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PI a n print o yTp7e.Foand Front o Nage 7 Toxic Suostances Gontrol Division <br /> rm designed for use on Uite "'2-pitch typewriter). (; Secraiinepto,California <br /> UNIFORM HAZARDOUS Generator's US EPA ID No. Manifest 2.-Page 1 <br /> Q01 D cu en No 7.lnl,.rr,,.tion in the shaded areas <br /> o-' WASTE MANIFEST ] I of I required by Federal law. <br /> 3. Generator's Name and Mailing Address A. State Manifest Document Number <br /> SUMID "� lw' R PRG'UCTS CORPORATION <br /> jIPR 8. State Generator's ID <br /> en at rs Rone( } (209) 46-0^8324 (24 QUP. DUMBER) HM ! 5 �} <br /> �0 5. Transpporrter 1 Company Name INC. 6. US EPA ID Number C. Stateto <br /> Transporter's IDL} I"� ^� <br /> N <br /> CHEMICAL 'TASTE MANAGEMEUT C � 7 1 � D. Transporter's Phone _74+, J <br /> m <br /> to 7. Transporter 2 Company Name 8. US EPA ID Number E. State Transporter's ID <br /> 0 <br /> I? F. Transporter's Phone <br /> 9. Designated Facility Name and Site Address 10. US EPA ID Number 13 State F 'I' ID <br /> -j APPROPRIATE <br /> TECHNOLOGIES II, INC. � ,- <br /> U 1700 ttIALK TELL ROAD H. Facility's Phone / <br /> Z CHULA VISTA, CA. 92011 IT 0 6 0 0 il 1 1 619 421-1175 <br /> 12. Containers 13. Total 14. <br /> O L <br /> 0 11. US DOT Description(Including Proper Shipping Name,Hazard Class,and ID Number) <br /> Quantity Unit Waste No. <br /> No. Type Wt/Vol <br /> -�U a. <br /> State <br /> E RQ HAZARDOUS WASTE LIQUID f..O.S. (K462) EPA/Ot792 <br /> her <br /> 3 E b. �lA91U9 0 T T <br /> DOOL B007 <br /> �y R State <br /> 0 A <br /> c <br /> 00 T EPA/Other <br /> v O _ <br /> N <br /> V R C. <br /> o State <br /> 0 <br /> CP <br /> EPA/Other <br /> LLJ� d <br /> State <br /> Z <br /> W <br /> U <br /> EPA/Other <br /> LU <br /> U) J. Additional Descriptions for Materials Listed Above K. Handling Codes for Wastes Listed Above <br /> 11.0. PROFILE 0 20331 (WASTE SULFURIC ACID ARD WATER a b. 1 <br /> W PICKLING LIQUORIr <br /> � <br /> E.R.G. # 39 c. d' <br /> Z <br /> 15. Special Handling Instructions and Additional Information <br /> Z USE PrROPER PROTECTIVE EQUIPMEr WHEN HANDLING (OSHA. LEVEL "C') <br /> LU <br /> CHEF, TR£O. # 800-424-9300 � <br /> Q 16. <br /> U <br /> GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment 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 er.d- <br /> il national government regulations. <br /> � I <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 small 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 me.and that I can afford"--, <br /> Z i <br /> w Printed/Typed Name Signature + Month Day Year <br /> LUf <br /> LU R 17. Transporter 1 Acknowledgement of eceipt of Materials <br /> G N P luted/Typed Na(ne Signature/ Month Day Year <br /> LL S <br /> 0 11P r / a <br /> c FUS(�-� - f- Lill l r, 1 <br /> LJ O 18. Transporter 2 Acknowledgement of Receipt of aterials <br /> Q R,, Printed/Typed Name Signature <br /> U Month Day Year <br /> Z E <br /> 19. Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> I K �� <br /> L <br /> T20: Fac'lty Owner orQQerator�Gertltication of receipt of hazardous materials-cover �Ciythis manifest except as noted in Item 19. <br /> y Pri d/Typ Narte Si 6tura� Month Da ,Year <br /> �1l l <br /> DHA 8 2 A <br /> EPA 87700-22 Do Not Write Below This 4ine <br /> (Rev.6-89)Previous editions are obsolete. 11 <br /> l�i:ow: TSD'r SENDS THIS COPY TO GENERATOR`WITHIN 30 DAYS <br />