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Please print or type. (Form designed for use on '12-p;' 1 typewriter.) Form Aperoved. OMB No 2050-0039.
<br />Style CF 18 Labelmaster, An American Labelmark Co., Chicago, IL 60646 (800) 621-5808 EPA Form 8700-22A (Rev 9-88) Previous editions are obsolete
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<br />N RECYCtEO VAPefl�I �_ ORIGINAL -RETURN TO GENERATOR
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<br />UNIFORM HAZARDOUS
<br />21. G_zrato. 3 EPA ID No. Manifest Document tvu.
<br />22. ,e
<br />Information in the shaded
<br />WASTE MANIFEST
<br />areas is not required by Federal
<br />(Continuation Sheet)
<br />C A H-1 1 -L 0 0 0- 5 -2 7 11, 9 5 6 3
<br />2 Rf 4.
<br />law.
<br />23. Generator's Name
<br />L. State Manifest Document Number
<br />Lr3_INTY OF SAN JOAQUIN DEPARTMENT OF PUBLIC WORKS
<br />AR - 1 0 5.7 -.A-O _S -----
<br />1 Ai rb cocT HA7FLTON
<br />M. State Generator's ID
<br />STOCKTON, CA 95201 (209) 468-3066
<br />24. Transporter Company Name 25. US EPA ID Number
<br />N. State Transporter's ID
<br />O. Transporter's Phone
<br />26. Transporter Company Name 27. US EPA ID Number
<br />P. State Transporter's ID
<br />Q. Transporter's Phone
<br />29. Containers
<br />30.
<br />31.
<br />R.
<br />28. US DOT Description (Including Proper Shipping Name, Hazard Class, and ID Number)
<br />Total
<br />Unit
<br />Waste No.
<br />HITI
<br />No. Type
<br />Quantity
<br />wuVol
<br />a.
<br />Corrosive liquid, acidic, inorganic, n. o. s.,
<br />8, UN3264, II
<br />X
<br />(Sulfuric Acid Hydrochloric Acid)
<br />CO2
<br />DF
<br />o0,344D
<br />P
<br />non RCRA
<br />b.
<br />Caustic alkali liquids. n.n_c__
<br />8, UN1715, 11
<br />X
<br />(Sodium Hydroxide, kmmonia)
<br />'C>03F
<br />oz�75o
<br />C
<br />Oxidizing liquid, corrosive, n.o.s.,
<br />5.1, UN3098, II
<br />X
<br />(Chlorine Potassium Nitrate)
<br />*
<br />D FlO
<br />0¢�
<br />P
<br />non RCRA
<br />E
<br />d
<br />Batteries, dry, containing potassium hydroxide
<br />N
<br />solid, 8, UN3028, II
<br />X
<br />O�
<br />D F
<br />O O 7oP
<br />non RCRA
<br />R
<br />A
<br />e.
<br />Aerosols, 2.1, UN1950
<br />T
<br />DOT -E 611296
<br />R
<br />X
<br />G6>7
<br />a
<br />P
<br />non RCRA
<br />f
<br />Paint related material,
<br />3, UN 1263, II
<br />X
<br />DOT -E #11624
<br />��
<br />9
<br />Paint related material,
<br />3, UN1263, II
<br />X
<br />3
<br />D 11111522/5L
<br />r.
<br />non RCRA
<br />h_
<br />['ompressed gases, flamaable, n. o. s.,
<br />O 1. LIN 1954
<br />X
<br />(Pro ane- Butane)
<br />P
<br />non RCRA
<br />Ammonium nitrate fertilizer,
<br />9, UN2071, III
<br />X
<br />Oa/
<br />D
<br />P
<br />non RCRA
<br />S. Additional Descriptions for Materials Listed Above
<br />T. Handling Codes for Wastes Listed Above
<br />28a. ) WMDS# 744524 ( l A;�5/ Ix36 ERG# 154
<br />28b.) WMDS# 744525 ( 3x 55 ) ERG# 154
<br />28c.) WMDS# 698402 ( ¢)c 30 ) ERG# 140
<br />28d.) WMDS# 620748 ( ) ERG# 154
<br />32. Special Handling Instructions and Additional Information
<br />28e. ) WMDS# 7445?A ( 7 x55 ) ERG# 126 28i.) WMDS# 744493 ( / �- 30) ERG# 140
<br />28f.) WMDS# 744526 ( c9Xg ) ERG# 127
<br />28g.) WMDS# 744527 ( .3 X ) ERG# 127
<br />28h.) WMDS# 744532 ( X 30 ) ERG# 115
<br />T
<br />33. Transporter Acknowledgement of Receipt of Materials
<br />Date
<br />A
<br />Printed/Typed Name
<br />Signature
<br />Month Day Year
<br />N
<br />S
<br />P
<br />34. Transporter Acknowledgement of Receipt of Materials
<br />Date
<br />A
<br />Printed/Typed Name
<br />Signature
<br />Month Day Year
<br />E
<br />R
<br />F
<br />A
<br />35. Discrepancy Indication Space
<br />c
<br />L
<br />I
<br />T
<br />Y
<br />Style CF 18 Labelmaster, An American Labelmark Co., Chicago, IL 60646 (800) 621-5808 EPA Form 8700-22A (Rev 9-88) Previous editions are obsolete
<br />NiIH1E0 -.-
<br />N RECYCtEO VAPefl�I �_ ORIGINAL -RETURN TO GENERATOR
<br />® uS-1novae -,.P t�iSOY1NK,_
<br />
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