0 R w 19. Discrepancy Indication Space N Q F U A Z C L f 20. Facijfty Owner or Operator Certification of receipt of hazardous materials covered ifflis manifest except as noted in Item 19. T P iMe�JTyped Na % Signature Month Day Year DO NOT WRITE BELOW PHIS LINE. _ c Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS. DTSC 8022A (7/92) (Generators who submit hazardous waste for transport out-of-state, EPA 8700-22 produce completed copy of this copy and send to DTSC within 30 days.)