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St�C►Or'� a 375Fr<fl6I ,y 3 <br /> r �,e p;h'tZdT.tytx: °��,+.•4- z:F.$' �• - �y id.µr`< ' �„ .a;�-..t.... . ,..,k � <br /> Form Approved:OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21 Generator ID Number:' 22 Page'` 23 Manliest Tracking Number <br /> (C;ntinuation`Sheet) OR0OO285992 2 rinri7?761710DAT <br /> Generator's Name <br /> CITY AND COUNTY OF SFPUC TRACY FACILITY <br /> 1340 MARKET, Sl4EE? :!( SAN fRpI+Cl:C; [8 y4I01 ," 'n?' <br /> 25.Transporter Company Name U.S.EPA ID Number <br /> 26.Transporter Company Name U.S.EPA ID Number ;R <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number,` 28.Containers 29•Total 30.Unit 31.Waste Codes <br /> HM and Pad dng Group(if any)) { No. Type Quantity WtNol. <br /> RQCBD02 �, F - FOP 791 <br /> I 2 <br /> fi U10264 Vf�5�" ','CFRMIVi Lltill , ACIDIC, I; (1!w L13 ith 141OA <br /> (HYDROCHLORIC ACID, SODIUM ARSENITE) 0 PGII R0000I) 1Ni <br /> �- <br /> UNI?41- TE HIFOCHLORITE SOLUTIONS 6 1) oa hR0 I3 <br /> i.`0 <br /> W <br /> Z <br /> W <br /> I <br /> 1 <br /> 32 Soecial Handing lnstr�ctlons andAdditl00al informaton t=! r - i ,r,i7t 1�4' •t L4 U 1. tttlu;Ilk YL UN111t <br /> ANALYSIS (l_ (1) 843335-01 - E9.0154) SODIUM HYPOCHLRR?TE <br /> (r, ) /�C .5-S� 1 f ) 1 vS' (1) 1 �'L7STo;F <br /> oC 33.Transporter Adowwledgmem of Receipt of Materials <br /> Signature Month Day Year <br /> LU PriniedfTyped Name <br /> O <br /> N 34,Transporter Acknowledgment of Receipt of Materials <br /> �- Prinle ypedName '.: .� ' •_ Signatura_ <br /> 35.Discrepancy <br /> V <br /> Q <br /> D <br /> rW- 36.HazarWasJ�e Ref>at Management 5)Umd es(ke�codes for hazard ous was?;treatment,disposal,and recycling systems) <br /> Z '/'11 <br /> DESIGNATED FACILITYTO GENERATOR <br /> g3 <br />