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Please print or type.(Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS 1 t Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4.Manifest Tracking Number WASTE MANIFEST CA0981AS99" 193`3-322-0724 009216032 JJ K 5.Generators Name and Mailing Address Generators Site Address(if different than mailing address) BNS'F RAILWAY CO............... 601 DIANIOND STREET 740 EAST CARNEGIE DRIVE SARI BERh1P,RDIh1O,CA 92413;; Lf.u.f', STOCKTOPI,CA. 9-5200 U.S-61 Generators Phon�'3�'-'R0'=`3 6.Transporter 1 Company Name U.S.EPA ID Number ERAARONMENTA.L LOGISTICS,INC CAR'000172460 7.Transporter 2 Company Name U.S.EPA ID Number B.Designated Facility Name and Site Address U.S.EPA ID Number FILTER RECYCLIhlr3 SERJICES,Ih1C 100 WEST MONTE AVENUE CAD95 444481 BLOOI,iIhlr_TON, CA 92315 fJ.S.A 90'3-421-'2012 Facility's Phone: ga 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Conlan efs 11.Total 12.Unit HM and Packing Group(if any)) No. Type Quantity W(.Nol. 13.Waste Codas NON RCRA HAZARDOUS Vv'ASTE SOLID Ctv1 T 511 Z 2. W i a j Ii 14.Special Handling Instructions and Additional Information 331) SOIL,BALLAAST(R0CI<),LEAD 8.3 STLC,TRPH X300 PPhi PROFILE#fj 10() INVOICEn,e:?;7 PLEASE WEAR APPROPRIATE PROTECTIVE EQUIPMENT. _ L4 I m 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the conlenis of this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged, marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable International and national governmental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent. I certify that the waste minlmizatlon statement Identified In 40 CFR 262.27(a)(If I am a large quantity generator)or(b)(If I am a small quantity generator)Is true. GeneratorslOfferoes Printed/Typed Name +Signature Month Day Year Zv J 16.International Shipments i— ❑Import to U.S. ❑Export fro U.S. Port of enlrylexit: Transporter signature(for exports only): Date leaving U.S.: w 17.Transporter Acknowledgment of Receipt of Materials � Transpo er 1 PrintedfTyped Name Signature Mon h Day Y ar ZZ Transporter 2 Pfinted/Typ d Name lure Month Day Year r- 18.Discrepancy lea.Discrepancy Indication Space ❑ Quantity El Type ❑Residue ❑Partial Rejection ❑Full Rejection Manifest Reference Number: 18b.Alternate Facility(or Generator) U.S.EPA ID Number J U LL Facility's Phone: W 18c.Signature of Alternate Facility(or Generator) Month Day Year Q Z 5555 19.Hazardous Waste Report Management Method Codes(I.e.,codes for hazardous waste treatment,disposal,and recycling systems) 0 ,. / � 2. T 4. 20.Designated Facility Owner or Ope far:Certification of receipt of hazardous materials covered by the manifest except as noted in Item lea Prinled/Typed Name Signature MonthDay Year L=c Z) IL EPA Form 8700.22(Rev.3.05) Previous editions are obsolete. D`'R IG-M \TIED FACILITY TO DE5 T IN=1TIOhl STATE (IF REQUIRED)