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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.Manifest Tracking Number <br /> (Continuation Sheet) CAC00334 7 <br /> 24.Generators Name SUPER KING FOOD CENTER <br /> 9449 W.MARCH LANE <br /> STOCKTON,CA 95207 <br /> (925)261.9511 U.S.EPA ID Number <br /> 25. Transporter Company Name <br /> 26.Transporter Company Name U.S.EPA Z,Number <br /> 27a- 276.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-RCRAHa2ardous Waste,Liquid(Oil) 229 <br /> DF 1..3 - <br /> Non-RCRA Hazardous Waste,Solid(Oily Solid) 352 <br /> f <br /> OF '7 p - ---� --- <br /> � I <br /> a i <br /> LU <br /> LU <br /> i <br /> f <br /> I <br /> i <br /> ' I <br /> .-_-------- <br /> I <br /> i <br /> E <br /> 32.Special Handling Instructions and Additional Information <br /> 5)EWS4 3 1 _ 0)EWS � <br /> XS 1 XS <br /> W 33.Transporter Acknowledgment of Receipt of Materials <br /> F Printed(fyped Name Signature Month Day Year <br /> O <br /> a <br /> z 34.Transporter Acknowledgment of Receipt of Materials <br /> PrimedfTyped Name Signature Month Day Year <br /> 35.Discrepancy <br /> C,1 <br /> 0 <br /> w <br /> Q 36.H za ous Waste eport Management Method es(if.,4es for hazardous waste treatment,disposal,and recycling systems) <br /> z <br /> O <br /> w <br /> C31 <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />