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Stare of California-Environmental Protection Agency <br /> Form Appraxd OMB No.2050-0039(Expires 9.30-991 See Instructions on bac age6. pppdlll // <br /> Please prinijr Type, Form designed for we on elite(12p�pewriter. n' ox Substances C <br /> Sacramento,California <br /> EGenora�,'& <br /> �Ind <br /> ZARDOUS 1' G°sseralo/s US EPA ID No. Manifest Document No. 2. Page 1 Information in the shaded areas <br /> NIFEST 0 7 B 1 a E-f (4 Lj <br /> of 2 Is not required by Federal law. <br /> GeneratorsMoiling Address F -A. Stile Manifest D,scumenl Number <br /> HOME DEPOT 2 3 c n 0 4 n <br /> 01905 Aston Avenue#100 G J v G 4 <br /> I <br /> Carlsbad,CA 92008 800-380-3220 B. State Generota�e I <br /> N 15. Transporter 1 Company Name 6. US EPA ID Number <br /> W C. State 7,.n"rei i ID' Reserved.l <br /> O 1 d�I v�F b+l `OrL \ y��yse eg I Q Q O p D. Transporter's Phone '<. <br /> °D 7. Transporter 2 Company Name -1 CIIP- <T 1- 0 98 0 <br /> �y 8. US EPA ID Number E. $toto Transporter's ID IReserved J <br /> \I J r <br /> It Q V F. Transporter's Phone .(/ <br /> . Designated Facili Name and Site Address 10. us EPA ID Number G. StaterFacility's ID / <br /> d POLLUTION CONTROL INDUSTRIES <br /> oof 43413 K1t.^�geA <br /> y fFvQ4 <br /> C\j < ,,,' H. Facility's Phone s <br /> cog - Cbk. 4631 ai°�-34 -39S <br /> �UU 11. US DOT Descri fon g pe.- ppi g <br /> p i (including Pro chi n Name,Hazard Class,and ID Number) 12. Containers D. Total 14. Unit <br /> (VZ a. No. T pe Quantity WI/Y.1 L Wasle Number <br /> = X (RQ=1001#),Waste Flammable Liquids, n.o,s., 3, UN1993 $ta1e <br /> 3 G PGII, (Xylene/Toluene) (ERGO 128) v M <br /> W / h, <br /> E lO ��18�BfD5.fffi3.F� <br /> C4 N b <br /> m E aqtle� , N289$-P6PEfI+}s"- Stale <br /> R <br /> 2; <br /> A / EPA/Other <br /> v <br /> .. m Q X . n.D.s. Slate <br /> R <br /> PA/016.,A <br /> uJ d. -�O111 <br /> V Non-RCRA, Hazardous Waste Liquid P Stale <br /> ° M O C) EPA/ah <br /> Z J. Additional Descriptions for Materials Listed Above <br /> Vu <br /> 0K.,Handling{odes for Wmtes Listed Above <br /> w 11a) EI-3 -4U4-044r, <br /> C/ b. <br /> oc <br /> - ftp 11d) EI-1 <br /> L d. <br /> z V -C f , d X SSOM <br /> Q 5. Special Handling Instructions and Additional Information <br /> ZHOME DEPOT#HD= 701 D'Aroy Parkway IN CASE OF EMERGENCY,CONTACT BEAT 800.451.8345 <br /> Proposal#30344 Lathrop CA 95330 store coat ct# 403 8 <br /> Q16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this carsig mantarcfully and a<curoklr described above by gropers p�ing�maandare classified,packed, <br /> U marked,and labeled,and are in all respects in proper condition for Transport ksy highway according to applicable international and notiano government regulations. <br /> IF 1 am a large quanti generator,I certify that I have o proggrdm in place to redvice the,volume and toxicity of waste generated to the degree I have determined to be economical <br /> y practicable and that I hero selected the practicoble method of treatment,. avo1dII�yy,, <br /> and the environment;OR,if I am a small quantity generator,I have madetar good faith effort to m nlim ze my wase generation et"me era onich �and set lathe besttwasdle managemenFuture threat t method thahuman t 0 available to me and that I can afford. <br /> VPrinled/T ped Name 1 Signa <br /> \' 1 Month Day__ Yoar <br /> m 1 17. Tsars orier I AcknowledgmentK ent of Receipt of Materials <br /> R <br /> W M Prinled/Ty ed Name �'f Sig tura <br /> w F ^� Month Day Year <br /> O8 18. rens orte 2 Acknawled emenl of Recei t of Moleriab <br /> P Med a ame Signator. <br /> sss E Mo the Day Year <br /> Q ' <br /> V P 19. Discrepanq Indication Space (� <br /> Z A <br /> C <br /> I <br /> L <br /> 1 20. if Owner or O rotor Cm,IFic.I of rec t Th.. ous maleriols co red his manifest exce 1 as noted in I m 9 <br /> T P m Sign <br /> Y I as, r <br /> l <br /> D NO WRITE BELOW THI LINE <br /> r <br /> DTSC 8022A (1/991 While: TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS. <br /> EPA 8700-22 To: P.O. Box 3000, Sacramento, CA 95812 <br />