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Please print or type. <br /> UNIFORM HAZARDOUS 1 Ge1t a►ID i~hanber 2 Forth OMI No.205400M9 <br /> Psge 4 0! 3 Emerperhay Reponse Phwhe +!,Manila!Tracking Nhanber <br /> WASTE MANIFEST C� ' s15�71 747 019 912 n 4 6 J I V <br /> 3.Gecheraloh s Name and Malting Address C,erheamfa Site Address I8 hiilfeert than malting address) <br /> LODI UNIFIED SCHOOL DISTRICTTRANSPORTATIOP) <br /> 820 S CLUFF AVE <br /> LODI.CA 55242 <br /> Generabe5 nMM. W-411.71 AM <br /> &Transporter 1 COO—"Name <br /> U.S.E:PA ID Number <br /> RAMOS EWRONMEII SERVICES INC. <br /> 7.Transporter Z Y Nang <br /> U.S.EPA ID Nwnther <br /> =R—. <br /> ame and SdeAddress <br /> RAMOS ENVIRONMEAITAL SERVICES INC. uS.EPA ID Nundrer <br /> 1515SOUTH <br /> OUTH I ERIT�. 95681 CAD0440d3SE8 <br /> 7t45747 _ <br /> ga. 9b.U.S.DOTDesmfl;kn fircgrft Pmper Shipping Name,�ianrd Class,ID Number 10.CmhhJnas <br /> HM 'and Padring Grrrup Pre"'U Nm Type ' �y ' 13 waste Codes <br /> WLAAOL <br /> NON RCRA HAZARDOUS WAsM SOLID (OIL,DEBRIS? <br /> � P 352 <br /> 3. <br /> A <br /> 14.Special Hhmdling khstuctarhs and Addibonhhl MrarrnaGorh <br /> 99.1)PROFIMPI9225 ERGM71 <br /> E.R. CODONW <br /> H -SHOULD B TRRAMOAIAIEAID APPROVED PFS }c L3 %3# (82_q S- <br /> 15. GENERATOR'SlDFFERDR'SCERTIFICATION:Ifib!doctors that fhe wrhlents d Iia caasigameal ere lydly and eaaaately daaftd above the <br /> marked aril labafedlplacafded.en'd aro In d res"In proper oondtian tar tramped by gLrI ahippkg name and ere doss 4eh1 padraged, <br /> Expwter,I cutiy that the cordt nts hat this consignment conkrm to the tams of tta altadha ed�EPA c inOemaAanafand naTfonal 9ovemmenlal rapulatais If evm d*ml and I am the Rkrary <br /> I oerfdy that the was""' statement idmUmd In 40 CFR 252.27(a)(d I am a lege gwmmy ment(bConsent. <br /> GerhembPalOQeGh s Pdntedlfyped moue {b)(dl am a snot quantty genemlix is I m <br /> Slgrhehee Month Da Yah <br /> 1&Interna Mn" <br /> a T sphh�r � ( exphx� ❑Mhpwt to U,S ❑Export I=U.S Pat d enkyladl <br /> W 17.TihhnVWr Dale Isavhhg U.S. <br /> Ah9mhhtmtvlRhee�pt dMatedals <br /> Tra mmler 1 Noma <br /> a S Month Day Yew <br /> Transpoter 2 Z f(5 <br /> F— Month Day Year <br /> 16.mumpency <br /> 18a.Disaepahhcy Indication Space ❑Daehtliiy ❑Type <br /> ❑P.W. ❑PereW Relh!ataa ❑Fut Re)estkn <br /> 186.AIlmhate Fanddty(ar Genera6w) Mantast I$lererhrx Nhhmber. <br /> U.S.EF ID Nhahhber <br /> U <br /> tiaFat3iW3 Phare- <br /> w 18c Sghrdbre of Alternate Fedily(hx(;enacayorJ <br /> � 1Montlh � � <br /> 4 19.Flsardous waste Report Managanenl Metlhod Codas Pa.,codes for thm dour waste haathneal,disposal,and racycfng systems) <br /> ' Iql3. 4 <br /> 20.Designated Fealty t]rmer a Dperabr Cat6®9on of rea*of hazaatous mePfln tatars WyeW by the maraksl swept testi rhded is Item 183 <br /> Silinakm <br /> Ll I ::I © Month Day Year <br /> EPA Form 870x22(Rev.1247) PrevkwS editions are obsolete, /2 -� <br /> DESIGNATED FACILITY TO EPA's e.MANIFEST SYSTEM <br />