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and Front of P.,^@ Toxic Substances Control Division <br /> Plesae'prynt or type. Form designed for use on eiit '-pitch typewriter). �8Cramgnto,California <br /> UNIFORM HAZARDOUS Generator's US EPA ID No. Manifest 2. Page 1 <br /> Document No. Information in the shaded areas <br /> WASTE MANIFEST . of is not required by Federal law. <br /> 3. Generator's Name and Mailing Address A. State Manifest Document Number <br /> SUMIDEN WIRE PRODUCTS CORP. 90921028 <br /> 1112�EL PINAL DRIVE B. State Generator's ID <br /> 4. TiC 1tnT0N„neQALIF. 95205 24 K N '"R <br /> 5. Transporter 1 Company Name (209)466-8924 6. — US EPA ID Number C. t h ® + <br /> N t Q10D- Transporter's Phone <br /> 7. Transporter 2 Company Name 8. US EPA ID Number E. State 7rsp <br /> enorter'e IDS65 9B-839i <br /> 0 <br /> F. Trarwporter's Phone <br /> CP 19. Designated Facility Name and Site Address 10. US EPA ID Number G. State Facility's ID <br /> ETICAM <br /> 0 2095 NE ILANDS DRIVE EAST H. Facility's Phone <br /> 10 FERNLEY. VADA 89408 INIVID191810IC19151313i8, 1-8M-648-9931 <br /> Cr <br /> 12. Containers 1 13. Total 14.LL11.11. US DOT Description(Including Proper Shipping Name,Hazard Class,and ID Number) Quantity Unit Waste No. <br /> a <br /> U No. Type Wt/vol <br /> State <br /> E NON—RCRA HAZARDOUS WASTE SOLID N (ZINC PHOSPHATE FILTER CAKE) 01011 cim r� �j y EP/V <br /> cvR — Sta EINE <br /> Mo �,� EPA/Other <br /> N <br /> State <br /> SEPa , <br /> f EPAJOther <br /> i, <br /> LU <br /> LU d. <br /> — State <br /> Z <br /> Lu <br /> U - ' EPA/Other <br /> Lu <br /> W J. Additional Descriptions for Materials Listed Above <br /> Z K. Handling Godes for Wastes Listed Above <br /> a a. b. <br /> W CORROSIVE MATERIAL COMPONENTS <br /> cr <br /> ZINC AND IRON PHOSPHATE 60 — 80% C. d. <br /> a <br /> Z <br /> O <br /> 15, Special Handling Instructions and Additional Information <br /> < <br /> Z <br /> LU WEAR PROPER PROTECTIVE EQUIPMENT WHEN HAIDLING (OSHA LEVEL r1C11` <br /> ETICAM PROFILE # M91-078-01 <br /> J <br /> < 16. <br /> U <br /> GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consign(nent are fully and accurately described above by proper shipping name <br /> and are classified,packed,marked,and labeled,and are in all respects in proper condition for transport by highway according to applicable international and <br /> national government regulations. <br /> co <br /> tIf I am a large quantity generator,I certify that I have a program in place to reduc the volume and toxicity of waste generated to the degree I have determined <br /> 0 o be economically practicable and that I have selected the practicable method o treatment,storage,or disposal currently available to me which minimizes the <br /> } present and future threat to human health and the environment;OR, if I am a am I quantity generator,I have made a good faith effort to minimize my waste <br /> U generation and select the best waste management method that is available to m and that I can afford. <br /> Z <br /> LU Printed/Typed Name <br /> � Sign r� / Month Day ,Year <br /> Lu <br /> I� t L rJ J �`— <br /> 16 1 RF 12 <br /> W T 17. Tra sporter 1 Acknowledgement of Receipt of Materials <br /> R <br /> Z A Printed/Typed Name <br /> < N Signature > Month Day Year <br /> Lu O 18. Transporter 2 Acknowledgement of Receipt of Materials <br /> CO T Printed/Typed Name Signature Month Day Year <br /> E <br /> Z <br /> 19. Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> I <br /> L _ <br /> 1 20. Facility Owner or Operator Certification o re eipt of hazardous materials covered by this manifest except as rote i Item 19. <br /> T <br /> y Prints pe Na Signatu <br /> ` Month Day Year <br /> C r <br /> DHS 8022 A Do Not Wr a Below This e <br /> EPA 8700-22 <br /> (Rev.6.89)Previous editions are obsolete. <br /> Yellow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS j <br />