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Please ixint or tm. Form designed for use on elite 12 filch ter. Form roved.OMB No.2050-1)039 <br /> UNIFORM HAXAIWOt1S WASTE MANIFEST 2f.Generator ID Number 22.Page ' 23.MantfeetTracking Number <br /> (Contlnuation Sheet) �C}ATt3Ot3S 10949 v t 000307712WAS <br /> a 4003 WEST VALOPICO R AD—SIIEN PERE 400 WEST VALPICO R AD--6I NPR Z <br /> TRACY, CA 95370 TRACY, CA 95375 <br /> um <br /> 25.Transporter Company Name <br /> Number <br /> 28.Transporter Company Name <br /> 27a, 2711.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number. 28.,Contsirrers 29,Total 30.Unit 31,Waste Codas <br /> HM and Pecking Croup(if 8110 No. To Cwantily WtM1. <br /> 5. NON RCRA HAZARDOUS WASTE SOLID (EMPTY 51' <br /> METAL DRUMS) <br /> fbmt 0 w to <br /> t r W�g�}5c�13, <br /> �: AVt r .r�r, CMe rJAPOOa w4� ! 01 a 157 <br /> 32. �tlorrai information <br /> 33.Twge& _Ada*wl@dqmentofRecs1ptofMaWa1s <br /> PrInwyped Name Signature Month Day Year <br /> 34. nt of Racal of Materiels <br /> Naledliyped NameSignature Uonffi Day ear <br /> 35,Discrepancy <br /> 38.Haz@pus Waste R t q*agement Method Codes(i.e.,codes for hazardous waste treatment,disposat,and recycling systems) <br /> C9 <br /> H <br /> r!J <br /> a <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE;(IF REQUIRED) <br />