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Please print ort pe. Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4.Manifest Trackin Number WASTE MANIFEST CAC 0 0 31 2 8 9 0 8 1 408)363-3678 016133604 F L E 5.Generators Name and Malting Address Generator's Site Address(if different than mailing address) METAL FINISHING SOLUTIONS 0X) METAL FINISHING SOLUTIONS(1X) 870 COMSTOCK ST 9999 S AUSTIN RD SANTACLARA CA 95054 MANTECA CA 96336 Generators Phone: 2nQ 7—q3-9M 6.Transporter 1 Company Name U,S.EPA ID Number ALL CLEAN HAZARDOUS WASTE REMOVAL,INC. CAD 9 8 2 4 9 2 3 9 9 7.Transporter 2 Company Name U.S.FPA 10 Number 8.Designated Facility Name and Site Address U.S.EPA ID Number US ECOLOGY NEVADA HWY.9511 MILES SOUTH OF BEATTY BEATIY NV 89003 N V T 3 3 0 01 0 0 0 0 Facility's Phone: 9a, 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit 13.Waste Codes HM and Packing Group(if any)) No. Type Quantity Wt.Nol. 1 UN3262,CORROSIVE SOLID,BASIC,INORGANIC,N.O.S.,8,PG411 181 X P (SODIUM HYDROXIDE) 12-D z 2 w c7 3 4. 14.Special Handling Instructions and Additional Information -ACH VAM31051 1 18991-C19""BILLTO ALL CLEAN POSIBM1 - 9bi)070127495-10939-CONTAMINATED DEBRIS E X gS,�N j 06,cil,44 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged, marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)or(b)(if I am a small quantity generator)is true. Gammlor`0 ferors Pdntedffyped Name Signature Month Day Year �dl L? l �� 16.International Shipment F El Import to U.S. ❑Export from U.S. Port of entry/exit: ? Transporter signature(for exports only): Date leaving U.S.: w 17.Transporter Acknowledgment of Receipt of Materials Transporter 1 Pnnledfryped Name Signature Month Day Year 00 G/0✓eI/ r Z Transportef 2 Printed/Typed Name Signature Month Day Year F 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quantity Type ❑ j ❑Full Rejection ❑T ❑Residue Partial Rejection Manifest Reference Number: 18b.Alternate Facility(or Generator) U.S.EPA ID Number J U LL Facility's Phone: W 18c.Signature of Alternate Facility(or Generator) Month Day Year Q Z N19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) C3 1 �n� 1 2. 3 4. 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a I-, -"I k A L16, I A Pemqyyped Name S,gnature Month Day Year V%.6 rrg" EPA Form 8700-22(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM