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Please print or type. Farm Approved.OMS No,2050.0039 UNIFORM HAZARDOUS 1.Generator I0 Number 2.Page 7 of 3.Emergency Response Phone Manifest Trackin Number WASTE MANIFEST Q A R d 0 0 2 n 5 a s 2 � 0 0�35 T016136306 78 F L E 5.Generator's Name and Mailing Address Generators Site Address li(different than mailing address) METAL FINISHING SOLUTIONS-STOCKTON METAL FINISHING SOLUTIONS I VS R-PI]NAL DRIVE 112S EL PINAL DRIVE STDCI ON CA asm STOGICrGN CA GUM Generators Phone: 6,Transporter 1 Company Name U.S.EPA 10 Number ALL UM H AZARDWs WASTE REMUVAL,INC. CAD 9 9 2 4 9 2 3 9 9 7.Transporter 2 Company Name U.S.EPA JD Number 8-Designated Facility Name and Site Address U-S-EPA ID Number US EmLWYNWADA HWY sS 11 MILES SOUTH OF WATTY BEATTY NV 89DD3 N�Taanata000 Facility's Phone: 56�4-r19.3 ga. 9b.U.S.DOT Description(indading Proper Shipping Name,Hazard Class,IQ Number, to.coma cars 11.Total U.Unit 13.Waste Codes HIM and Packing Group(i any)) No- Type Quantity Mfiki. p 1 Rq VNf M WMTE GLIL MHIC ACID,VENT.8 P(3-II � � V OW �Crl3C_1 a 2- u1 3. 4 14-Special Handling Instructions and Additional Information BILL TE)AU G AN p 26322-1 9b1)0-M37M3-14=-DEOX ALUMNUM (TAN -AC14WO 0 23$300 129322-a8 15. GEHERATOR'SIOFFEROR'S CERTIFICATION:I hereby declare that the canted of this c"Ignment are fully and accurately descrnbed above by the proper stopping name,and are clasSlged.packaged, marked and Iabeledlplacarded.and are in aIt respects in proper condition for transport according to applicable intemalionaland national govemmental regulations.If export shipment and t am the Primary Exporter,I cart fy that the oonfenls of this consignment conform to the terms of the attached EPA Acknowledgment of Consent. I eenily that the Rasta minimization statement idantified in 4D CFR 262 27(a)(if I am a large quantity gerrerator)or(b)C6I am a small quantity generator)i Generators* or's PrintedlTyped Name Signal Month Day Year r 16-InternationaT Shipments ❑Import to US. ❑Export from U.S- Pon of erdrylexlt- Transporter signature(for exports ordy): Date leaving U.S.: W 17.TransporterAcknowtedgmenl of Receipt of Mweria% DTran�PfitedfT- Name lure Monte Y�� 1/57 z 7ransp rter 2 Printedlfyped Name ! Signature Month Day Year 18.Discrepancy 18a.Discmpenry Indication Space ❑ Cuanl.ly ❑Type ❑Residue ❑Partial Rejection ❑Fu1I Rejection Manfest Reference Number. 18b.Alternate Facility(or Generator) U.S.EPA 10 Number 7 nQi Facility's Phone: w 18c.Signature of Alternate Facility(or Generator) Month Day Year a - a y19.Hazardous Waste Report Management Method Codes(Le.,codes for hazardous waste Irewment.disposal,and recycling systems) LLI t C 2 3- a, 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as n ern PrintedlTyped Nipme Signature Month Day Year -�, 1&:2& !�=� b� �u 1 1 04 1 EPA Farm 8700.22(Rev.12`7) rrevious editions are obsolete. D GNATED FACILITY TO EPXs e-MANIFEST SYSTEM