Laserfiche WebLink
Please printortype. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 23,Manifest Tracking Number <br /> (Continuation Sheet) CAL000456484 2 024625754JJK <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 Wtivol. <br /> ❑ <br /> I � <br /> i l <br /> i <br /> ❑ <br /> l <br /> LLJ <br /> W❑ j <br /> I <br /> ❑ i <br /> e <br /> I <br /> ❑ — j-- <br /> I � <br /> ❑ - - <br /> I <br /> ❑ s <br /> ❑ I <br /> 9 <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter 3 Acknowledgment of Receipt of Materials <br /> W Printed7Typed Name Signature Month Day Year <br /> �i STEVE YOUNG STEVE YOUNG 02 09 2023 <br /> O <br /> LL <br /> ZQ 34.Transporter 4 Acknowledgment of Receipt of Materials <br /> a Printed/Typed Name Signature on ay ear <br /> F- ALICIA KING ALICIA KING 102 10 2023 <br /> 35,Discrepancy <br /> J <br /> U <br /> Q <br /> LL <br /> W <br /> Q36,Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> 0 <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 />