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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.ManNest Tracking Number <br /> (Continuation Sheet) CAC00334 7 <br /> 24.Generator's Name SUPER KING FOOD CENTER <br /> 1449 W.MARCH LANE <br /> STOCKTON,CA 95207 <br /> 25. TransporterCompany Name <br /> (925)201.9611 U.S.EPA ID Number <br /> 26. Transporter Company Name U.S.EPA Z,Number <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28-Containers 29.Total 30.Unit <br /> HM and Packing Group(if any)) No Type Quantity Wt.Nol. 31.Waste Codes <br /> Non-RCRA Hazardous Waste,Liquid(Oil) i221 <br /> DF 13 P <br /> Non-RCRAHa2ardous Waste,Solid(Oily Solid) 352 <br /> DF ys P <br /> a <br /> w <br /> z <br /> w <br /> CD <br /> j— <br /> I <br /> I <br /> r <br /> i <br /> i <br /> I E <br /> E <br /> 32.Special Handling Instructions and Additional Information <br /> 5)EWS9-1431 .. 6)EWS._ <br /> 33,Transporter Acknowledgment of Receipt of Materfais <br /> Iuj Printedfryped Name Signature Month Day Year <br /> ix <br /> O <br /> a <br /> z 34.Transporler Acknowledgment of Receipt of Materials <br /> PrintedfTyped Name Signature Month Day Year <br /> 35.Discrepancy <br /> t� <br /> 0 <br /> w <br /> Q 38.Hazalidous Waste eport Management Method es{i es for hazardous waste treatment,disposal,and recycling systems) <br /> z <br /> C7 <br /> UA <br /> C3 <br /> EPA Form 8700.22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />