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0 <br />91341,25-16 <br />Please print or type. (Form designed for use on elite (12 -pitch) typewriter.) <br />0 <br />24.1.5373 <br />Form Approved. OMB No. 2050-0039 <br />EPA Form 6700-22A(Rev.3-05) Previous editions areobso!ele. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED) <br />UNIFORM HAZARDOUS WASTE MANIFEST <br />21.GoneratorlD Number <br />22. Pagel <br />23. Manifest Tracking Numher - <br />(Continuation Sheaf) <br />CRR0002:L1540 <br />of2 <br />000145940DOrt <br />_ <br />24. Generators Name <br />SAN JOAQUIN DELTA COLLEGE JUN 2 4 2016 <br />2071 SOUTH CENTRAL PARKWAY MOUNTAIN HOUSE CA 95391 (109)598-9840 <br />25. Transpader_ Company Name U.S. EPAID Number 'reamer <br />26. Tmnspoder Company Name U.S. EPA ID Number ' <br />27a. <br />27b. U.S. DOT Description (Induction Proper Shipping Name, Hazard Class, ID Number, <br />26. Containers <br />29. Tohl <br />"" Unll <br />31, Waste Caries <br />No. <br />Type <br />HM <br />and Packing Gmup(if any)) <br />Quantity <br />WUVol. <br />5 UN1993 WASTE FLAMMABLE LIQUIDS, N.O.S. (KEROSENE, HEXANE) 3 <br />DO01 <br />F003 <br />551 <br />X <br />PGII RO(DO01=198LBS) <br />Dv, <br />DF <br />02-0 <br />P <br />6 ON2922 WASTE CORROSIVE LIQUIDS, TOXIC, N.O.S. (HYDROCHLORIC <br />DU92 <br />D004 <br />D005 <br />X <br />ACID, SULFURIC ACID) B (6.1) PGII <br />001 <br />DF <br />o4„U <br />P <br />DOO6 <br />D007 <br />DODO <br />7 UN3266 WASTE CORROSIVE LIQUID, BASIC, INORGANIC, N.O.S. 16011111 <br />D002 <br />551 <br />x <br />HYDROXIDE, PHENOLPHTHALEIN)'0 PGII <br />003 <br />DF <br />j Z D <br />P <br />0 <br />0 NON-RCRA HAZARDOUS WASTE SOLID (EMPTY BOTTLES) <br />513 <br />(jQ <br />CF <br />065 <br />P <br />w <br />9 NDN-RCRA HAZARDOUS WASTE, SOLID (BROKEN GLASS LABWARE) <br />551 <br />oo <br />(F <br />0(oo <br />P <br />10 <br />11 <br />12 <br />13 <br />14 <br />32. Special Handing Instructions andAddNonal Information (5) 551085-02 - ERG(120) FLAMMABLE LRH WASTE (6) 503572-D3 - ERG(154) ACIDIC TOXIC WASTE <br />(7) 663384-01 - ERG(154) SODIUM HYDROXIDE (B) 614346-03 EMPTY MISC. BOTTLES (9) 175512-00 LABWARE (GLASS, PLAS <br />Ss., f., a --,f, d- pop - 3d <br />.33.Trans der Acknowled mentofReceiptofMatorials <br />Fw- <br />Pdntedflyped Name Signature Month Day Year <br />E2 <br />O <br />a <br />Z <br />34. Transporter—Acknowledgment of Receipt ofMaledds <br />Printed/Typed Name signature Month Day Year <br />r— <br />} <br />35. Discrepancy <br />J <br />U <br />LL <br />O <br />4 <br />36. Hzzardaus Waste Rated Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) <br />w <br />o <br />� <br />EPA Form 6700-22A(Rev.3-05) Previous editions areobso!ele. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED) <br />