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449154L <br /> Form Approved.OMB No.2050-0039 <br /> Please print or type. 21.Generator ID Number 22.Page 23.manifest Tracking Number <br /> UNIFORM HAZARDOUS WASTE MANIFEST P V,0002105932 C, 0 0 3 45 4 671)P! <br /> (Continuation Sheet) <br /> 24.Generator's Name <br /> CIUC TRACY FACT 11TY <br /> TY AND COUNTY OF SFP I <br /> 1396 MARKET STREET, SH 210 SAN FRANCISCO CA 34192 O4IS)252-39117 <br /> U.S.EPA ID Number <br /> 25, Transporter— company Name <br /> U.S.EPA ID Number <br /> 26. Transporter— Company Name <br /> 27a, 271b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit 31.Waste Codes <br /> HM and Packing Group(if any)) No. --Ty—pe Quantity Wt Nol. <br /> RC R ft h Q�CLK'dOLVS WQSV O©( F <br /> 0 <br /> Z <br /> LU <br /> ii <br /> 32.S pecial Handling Instructions and Aaditional Information <br /> V-T 23 2`t c)C, Cj t L <br /> V U 0`3 t4 <br /> 33.Transporter Acknowledgment of <br /> Receipt of Materials Signature Month Day Year <br /> W Printed/Typed Name <br /> 0 <br /> CL <br /> 34.Transporter Acknowledgment of Receipt of Materials Month Day Year <br /> ame Signature <br /> 35.Discrepancy <br /> 0 <br /> !;R <br /> LU 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> co <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />