Laserfiche WebLink
rmte. Form deal ned for use an elite 12- itch ewdtec FormA roved.OMB No.2050-0039 <br /> AZARDOUS WASTE MANIFEST 21.Generator 10 Number 22Page 23.Manifest Tracking Number <br /> ontinuation Sheet) CAT000F 10949 Of c 00031 7712WAS <br /> s 4000. (020-TRACY) / DAN PEREZ TININC (#Uc0-TRACY) / DAN PEREZ <br /> WEST tJALPICO ROAD-SITE 4)0'WEST VALPICI7 ROAD-SITE <br /> Y, CA 95376 TRACY, r_A 95376 <br /> r Company Name EPA iU Number <br /> 26.Transporter Company Name U,S.EPA ID Number <br /> 27a. 27b.U.S.DOT Description(inducing Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30,Unit <br /> HM and Packing Group(if aniNo. Type Quantity Wt./vol. 31,Waste Codes <br /> 5. NON RCRA HAZARDOUS WASTE SOLID (EMPTY Si¢ <br /> METAL DRUMS) j <br /> A�1 l D to l P <br /> (p t NiF3�Zl r +-IIi2tMQtx�s ���f�oti�f I <br /> A101, 11, e0i#r}� O 0 . <br /> I <br /> out <br /> i <br /> 1 <br /> i <br /> j <br /> ) <br /> t <br /> I <br /> 32..'5p.WjHidnd @ b P nd itional Information / r_ \ <br /> (g p s 1011.4.vVw <br /> 33.Trans arter_Acknowledgment of Receipt of Materials V <br /> F Pdated/Typed Name Signature Month Day Year <br /> K <br /> O <br /> a <br /> i 34.Transporter Acknowledgment of Receipt of Materials <br /> Pdnted/Typed Name - Signature Month 75ay Year <br /> r— <br /> 35.Discrepancy <br /> J <br /> V <br /> Q 36.Haz$Ypous Waste RQpp(1 t4agement Method Codes(i.e.,codas for hazardous waste treatment,disposal,and recycling systems) <br /> z <br /> e7 <br /> N <br /> w <br /> 0 <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete, DC5IGN.AIED FAG 11-i if Y 1`0 DES'riNATION i rATF(IF REQUIRED) <br />