Laserfiche WebLink
Please print or type. Form Approved.OMB No,2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121.Generator ID Number 22.Page 23,Manifest Tracking Number <br /> (Continuation Sheet) CAL000456484 2 022831455JJK <br /> 24,Generator's Name <br /> LODI USD Maintenance&Ops <br /> Number <br /> 25.Transporter 3 Company Name M P ENVIRONMENTAL SVCS INC CAT000624247 <br /> 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. Type Quantity Wt.Nol, <br /> Z 5.UN2967,SULFAMIC ACID 8,III <br /> 1 DF 5 P I IIID <br /> 181 <br /> Z 6.UN2810,TOXIC LIQUIDS,ORGANIC,n.o.s.(ROUNDUP),6.1,II <br /> 1 DM 3 G I <br /> 1331 i <br /> tI <br /> ❑ 7,NONE,NON-RCRA HAZARDOUS WASTE LIQUID(LATEX PAINT)(LUBRICANT) <br /> 1 DF 13 G - <br /> 331 <br /> O❑ 8,NON-RCRA HAZARDOUS WASTE SOLID(CITRIC ACID,BABY POWDER) <br /> 1 DF 15 P <br /> (352 <br /> W <br /> LU <br /> Z <br /> 9.NON-RCRA HAZARDOUS WASTE SOLID(CALCIUM CARBONATE,SODIUM <br /> CARBONATE) 1 DF 70 P <br /> 181 1i <br /> t <br /> i <br /> i I <br /> 32,Special Handling Instructions and Additional Information <br /> 33.Transporter 3 Acknowledgment of Receipt of Materials <br /> Uj PrinledfTyped Name Signature Month Day Year <br /> 04 02 2021 <br /> O <br /> CL <br /> Z 34.Transporter Acknowledgment of Receipt of Materials <br /> Printedfiyped Name Signature Month Day Year <br /> 35.Discrepancy <br /> J <br /> U <br /> Q <br /> LL <br /> 0 <br /> Q36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> H141 H141 H141 H141 H141 <br /> N <br /> W <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's 9-MANIFEST SYSTEM <br />