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toxic auostances L.ontrol Division <br /> Plea.4printfor type.- Form designed for use on elitr"2,'bitch typewriter). and Front Of Paqe 7 Sacramento,California <br /> UNIFORM HAZARDOUS Generator's US EPA ID No. Manifest 2. Page 1 Information in the shaded areas <br /> WASTE MANIFEST Document No. <br /> , 16 IQ b of is not required by Federal law. <br /> 3. Generator's Name and Mailing Address A.itate Rinifeat Document Number <br /> UMIDEN WIRE PRODUCTS CORP. '' <br /> 1412 ,C�L r INAL DRIPS S. State Generator'— ID <br /> TFi�K; QjPh"LIFUR�4IA 9520E <br /> O <br /> LO 5. Transporter 1 Company Name 6. U A 60R mbar C. tae Trin4orer's11D <br /> LO <br /> t, D. Transporter's Phon <br /> NUFA <br /> U) 7. Transporter 2 Company Name 8. US EPA ID um er E. State Transporter's <br /> 0 F. Transportees Phone <br /> 9. Designated Facility Name and Site Address 10. US EPA ID Number G. State Facility's 10 <br /> TICAM 9., C <br /> 095 NIEWLANDS DRIVE EAST H. Facllity'a Ph n6 e� <br /> 41 <br /> 0 f 12. Containers 13. Total 14. 1. <br /> 11. US DOT Description(Including Proper Shipping Name,Hazard Class,and ID Number) Quantity Unit Waste No. <br /> Q No. I Type Wt/Vol <br /> f U a' State <br /> GN—RCRA HAZARDOUS WASTE SOLID <br /> N (ZINC PHOSPHATE FILTER CAKE 1 C y �",�"' <br /> E b. <br /> N R r- State ' <br /> 0 A <br /> m T EPA/Other <br /> N O <br /> a R C. { State <br /> o ' <br /> C9 i <br /> F ��� � � EPAIOther <br /> (L d. I <br /> w —_ <br /> State, <br /> Z $IGU DiI CA <br /> U r:Sf IL EPA/Other <br /> LU <br /> U J. Additional Descriptions for Materials Listed Above <br /> Z K. Handling Codes-tor Wastes Listed Above <br /> CORROSIVEa. MATERIAL CO4PONENT5 G/ b. <br /> co <br /> LU INC AND IRON PHOSPHATE 60c. <br /> — 80 � d. <br /> J <br /> < <br /> Z <br /> 15. Special Handling Instructions and Additional Information <br /> LU <br /> EAR PROPER PROTECTIVE EQUIPVIENT WHEN IIAIIDLI14G (OSHA LEVEL "C") <br /> TICAM PROFILE # P-91-07' 1 <br /> J • <br /> J <br /> < 16. <br /> U y, <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 are classified,packed,marked,and labeled,and are in all respects in proper condition for transport by highway according to applicable international and <br /> CL 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 /> O 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 /> present and future threat to human health and the environment;OR,if I am a sm 11 quantity generator,I have made a good faith effort to minimize my waste <br /> >_ generation and select the best waste management method that is available to a and that I can afford. <br /> U <br /> Z <br /> LLJ 0Printed/Typed Name Sign u Month DayIt •Year <br /> Lu <br /> W In Iq V2 IG Q 12— <br /> T 17. Transporter 1 Acknowledgement of Receipt of Materials <br /> R <br /> Z N Printed/Typed Name Signetur Month Day Year <br /> LL S -777 <br /> O p <br /> w O 8. Transporter 2 cknowle ge of eceipt o a er <br /> UUR Printed/Typed ed Name <br /> T YP gnature 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 of receipt of hazardous materials co d by this manifest except as noted in Item 19. <br /> T <br /> yted/Typed Name Sig ature <br /> ` / _ j J p Month Day Year <br /> kip <br /> DHS 8022 A Do Not Write Below This Line <br /> EPA 8700-22 <br /> (Rev.6-89)Previous editions are obsolete. <br /> Yeliow: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS <br />