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print or type. Form designed for use on eine L p-, �H=• •�. _--__ <br /> UNIFORM HAZARDOUS ,enerator's US EPA ID No. Manifest 2. Page 1 Information in the shaded areas <br /> '`jy Document No. <br /> _—' ASTE MANIFEST of snot required by Federal law. <br /> b <br /> 3. Generator's Name and Mailing Address A. nate Manifest Document Number <br /> SUMIDEN WIRE PRODUCTS CORP. 09 <br /> 40 <br /> 1412 EL P I NAL DRIVE — STOCKTON, CALIF. 95205 B. State Generator's ID <br /> 4. Generator's Phone( ) <br /> t ):7AI564994 (94 HOUR NIMER) H 1A 1141011161- 1011 171r,1018 <br /> 0 5. Transporter 1 Company Name 6. US EPA ID Number, C. State Transporter's ID <br /> Ln A D. Transporter's Phone?,-7. ���1, -u t- <br /> G A/C+ l <br /> 7. Transporter 2 Company Name 8. US EPA fD Number E. State Transporter's ID <br /> F. Transporter's Phone <br /> 0 <br /> 0 <br /> C? 9. Designated Facility Name and Site Address 10. US EPA ID Number G. State Facility's ID <br /> CHEMICAL WASTE MMMT, H. Facltlty's Phone <br /> 35251 OLD-SKYLINE ROAD C A T 0 0 0 6 4 6 1 1 7 <br /> a 209 306-9711 <br /> O 12. Containers 13. Total 14. I. <br /> 1 1. US DOT Description(Including Proper Shipping Name,Hazard Class,and ID Number) Quantity Unit Waste No. <br /> aj w No. Type Wt/vol <br /> / State <br /> U e. EPA/Oth <br /> G -WASTE SOLID <br /> E z 10 <br /> N P 1 State <br /> jE b. i <br /> N R <br /> m <br /> A EPA/Other <br /> cc T -. 1992 <br /> v O — state <br /> cu R C. <br /> v <br /> m STOCKTON,CA EPAiOther <br /> MAIL state <br /> w <br /> Z EPA/Other <br /> U <br /> vi J. Additional Descriptions for Materials Listed Above K. Handling Codes for Wastes Elated Above <br /> a. b. <br /> Z O - <br /> IL s <br /> co C. d. <br /> w <br /> J <br /> Q <br /> Z <br /> O <br /> F„ 15. Special Handling Instructions and Additional Information <br /> w (NAZ. BULK, DOHS BOX "C" REOD) _ INEVET�T QF EMERGENCY CONTACT <br /> CWMI PROFILE # AJ1871 CWT-1I AT (205) 652-9721 <br /> J <br /> J <br /> ..� 16. - <br /> GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name <br /> J and areclassified,pecked,marked,and labeled,and are in all respects in proper condition for transport by highway according to applicable international and <br /> J <br /> a national government regulations. <br /> If I am a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined <br /> to be economically practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the <br /> O present and future threat to human health and the environment;OR,if I am a small quantity generator,I have made a good falth,eNort to minimize my waste <br /> r generation and select the best waste management method that is available to me and that I can afford. <br /> U Month Day Yee, <br /> Z <br /> Printed/Typed Name SrgnatUre _ <br /> CD <br /> LM 17 U <br /> 1' <br /> T 17. Transporter 1 Acknowledgemdnt f eceipt of Materials ' t <br /> LU R <br /> Z A Printed/Typed $jgnature Month Day Year <br /> Name <br /> Q "^ <br /> LL S <br /> O p <br /> 18. Transporter 2 Acknowledgement of Receipt of Materials <br /> w O <br /> U) R Signature Month Day Year <br /> Q T Printed/Typed Name <br /> U E <br /> Z R <br /> 19. Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> I <br /> L <br /> I 20. Facility caner orPperator Certification of receipt of hezardou ateriels covered by this manifest except as noted in Item 19. <br /> T Signatur Month Day Year <br /> Y Prints ypad Na <br /> DHS 8022 A o Not Write�Below This Line <br /> EPA 8700-22 ' <br /> (Rev.6-89)Previous editions are obsolete. _. <br /> �, Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS <br />