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Please print or type. Form Approved,OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 23.Mani est Tracking Number <br /> (Continuation Sheet) CAL000456484 2 022995607JJK <br /> 24.Generator's Name <br /> LODI UNIFIED SCHOOL DISTRICT MAINTENANCE&OPERATIONS <br /> Number <br /> 25. Transporter 3 Company Name RUST AND SONS TRUCKING INC CAR000187922 <br /> Number <br /> 26.Transporter 4 Company Name NORTH STATE ENVIRONMENTAL INC CAR000206086 <br /> 27a. 27b,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 WtJVol. } <br /> ❑ <br /> k� <br /> ❑ I <br /> ❑ -- <br /> 0❑ <br /> j I <br /> LU <br /> OF <br /> 4 <br /> I I <br /> ❑ -- <br /> ❑ - f <br /> ❑ I <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter 3 Acknowledgment of Receipt of Materials <br /> w Printed/Typed Name Signature Month Day Year <br /> DAVID WICKMAN DAVID WICKMAN 08 11 2022 <br /> a <br /> Z 34.Transporter 4 Acknowledgment of Receipt of Materials <br /> Printed/Typed Name Signature Morith Day Year <br /> r— ALICIA KING ALICIA KING 08 12 2022 <br /> 35.Discrepancy <br /> J <br /> U <br /> LL <br /> 0 <br /> LU <br /> 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> z <br /> C7 <br /> LU <br /> LU <br /> 0 <br /> EPA Form 8700-22A(Rev,12.17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />