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Please print Of We.(Form designed for use on elite(12-pitch)typewriter.) <br /> UNWORMHAZARDOUS tGenewlm lO Nunb¢r 2.Payetol 3. mergepay Resparse Ph on, 4, anite ITracklneN- 843 <br /> mberoved.OA18 Na 2050-DO? <br /> WASTE MANIFEST 0110 4 6 4 3 FL E <br /> 5.Generabr's Name and rdasng Address Generala+s Sile Addross(if"Resent than mei6g address) <br /> Pacific Southwest Container <br /> 4343 E. Fremofrt Street <br /> Stockton, CA 95215 <br /> Generatafs Pit <br /> 6. renspo erl mpar,y ame <br /> Adkenced Chemical Transport Inc. (Sv) U.S.F3AID Number <br /> 7.Transporter 2 company Mame CAR000070540 <br /> U.S.EPA ID Numcer -- <br /> 8.Desgnated Faotily Name eM Sve Address <br /> Advanced Chemical Treatment U.s.EPA IDN mbar <br /> B133 Edith BIW NE <br /> AlbuquNMD002203627 <br /> erque NM 87107 <br /> &1b <br /> 05-3495220 <br /> Description(Including Proper Shipping Name,Hazad Class,ID Number, 70.Comforters <br /> Group Is airy)) 1/.Total 12.Unit73.WasteCotlesNo. Type Quantity Wl.fdol.,Waste Flammable liquids,n.o.s.(Acetone,Methyl <br /> i ,3,PGI[ CIA P 214 D001 <br /> le li uid,n.os.(N-decanol,n- DM p <br /> lacquer enamel, <br /> in <br /> 1 ekand liquid P <br /> 4 <br /> 14.speoal Handling lnsbucDousand Aucassil nvormmm P <br /> 3) est Number 144083 DDcumerdt. 0172829 <br /> iTf ER(3p128; ACT72617 PAA- 1 X$$UC acoi <br /> cwn4 Cdr NA - Sd'a RA <br /> 15. GENERATOR'SIOFFEROR'9 CERTIFICATION: Iheretry tleclere dial ame mntemu of lhi9 iiwruig:mml i:iiare lWly anti attureWy describetl abuse by the Proper shipping parte,and are dowses,passaged. <br /> marked and l"edlplacarded,and are In all respects in proper condition for transport according to appGi international and national mental re ston,11 <br /> Espomer,I away Vad the=tents of this cons) 9owm 9u axes sNpmem and I am the Fdmyy <br /> gnmenl mn40 CFR <br /> Mina large EFAAcknawmilint an(al Cwuent. <br /> cedify moat the wasme miNmizalion statement berti6etl n 40 CFR 162.27(x)UI am a large guentiry generebr u D s I am a small uanD <br /> maw eros dMad I ()( 9 N genewlolj u we. <br /> ypod 'ame ryna e <br /> �( <br /> as .ear <br /> 16.mlematummatsNpmenlsS 03 Iii- <br /> ❑Import teU.S. ❑Eaporllmm U.S. Portoren1Waec <br /> Ten m bre s <br /> rune <br /> K 17.Trani Date Ica' U.S.: <br /> paterAckmwgdgnknt of Nepahl of Mubdek <br /> Oranspulner t Finalml,yped Nam¢ �gnature a ear <br /> y <br /> Us aI1 X03 1� <br /> Tmn�pner2 ided+iyped Name gnaNre <br /> as ear <br /> } 18.Oisuapenry <br /> 188,Discrepancy Indkaaon space ❑ovai ❑Type ❑Residue <br /> ❑Pad®I Relttlion ❑FUN Relecon <br /> 18b.Altemate Fac96ylor Gen¢wtor) Manifest Reference Number: <br /> -+ US.EPA ID Number <br /> U <br /> a <br /> LL feel, sPhone <br /> w I8c.*A8tu1e d Altemele Factily(or Generate) RECRVED <br /> Z Year <br /> '9.Hasadous Waste R <br /> y epee Maregemanl MelhoO Cordae(i.e.,rodeo for hazazdoub waste Ireatmenl,tie el,ant reci systems) <br /> 20.Designated Faclaly Oeparor Operator:CeMWpaBon of mumps of haiardous materials mvered by me manifest excryN es nolad in Mem 1 <br /> 1 Prass y ame <br /> Sig"pre DEPARTMENTy -Tear <br /> EPA Form 6707-22(Rev.3-05) Prevwus edivons are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF 1;I"U :11'a <br />