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Please print or type: Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 23.Manifest Tracking Number <br /> (Continuation Sheet) M000180844 2 OR 2 013304835FLE <br /> 24.Generator's Name <br /> Irisin Electronics Inc <br /> 199 Renk Wrest <br /> Stockton,CA 95206 <br /> 25.Transporter Company Name <br /> U.S.EPA ID Number <br /> 26.Transporter Company Name U.S.EPA ID Number <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit <br /> HM and Packing Group(if any)) No. Type Quantity Wt.N01. 31.Waste Codes <br /> rVon-RCRAHanrdous Waste Liquid(SiNce.,lsrxyiate ONponer) / 343 <br /> t 7 P <br /> 6)Not-RCRA Howdous Waste Liquid(Phenol,Water) ) et 343 <br /> 0 <br /> w <br /> Z <br /> LU <br /> O <br /> 32.Special Handling Instructions and Additional Information <br /> *)E:KGP, 070131670.21877 ARJ- i"� 6)ER(30-, 070131670-211721 AV- <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> F Printed/Typed Name Signature Month Day Year <br /> O <br /> a <br /> CO 34.Transporter Acknowledgment of Receipt of Materials <br /> Printed/Typed Name Signature Month Day Year <br /> } 35.Discrepancy <br /> U <br /> Q <br /> W <br /> C <br /> LU <br /> a 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> 0 <br /> rn <br /> w <br /> 0 <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. GENERATOR'S INITIAL COPY <br />