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Please Print or type. (Form designed for use on elite (12 -pitch) type~.) F*rm Aq"7wd aW No. 2VO-W". <br />1a111%rmaM-nA (Flamill-6111 ftmoodibmarootedgie <br />'qPJQ1NAL4WURN TO GENERATOR <br />UNIFORM HAZARDOUS Genenatoes US EPA ID No.mardlerst Document Na <br />22. Page Information in the shaded <br />121. <br />WASTE MANIFEST CAL0002898 <br />W Ll r(al 0 <br />2 of 2 areas is not "ired by Federal <br />I <br />(ContlnuaUdn Sh"t) <br />law. <br />23. Generatoes Name <br />i..SWe Mantlew Document <br />TARGET <br />I 905 Aston Avenue #100 <br />b1: bYaoq c3enorsators W.' <br />Carlsbad, CA 92008 <br />24. Tramported Company Name 25, US EPA ID Number <br />arijiporWs ID <br />SLATE INffL—*1MAL SERVICES, INC- TXROOD061466 <br />PijTraneportar's Phone 9=74.=... <br />26. Transporter Company Name 27. US EPA 10 Number <br />jP�t&"-.TranspcnWs1D: <br />Q;TranaporWs Phone 7 <br />28. US DOT Description f7rxiudkV ProparShopi�V Name, hfszardCfass, WdIDNumbw) <br />. C <br />29ontainers <br />30, <br />Total <br />31. <br />Unit <br />.:�- <br />FL4-. <br />'V"w- <br />Fwl <br />No. Type <br />Oua ntity <br />wwol <br />IL <br />Norl,-RCRA, Non Hazardous Mitarial <br />(Fertilizer) <br />DM <br />G <br />OUTS31.91 - <br />.b. <br />X <br />(RQ=1001#), Waste Corrosive Liquids, Acidio. Inorganic, n.o.s., <br />8.UN3264.PGII (ERG# 164) <br />DF <br />0 <br />OLM11011A <br />I <br />c- <br />X <br />(RQ=IW#), Waste Corrosive Liquids, Basic, Inorganic, n.o.s.,D002 <br />8, UN32M. PGII (Sodlizin Hydroxide) (ERG# 154) <br />DF <br />01 <br />OUTS1110H <br />X <br />-- <br />(RQ=IW. Waste Corrosive, Oxidizing, mo,s.. 8, UN3093, <br />D001, DOD2 <br />PGII (Chlorine Bleach) (ERU# 140) <br />OFG <br />OUT811112H <br />R <br />A <br />e. <br />X <br />VvbLdeAerosols. Flammable, 2.1, LINIWO <br />T <br />0 <br />(Awosol Cans) (ERG# 126) <br />DM <br />G <br />OUTSMIIH <br />f. <br />9. <br />h. <br />i. <br />S. Additiconal Descriptlom for Materlaile Listed Above) <br />T. Handling Cvdea for Wastes Usted Above <br />EI <br />28a) EI -15 28d-5 <br />26b) L-1-0 213e) EI -4 <br />- 28c) EI -7 <br />Sol <br />32. Special Handling Instructions and Additional Information <br />IN CASE OF EMERGENCY, CONTACT 3E AT 800,451.9346 <br />TARGET TART1X5 280 Spreckels Ave Contact: (209) 823-082 <br />Manteca CA 95336 Proposal # 25768 <br />T <br />33. Transporter — Acknowledgement ol Receipt of Materials <br />Dale <br />2 <br />Printed/Typed Nam Signature 440wh Day Year <br />0 <br />34. Transporter _ Acknowledgement of Receipt of Materials Date <br />R <br />T <br />Printecirrypod Name <br />SignatumY wonth Day Year <br />B-------- <br />------ --- <br />f <br />35. Discrepancy1ridication Space <br />T <br />Y <br />1a111%rmaM-nA (Flamill-6111 ftmoodibmarootedgie <br />'qPJQ1NAL4WURN TO GENERATOR <br />