Laserfiche WebLink
please Mor . Form designed for use on elite 12 itch Form Mrowd.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 23.MantW Tracking Number <br /> (Condtiuedon Shed) I CAT000610949 01 000307712WAS <br /> 2e. sNJ (020—TRACY) / DAN PEREZ IN, INC (#020--TRACY) / ASE PEREZ <br /> 400 WE T VALPICO ROAD--SITE 400 WEST VALPICO ROAD—SIE <br /> TRACY, CA 95376 TRACY, CA 9537£ <br /> Number <br /> 25.Transporter Company Name <br /> Number <br /> 26.Transporter Company Name <br /> 27a. 27b,U.S.DOT Description(inducting Proper Shipping Name,Hazard Class,ID Number, 28,Containers 29.Total 30,Ung 31 Waste Codes <br /> HM and Psddng G=P(ff-Y)) No, Type Quantity WtJW. <br /> 5. NON RCRA HAZARDOUS WASTE SOLID (EMPTY 51' <br /> METAL DRUMS) <br /> l 00 l P <br /> N./f3t7T� M1afZAr`Qc�-ts kA3jCj 5oil4j)� <br /> NoS: 411 APWq 84 0 / -- --.� -- - <br /> W <br /> yyZ,� <br /> C7 <br /> 32. �I Inbomratlon (_ I_ ►� Z1 <br /> 33. mart of Receipt of Materials <br /> PrlydadlTyped Name Signature Month Day Year <br /> 31.T ent of Koceolof Materials <br /> PrialeNTyped Name Signature Month 5ay 7ear <br /> 35.Oiscrapancy <br /> 151 1 <br /> 36.Hazf6�pua Waste R t Jftagement Method Codes(i.s.,codes for hazardous waste treatment,disposal,and recyding systems) <br /> C9 <br /> rn <br /> LU <br /> 0 <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILI iY TO DESTINATION STATE(IF REQUIRED) <br />