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SSL SK 5HIP# 228413958 <br /> Please print or type. 0 U Form6 J OMB No. 2850.0039 <br /> UNIFORM HAZARDOUS 1. Generator ID Number 2. Page 1 of 3. �me en�y Res��aa��sse pp��tt�� 4. and est Trerddng Number <br /> WASTE MANIFEST CRD98233fi141 1 1 —A00-4bt3- 1 7b01006961073 SKS <br /> � V C* <br /> 5. Generator's Name and MaligAddrese Generelor's StteAddress gfrilerera than mating address) 17I��7 <br /> Murrayy Trailers A Division of Hogan Mfg . , Inc. <br /> 1754 E . Mariposa Road <br /> STOCKTON CA 95205-7790 <br /> Generators Phone: 209-838-7323 <br /> S. 1 }YTL N SYSTEMS INC U.S. EPA ID Number TXROONS1205 <br /> 7. Transporter 2 Company Name U.S. FPA ID Number <br /> 8, Designated Fadely Name andSite Address §0ETV4L1ENw <br /> SYSTEMS , INC. U.S. EPA ID Number <br /> 6000 88TH STREET <br /> SACRAMENTO , CA 95828 <br /> 916-386-4913 CA0000084517 <br /> FaDWs Plane: <br /> ga. 9b. U.S. DOT Description (ududing Proper Shaping Nana, Hazard Class, ID Number, 1 L Contalnors 11. Tolal 12, Unit <br /> 13. Wade Codes <br /> HMI and Packing GrouP (darq)) t 3, Type Quantity VAMI. <br /> o X ' 1' FUME I3 WASTE PAINT RELATED MATERIAL, 3, DM P F00 D001 D018 <br /> D03 D039 212 <br /> Z 2. <br /> w <br /> t9 <br /> 3. <br /> 4, <br /> 1 <br /> 14, Special Handing instructions and AddktM information TSD : SCA 79998667 MU17758 201919 CSG : 23 , <br /> 1 ) ERG# 128 • <br /> 24H EMERGtNCY#800-468-- 1760-CH/ SK/ TFI -Contract retaini y generator confers a ency authori y <br /> 15. OENERATOR'SIOFFEROR'SCE gATION: Iherebydedarethatthecontentsofthisconsignmentaefulyand accialelydescribeda by the propershippirgnorm, and aredassifiW, padaged, 1 <br /> marked and labete oacauied, and are in all respects in proper condi ion for transport according to applcabs internafiom and national govemmenlai regulations. It export shpno nt and I am the Primary <br /> Exporter, I ce" that the contents of 8nle consignment conform to the terms of the altechad EPAAdTcMedgment of Con ant <br /> I certify that the waste ntirinlzadon statement identified In 40 CFR 26227(x) (8I am a large quantity generator) or (b) (YI m a sinal quantity generator) Is true. <br /> Generator emus PrinledlTyped Name S'gnaaae / I Month Day Year <br /> A LO M 06 1 ,519 <br /> 16. Inlema8onal Shipments <br /> F <br /> El import to U.S. ❑ ExpatfranU.S. Port otentryrexit <br /> ? Transportersignature (lorexports only): Dale leaving US.: , <br /> K 17. TwsponerAcvwWdgmenlofReceiptofMatwtts r <br /> Tr or 1 PrinteN>;yped Nina Signature Day You , <br /> a UZ i VolC/r <br /> 2 <br /> Transp2 Signature Month Day Y <br /> ledyT <br /> 18. 0iscrepancy <br /> 18a. Discrepancy Indication Space ❑ Quantity ❑ Type ❑ ResIlarenoe <br /> e El Partial Rejection ElFul Rejection <br /> Mantifest Number: <br /> 18b. Alternate Factq (or Generator) U.S. EPA ID Number <br /> U <br /> FacN ys Phone: <br /> aa 18c. Signature c(Aftemate Facllty (or Ganerator) Month Day Year <br /> 2 <br /> N19. Hazardous Waste Report Management Method Codes Q.e., codes forhazardous waste treatment, disposal, and recycling systems) , <br /> 1 ' H141 2. 3. 4. <br /> I <br /> 20, Designated Fealty Onneror Operator Cer6ficabon of receipt of hazardous materials covered by Bre marniest except as Wad In Hem 18a ' <br /> 111 Pdntemtyped Name SigAqture Month Day Year <br /> < �l Lv <br /> EPA Form 8700.22 6v. 1247) Previous editions are obsolete. DESIGNATED FACILITYT A'se•MANIFESTSYS EM <br /> U12607 / 150426 <br /> 6 <br /> r <br /> i <br /> r <br /> E <br /> I <br />