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Attachment B <br /> FORM B (Removal Request) <br /> PLEASE TYPE OR PRINT <br /> Due Date: Wednesday, November 9, 2016 <br /> �an[eca m ie c ccl ISU c. <br /> Manteca Unified School District - Risk Management <br /> Ph. 209.858.0860 Fax. 209.825.7090 <br /> Date: 11/712016 <br /> Site Name: Lindbergh School Automotive Center rm #43 <br /> Completed By: Greg Albiani <br /> HAZARDOUS/1310 REMOVAL REQUEST • . <br /> Name: Telephone: Department: <br /> Greg Albiani jx56643 ROP Automotive <br /> If there is no hazardous waste you want removed, please write "NONE" <br /> on this form and return to Risk Management <br /> HAZARDOUSIBIO WASTE INVENTORY TO BE REMOVED <br /> Location (d) <br /> Number of Amount per Container <br /> Containers Container(a) Size(b) Conten? Description (c) Building Room <br /> 1 1 30gallon 30gallon used oil and transmission filters Automotive 43 <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br /> 17 <br /> 18 <br /> 19 <br /> 201 1 <br /> INSTRUCTIONS <br /> Hazardous chemical means any chemical which has a physical hazard or health hazard. <br /> a)The amount per container must be noted in gallons, liters.or ounces for liquids. Solids must be noted in pounds <br /> b) Container size: 5 gallon container. 30 gallon container,etc <br /> c)The container contact must be detailed. Please include composition in percentage if it is known. Example: 80%oil and 20%water <br /> d)Exact 4ocation where the containers are in storage on campus. <br /> Fax this Hazardous Waste Removal Request Form to: (209)825-7090,Attention Kimberly A Wright, Director of Risk Management <br /> lJpon the receipt of the Fax.Advanced Chemical Transport. Inc. (ACT)will be requested to contact you(through my office)to make <br /> an appointment to evaluate the waste <br />