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ease w a' Form Jeagnee for use on" 12,;'rr, .1 Form ped.OMB No. <br /> UNIFORM HAZARDOUS WASTE MANIFEST '1 Pp,2 22 lb FM Trw"Nu*w <br /> K4n*pjmWn 1 I CALOOOOI8659 of 2 000142615WAS <br /> "9ttrllSDINGS CORP. / DAWN JESS MART 3174 / MCbC CLERK <br /> 3333 BEVERLY ROAD 2180 E. MARIPOSA RD. <br /> HOfFMAN ESTATES, 1L 60179 STOCKTON, CA 95205 <br /> U.S.EPA ID Numbw <br /> 25.Trane{w1x -- Canp"1'4me <br /> :t! 1'anfOrX'r _ Cxp,rl reme , <br /> ;Y7'DesapOm(rckj V P,,.Vw ShW.V Nan, t&L&lC-an C ruY'+OM A "•,',r r Aa.4 <br /> HM -P*MV Croup Armyµ <br /> X 5. RQ WASTE TOXIC LIQUIDS FLAMMABLE, D001 D0161DO37 <br /> ORGANIC N.O.S. 6 I(3).UNi929.PG11 . <br /> (PENTAC�ILOROPHEW, 2,4- QQ a <br /> 5. DICHLOROPHENOXYACETIC ACID).(DO37 D001 ). XXX XX XXX X XXXX XXXX <br /> ERG#131 <br /> XXXX XXXX XXX <br /> X <br /> X 7. RQ,WASTE CORROSIVE LI(pU ID BASIC 123 D002 <br /> r INORGANIC, N.O.S..8 UN3266.P�11 ,M IUM <br /> HYDROXIDE).(D002),E14154 <br /> z <br /> W <br /> i <br /> IS s "'gin'CqFp' '.nW I-M Q450295LDR 7.W 10 Q450285 LDR <br /> 33.'' of ReoW of Moriak <br /> hnvraTyped Nemo Sign— Mordn Day Year <br /> Admwaunert of RecW of Mwnak <br /> ns7 Nemo - ear <br /> r <br /> ?5:?,aepr.y <br /> J <br /> u <br /> s <br /> W <br /> 0 L <br /> W p pa ►1 �,s <br /> 38."�andoia wWahf t$I"""B""en'McUui°codes(Le., 4°i"rawda`s w�-�ee�rrl asooa4l and w sYI <br /> Uj t '. 17141 <br /> W <br /> O <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE OF REQUIRED) <br />