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�orm Appmved.OMB No.2050-0039, <br /> P,ieas¢p (Form designed :.use dMW(12-pitch)typewriter) <br /> "'O'ryp! T _ I information in the shaded <br /> �UNIFO—RM HAZARDOUS;` zi.Generator's US EPA'D No. Manifest Document No .22.Page <br /> WASTE MANIFEST <br /> areas is not required by Federal <br /> (Continuation Sheet) <br /> CALC ii law. <br /> - <br /> 23.Generator's Name t.State Manifest Document Number <br /> MOM 2 DEPO TO <br /> 1 M5 Astss Avenua 01 GO M.State Generator's ID <br /> Carlsbad,CA 92888 <br /> 2A—-�r rt r_:�> Company 25.US EPA 10 Number N.State Transporter's ID <br /> MT rnA��- O.Transporter's PhLnQQ, <br /> 26.Transporter Company Name 27.US EPA ID Number P.State i,ransponers ID <br /> Q.TranspDrIer's Phone <br /> 29-containers 30. 31. R. <br /> 28.US DOT Description(Including Proper Shipping Name,Hazard Class,and ID Number) Total Unit Waste No. <br /> r-99-1 No. Type Quantity Wt/Vol <br /> a. <br /> -S---VP Z <br /> b. IN-asie Contimsivs Liquids,Ackfic, IMT Who, n.o.s., Dow <br /> 8, UN3254, P011 (Phosphonc,Add) (ERS i54) OF -is <br /> (RQ-1�iQn).Wasie Cw7asiwn Liquids.Basic, Inarganic, P 906A <br /> 8, LIN32,35. Pelt (Soditen Hydroxid-a.) (ERGi164) p0'?, Cr co*wo <br /> N f2an -eF- <br /> a. F-I <br /> A Waste Aemscls, 2.1, UN1250 <br /> T <br /> 0 (AerosniPaint Cans) (ERG#120) 001 001b <br /> R <br /> E 4 0 1;t <br /> 9- <br /> IF THE IMAGE DISPLAYED I <br /> h. <br /> NOT AS LEGIBLE AS THIS <br /> OVERLAY, IT IS LIKELY DUE <br /> TO THE POOR QUALITY OF THE <br /> ORIGINAL DOCUMENTS/IMAGE. <br /> S.Additional Desch ?4 <br /> tions for Materials Listed Above lin g .Cadarr astes Listed Above, <br /> 2-Sa, Via ,:Srl esdl-fa-Z5 010. N6% SHIP <br /> F-1-5 IX 15 28e) El-4 1 XS a>+ <br /> 28C) Ei-7 SASS or- <br /> ZV4) I)'IrODF OUR, DO-45.R)03, <br /> `' 32.Special Handling Instructions and Additional Information <br /> IN CASE OF EMERGENCY, CONTACT 3E AT 800.451-8346 <br /> KDME DEPOT FIDWS 70101 Amy Parkway Contact: 2,3M03wG&N <br /> CA 9wo <br /> T 33. Transporter _2 Acknowledgement of Receipt of Materials Date <br /> sadrFyped Name Si na <br /> 8 wonth Da Yearbq <br /> b 34. Transporter— Acqnowledgement of Receipt of Materials Date <br /> Il <br /> R <br /> 1., 7 e il <br /> _r 'IPiijhjW/-Type�Narfi6/ I <br /> E i `Signatures <br /> R — <br /> A Zt— <br /> F 35. Discrepancy Indication S ace <br /> Style CF 18 LAKLMASTRO(W621-6808 EPA Form 8700-22 A(Re,9.88)I'mPous edfien are Obsolete. <br />