Laserfiche WebLink
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) (,:AI_U0UU4{. 030 <br /> 24. Generators Name ,ily of i c: :f +', J:.r;; n,r Lteb(xRtofy <br /> x) ftyg i TTr <br /> IrAr;, � " •�!4181N <br /> U.S. EPA ID Number <br /> 25. Transporter Company Name IngofRum Escondido ("ERi 8786-d0U1**") <br /> U.S. EPA ID Number <br /> 26. Transporter Company Name j Earth Environmental Solutions, Inf <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./Vol. 31.Waste Codes <br /> Of 12:<it), if S t I- Ii)A'-; L((:UIU, ORGANIC, M.Q.S. (CtiLQRQFU46.i <br /> &I. PG III, ERG 10 <br /> O <br /> w <br /> Z <br /> w <br /> C7 <br /> 32.Special Handling Instructions and Additional Information <br /> �,. '.41h, C,• ,,i 1; ,itd;;! I <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> F Printedrryped Name Signature Month Day Year <br /> O <br /> a <br /> CO 34.Transporter Acknowledgment of Receipt of Materials <br /> Printed/Typed Name Signature Month Day Year <br /> H <br /> 35. Discrepancy <br /> J <br /> U <br /> LL <br /> 0 <br /> LU <br /> Q 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> C7 <br /> W <br /> w <br /> 0 <br /> EPA Form 8700-22A(Rev. 12-17) Previous editions are obsolete. GENERATOR'S INITIAL COPY <br />