Laserfiche WebLink
Please print or type. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 23.INanHestTracking Number <br /> (Continuation Sneer) CAL 000 379 503 2 020592550JJK <br /> 24.Generators Name <br /> SNMT&F MAL#393 <br /> 25.Transporter Company Name U.S.EPA ID Number <br /> 26.Transporter Company Name U.S.EPA ID Number <br /> 27a. 27h.U.S.DOT Description(Including Proper Shipping Name,Hazard Class,ID Number, 29•Contomd 29.Total 30.Unit <br /> HM and Packing Group(d any)) No. IType Quantity WtAM. 31.Waste Codes <br /> 3077,Waste EmdroMerdaliyhazardous s"ances, 001 GP 00001 P D009 181 <br /> solid, rt_o_s_(Mercury),8,PGlll, (RQ:D006),ERG#171 <br /> UG on azar ous e, tqu (Consumer Produds) G 00087 P 331 <br /> i� <br /> 1 <br /> I <br /> 0 <br /> �a <br /> W <br /> z <br /> W <br /> C7 <br /> aSFNHWUI!SFNHM -NON-HAZARDOUS ICUIDS&SOUDS <br /> 33•Trails meet of Recelpt of Materials <br /> LU PrintedlTyped Name Signature Month Day Year <br /> Q _ <br /> a <br /> 30..Transporter Acknowledgment of of Materials <br /> PrinledfTyped Name Signature Month Day. Year <br /> t— <br /> 35.Disorepancy <br /> V <br /> W <br /> M�+"Report Management MW C4"92codes for hazardous waste treatment.disposal,and recycling systems) <br /> C7 <br /> a <br /> EPA Form 8700-22A(Rev.12-t 7) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br /> i <br />