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,02/18/04 WED 08:16 FAX 559 38'' -t31 - CHEM;WA WASTE via KRF v. 2003,+ <br /> Form Opp+orad OMB No.2050--0039(Expires 9-30-99) 7 Deparlment.vfTexic$ubelonc son" <br /> Please print or type. Form designed for use on elite P2-jai")ryw r. Socm—lo,California <br /> 1. Gedrrvtors US VA ID Na- <br /> Manifest Daasmcnt No. 2 Pagel 1 Informalion in the shaded areas <br /> UNIFORM HAZARDOUS' is not required by Federal[aw;. <br /> WASTE MANIFEST <br /> Q 9 of ' <br /> 3. Generator's Nome and Mailing Addrees. A. Stale Manifest Document Nvmben' <br /> .. <br /> H J HEINZ CO .LP ZZ0.15GOZ '.. <br /> 2800 S CALIFORNIA ST rtetatorsID, <br /> CA' 95206-3242'.: <br /> B. Slate oe <br /> SaT G�F,LL}SIaOrN Phar I _ <br /> CN S. Transporter 1 Company Name, •• 6. US EPA ID Number -C Stab Transporter's ID eserved.]7. <br /> , <br /> a rl G D Tmnsporfele'Ph O r � <br /> o ( O' J _/ DN <br /> o . <br /> `?. 7_ Transporter 2 Company Name• B. US EPA ID Number E. Stale Tronsporlet's 1D f Reservad.l... <br /> F. Trensporier's Phone <br /> 9. Designated Facility Name and Sile Address' 10. US EPA lD Number G_ State Facility's ID <br /> a CHElMICAL 'WASTE MANAGEMENT, INC. y f <br /> Z 35251' QLD SKYLINE ROAD H-,Facirtl/sFhane' <br /> KETTLEMAN CITY CA 93239' C MIT 0 0 0 0 4 6 1 1 7 • ' <br /> (209)386-.9711 . <br /> 12 Containers 13. Total 14. Unit <br /> V11..US DOT Description(including Proper Stripping Name,Hazard Clesu,and ID Number) No, Type Quantity Wt/vol I. Waste Number <br /> o' BION RCRA HAZARDOUS 1JAS$TE SppLID', Slate <br /> (TREATED WOOD CONTAMINATED. WITIi Lr - -181 .352 <br /> - <br /> (TREATED <br /> ARSENJ C AND CHROMI 11EPA/Other <br /> v o 6o Y <br /> o N b, State <br /> m E <br /> R EPA/Other <br /> A L Stale <br /> a T <br /> CC) <br /> O " <br /> R EPA/Other::.. <br /> d State.. <br /> W <br /> V EPA/Orher <br /> W <br /> Z ' J. ditional Doscriplio s for Materials tinted Above 2 K. Handling Codes For Wastes Listed Above <br /> 0 a ECO340: 171 6: <br /> N <br /> Z 15_ Special Handling Inslruclions and Additional Information <br /> O • <br /> Q CHEMTREC Emeraencx Resroiise. Number -(800)424-9300 WIMI Coiitraci <br /> Z <br /> W' .. <br /> yr <br /> 16, GENERATOR'S CERTIFICATION: I here6 declare that the ca"wws of this consignment are Fully and ocatiaic described also✓e�j proper Ai pin name and are cla'ssiFied,pocked, <br /> marked,and la6clod,and are in a0 respects in proper.condition For Iransporl by hiQ6-ay according to applicable intemasiond and national governmenr rogu[ations. <br /> —�� IF I am a largo quant;�y genemior,I ecflify that I have a program in place to redvae the volume and toxicity of—olio'generaied to tho degree i hove determined•to be aconomically <br /> N praelleeble and that I have selected the proeticeblemathod o1 treatment,storage,or disposal currently available to me.thiel'minimizes the present and fulure threat to human heolth <br /> aC and the environment;OR,if I am a small quantity generator,I have made a good 616 effort to minimize my waste gonecalion,and selaci the host waste management method that is <br /> Q available to me and that I can afford. <br /> } Printed typed N e Sign re Month Day Year <br /> Z <br /> d S I 0 3 <br /> su 1 <br /> (� R T 7. Trans rtcr 1 A rw-I emsnl of Receipt of MoferiaL- <br /> W A Printed/Typed Name Signature / Month Doty Year <br /> : e L / <br /> ,� P ' /19 4(,114 e L' �iV ,v�� 1 5 . <br /> st_ 18. Transonnar 2 Acirnowled emenl of Receipt of Materials <br /> O T Priniad/Typed Nome.• Signature Month Day Year " <br /> N E iQ tl <br /> V 19, Discrepancy Indication Space . <br /> Z .. <br /> A <br /> C <br /> 1 20. facilityOwnar or Operator Certification of race; r of hazardous materials co+erect this ma it(eal except as noted Tn Item 19. <br /> T ri ted/Typed Name Signvlute' Month Day Year <br /> Y S t <br /> DO NOT W ELOW THIS LINE. <br /> DISC 8022A IT/99lT55DF �%r1,^.5 TH1�•CtFY TO vTS_ V6ITLIN'3� DAY' <br /> EPA.8700-22 Tv P.C. aCa Ov, Scrrr. w'na. C i�E1= . <br />