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Plaaca nrint Ar hmo lFnrm ring n-4 f— a©L na <br />%.laml narvwn nam tim appivP„ata nr amt Rvt urc waaie uie ycne,at+n to a+upPnN. <br />UNIFORM HAZARDOUS WASTE MANIFEST <br />(Continuation Sheet) <br />_....__.. <br />21. Generator ID Number <br />C A H 1 1 1 Q 0 Q 8 5 7 <br />22. Paget <br />Of 2 <br />- - ----- ruuu h rUMU. VIVID IVU. LUVU-UU6tt <br />23. Manifest Tracking Number <br />00 1 -13 7 367 FLE <br />! <br />24. Generator's Name <br />County Of San Joaquin - Tracy <br />Ai i ti: Kimbra : kndrews <br />25. Transporter Company Name U.S. EPA ID Number <br />26. Transporter Company Name U.S. EPA ID Number <br />27a. <br />HM <br />271b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number <br />and Packing Group (if any)) . <br />28. Containers <br />29. Total <br />Quantity <br />30 ,Unit <br />Wt.,NaL " <br />31. Waste Codes u <br />j <br />No. <br />Type. <br />X <br />5CORROSIVE LIQUID, BASIC, INORGANIC, N.O S., (SODIUM <br />HYDROXIDE, POTASSIUM HT'DW.-YXIDE) , 8, UN3286, PG It <br />tti3 <br />, <br />r - <br />H12 <br />B. CORROSIVE LIQUID, BASIC:, ORGANIC, IN.O.S„ 63LYOXA.i.lN , <br />_ <br />612 <br />k�t <br />1. <br />O�... <br />w <br />z <br />, . '� �''�. ' w �.-l7� di �g ... 7 C: t ! u � 6�s <br />� it <br />.'i <br />�•�. 1. V! <br />� ^ .' <br />•- <br />LU <br />O <br />3t3 pLft* lnsj ckpnspd nal Infofft c yrrS ' "� Z K it rw - y <br />6. C 11-124053. FfR Gm 5,1 <br />33. Transporter Acknowledgment of Receipt of Materials <br />H <br />O <br />a <br />Printed/Typed Name Signature Month Day Year <br />Z <br />34. Transporter Acknowledgment of Receipt of Materials <br />Printed/Typed Name Signature Month Day Year <br />U <br />LU <br />Q <br />Z <br />35. Discrepancy <br />( j <br />98:-HazardowftsteReport ManagementMethed•Godes#.e;€odea4or-hazardous.waste-treatcaent disposal,andrecyclingsystems)___-_ <br />w <br />0 <br />EPA <br />Form 8700-22A (Re -v. 3-05) Pllwtnusedtttonsare oba8k te__: 4 ' �'. L -`M DESIGNATED FACILITY TO GFNFRATf)R <br />%.laml narvwn nam tim appivP„ata nr amt Rvt urc waaie uie ycne,at+n to a+upPnN. <br />