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Please in or type. Form Approved. OMB No, 2050-0039 '.. _. . UNIFORM HAZARDOUS 1 . Gen t ID Nu ber =2. i of 3. Emergency Response Phone - M. hg9a�n'rf�e+st Tracking"� Number q g WASTE MANIFEST � aLGl .3. .,`::s` _ _ it. .d , . ,AI 0 2 13 � J 0 1a a9J 5. Generators Name and Mailing Address Generators Site Address (if different than mailing address) '.. - STOCKTON STEEL 4R,'. OF THE hIERRIC'X CORR , l3 E. HAMMER LN, STOCKTON , CA 95212 IJSA - GeneratorsPho 6. Transporter 1 Company Name U.S. EPA ID Number RAPv O—S ENVIRON,EENAL SERVICES INN, 7. Transporter 2 Company Name U.S. EPA ID Number 8. Designated Fortify Name and Site Address U.S. EPA ID Number Rc :- 10:9 ENVlIrr0hJNLN3 ERVIGi INC. f 1 . :jfjl IN FAX�ER RD. - r"F5t' tf�.r::R:NI&e!Trt , GA 95691 Facility's Phone99Cr3`r-1 5747 ga 91h. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 10. Containers 11 . Total 12. Unit 13. Waste Codes HM and Packing Group (if any)) No. Type Quantity WLIV& t ' NC7pl RCRA HAZARDOUS S'dAS7E SOLID (OIL, DEBRIS) 352 W Z 2. w c� 3. 4. 14. Special Handling Instructions and Additional Information f � 0 - / – 981}PROFILEW ERGM71 Kv5 E.R. CONTRACTOR: RAMOS ENVIRONMENTAL SERVICES HANDLERS TO BE TRAINED AND USE APPROVED PPE. 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully, and accurately deocdbed above by the proper shipping name, and are classified, packaged, marked and Iabeledlplacarded, and are in all respects in proper condition for transport according to applicable tntemationala el national governmental regulators. If expoil shipment and I am theP'ary Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(5) (if I am a large quantity generator) ar (b) (if l am a small quantity generator) is true, GeneratorslOBerors Prkred/Typed Name Signature Month Day Year 'l /.S s wi�a� / ,3 16 zo ,o 16. International Shipments —1 Import to U.S. ❑ Exportfro� Or Port of entrylexit: z Tmnspoder signature (tor exports only): Date leaving U.S.: [L' 17. Transporter Acknowledgment of Receipt of Materials Tell ( Primed/ryped-Name .. .__-. . __ _ __ . -. _� Signalure , _ _. . ^ MonthD Year ZL aZ Transporter 2 Printedlfyped Name Signature Month Day Year K r 18. Discrepancy - - - t 18a. Discrepancy Indication Space ❑ .Quantity El Type ❑ I El Rejection ❑ Residue Pallial Rejection I tion Manifest Reference Number: 18b. Alternate Facility (or Generator) U.S. EPA ID Number - U LL Fadltlys Phone: w 18c. Signature ofNtemate Facility (or Generator) - Month Day Year Z y19. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste Vestment, disposal, and recycling systems) - - oL 2. 3. 4.. l20 Designated Facility (Owner or Operator:Codification of receipt of hazardous materials covered by the manifest except as noted in Item 18a t PrintedRyped Name Signature Month Day Year EPA Form 8700-22 (Rev. 12 17) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR