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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) t..•8�t: <br /> 24.Generator's Name <br /> San Joaquin pelta collegt <br /> U.S.EPA ID Number <br /> 25. Transporter Company Name <br /> U.S.EPA ID Number <br /> 26. Transporter Company Name <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28,Containers 29.Total 30.Unit <br /> 31.Waste Codes <br /> HM and Packing Group(if any)) } No. Type Quantity Wt./Vol. <br /> fA IA'fS: ,.tt dd IK Ck trt:. .., <br /> I <br /> r. WHSIE LICMDt EX MM <br /> O <br /> Q <br /> w <br /> z <br /> w <br /> c� <br /> 32.Special Handling Instructions and Additional Information <br /> P-. <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> H Printed/Typed Name Signature Month Day Year <br /> W <br /> O <br /> co 34.Transporter Acknowledgment of Receipt of Materials <br /> z <br /> Printed/Typed Name Signature Month Day Year <br /> f— <br /> } 35.Discrepancy <br /> H <br /> J <br /> U <br /> Q <br /> LL <br /> 0 <br /> W <br /> a 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> z <br /> O <br /> U) <br /> w <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. GENERATOR'S INITIAL COPY <br />