Laserfiche WebLink
Ple:asP arint nr firna Xnrm daslnrtad fnr ii— nn onto M9_niirh\ h.n uwFFe.1 <br />EPA Form 8700.22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED) <br />--- -... -4,les/.4e Oni(Afh4fC. <br />- <br />UNIFORM HAZARDOUS WASTE MANIFEST <br />(Continuation Sheet) , <br />_..... _.- <br />121. Generator iD Number22. Page <br />CAL000374240 of 2, <br />_.....'w._.��. ------ ---- <br />23, Manifest Tracking Number <br />005-157021FLE, <br />24. Generators Name , <br />Da l l ar';,.G en era -1 �# 1,3585 <br />25. Transportercompam Name U.S. EPA tD Number <br />26. Transporter Company Name U.S. EPA ID Number <br />1 <br />27a. <br />HM <br />Vb. U.S. DOT Description (induding Proper Shipping Name, Hazard Class, ID Number, <br />and Padang Group (if any)) <br />26. Containers <br />29, Total <br />Quantity <br />30. Urdl <br />W M. <br />3i• Waste Codes <br />No. <br />Type <br />S,Non RCRA hazardous waste, solid (Consumer <br />Products) , <br />i <br />DF <br />00044 <br />P <br />331 <br />S.Non RCRA hazardous waste, liquid (Consumer <br />1 <br />DF <br />00102 <br />P <br />331 <br />4 <br />f- <br />32. Special Handfug lnsWgians and Additional information , 1 0 2 (No RCRA So 1 i d a s t e (CA Only) — L o o s e pac k) E.- <br />Y1-1IBS24(Non— RCRA;. Liqu.id.:41aste (C� Only — Loosepacky <br />33. Transoorter Admowk*rngM of Receipt of Materials <br />0 <br />Pdnw yped Name Signature Month Day tt Year <br />1 <br />z <br />34. Transporter AdwMedgment of Receipt of Materials <br />Q <br />6 <br />W <br />0 <br />PrintedlTyped Name ignature MDO ay Year <br />35. Discrepancy <br />36. H pus Waste Report Management Method [odes !. awn for hazardous waste treatment, disposal, and recycling systems) <br />1 I i I <br />EPA Form 8700.22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED) <br />--- -... -4,les/.4e Oni(Afh4fC. <br />