Laserfiche WebLink
Please print or type. FormApproved.OMB No.205OM39 <br /> UNIFORM 14A2ARDOUSYVASTEMAMiFEST 21.GeneralorlDN-- 21.Page23 ManifestTracking Number <br /> (Continuation Sheet) CM(17879D920 2 012218720R.E <br /> 24,Generators Name Suite-rTracy Corn lnunityHoSpltal <br /> 1420 N TlEllvd <br /> Tracy,CA 95376 <br /> 25.Transporter <br /> '_ Name--' --' ' U.S.EPA ID Number <br /> Company <br /> U.S.EPA ID Number <br /> 26,Transporter Camparsy Name <br /> 27a 27b.U.S.DoT Dearaiytian(mdudusg Proper Shipping Name,Hazard Class,m Number, 26.Contarners 21 Total 30.Un l <br /> HM and PadGrin Cd any)) No. Type Quantity wtiva. 31,Waste Codes <br /> rirrg <br /> UN32lVtasty Cll M liquid,acldlc,In n.os_ 791 DOW <br /> X (HYDROCHLORIC AlSULFURIC ACID),8,11 � DF 5 P <br /> Nott-RCRAHazard=MSL,,Llquld(3-5%Hydrogen Pal 343 <br /> l °F 5 <br /> x <br /> NA3477,1Nasto Hamril Waste,solid,nx-s.(LEAD),9,Ill DFP <br /> 1131 DOD <br /> 1 t'�� <br /> o <br /> NDn-RCRA Haml!f tste,Llquld(Surfaeatatt!:} DF P 343Ll� <br /> 2 <br /> W <br /> C7 <br /> 32,Spada)Handling Instructions and Additional Informalioas <br /> 5)07t � 7S5 EPll 6)070131570-31927 7)07o12a301-15300 ERM9171 8)Q701311570-3`1928 <br /> el e'% <br /> 33.T AdmDMeAgrnerrt of Recuyt of lamer <br /> uJ Pmwdrryyed Name Signat+iro Manns Day Year <br /> n5 <br /> 0 <br /> a <br /> Transpoder_AdW.*ffentafRomiptofMater4s <br /> PdriledlTyped Name Signal MOO Day Year <br /> 35.Discrepancy <br /> C3 " <br /> k <br /> 0 <br /> a36. rdou Waste Report Management Method s - es far hazardous waste tmatm n dand recydirg systems) <br /> z - <br /> c� <br /> sn <br /> w <br /> o <br /> EPA Form 8700-22A(Rev.12-17) Previousedilionsare obsolete. DESIGNATED FACILITY TO EPA's e•MANIFESTSYSTEM <br />