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Plge:,4.print or type. Form designed for use on elite(12-pitch typewriter). Sacramento,Galnorm& <br /> NIFORM HAZARDOUS ]ienerator's US EPA ID No. Manifest 2. Page 1 Informatio <br /> Document No. n 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 /> jRF�PORRDVICETS CORPORATION g, State Generator's ID <br /> � 9? 0 nr <br /> 4120E <br /> 4. ,j�QLne [F. 9520? (209) 466-8924 (24 HOUR NUMBER) Hi A H! Q 3 6 — 0 1 7 5 9 8 <br /> 0 5. Transporter 1 Company Name 6. US EPA ID Number C. State Transporter's ID <br /> L <br /> LO <br /> CHEMICAL WASTE M NiAGEMM. INC. ICIAID10103191816171118 D. Transporter's Phon <br /> N <br /> m 7. Transporter 2 Company Name 8. US EPA ID Number E. State Transporter's ID <br /> F. Tranaporter's Phone <br /> 0 <br /> op 9. Designated Facility Name and Site Address 10, US EPA ID Number G. State Facility's ID <br /> APPROPRIATE TECHMOGIES II a INC. } q' `e 01 � G' S r} <br /> 1700 MAXWELL ROAD H. Facility's phone <br /> �.. Z HULA VISTA CA. 92011 iCATi0i8i0i0iliO 1 t3 1 619 421-1175 <br /> +� IM 12. Containers 13. Total 1 1. <br /> 0 11. US DOT Description(Including Proper Shipping Name,Hazard Class,and ID Number) Quantity Unit4. Waste No. <br /> No. Type Wt/Vol <br /> J <br /> -,i U a. State 792 <br /> E RQ HAZARDOUS WASTE LIQUID N.O.S. (K062) � 6 0 U EPA/tither <br /> N t o O O 1 T T �T <br /> E b. Z)VV J State <br /> c R <br /> 0 A EPA/Other <br /> m T <br /> v O <br /> R C. LSTOCKTON, <br /> 1''t State <br /> a <br /> O <br /> O <br /> op EPA/Other <br /> CA 1 <br /> ¢ <br /> w d. MAIL State <br /> Z <br /> w <br /> CJ EPA/Other <br /> w <br /> rn J. Additional Descriptions for Materials Listed Above K. Handling Codes for Wastes Listed Above <br /> Z a. <br /> 11.a. PROFILE # 201331 (WASTE SULFURIC ACID AND WATER) � b.Uj <br /> } <br /> IM PICKLING LItOR -�—�, 0 p_r� ,9? v d. <br /> Z E.R.G. # 39 <br /> 0 <br /> ~ 15. Special Handling Instructions and Additional Information <br /> USE PROPER PROTECTIVE EQUIPMEFdT WHEN HANDLING (OSHA LEVEL "C") <br /> H <br /> J <br /> J <br /> U 16. <br /> J 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 /> U) <br /> If I am a large quantity generator,I certify that 1 have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined <br /> cc cc 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 /> >- generation and select the best waste management method that is available to me and that I can afford. <br /> U <br /> Z <br /> Printed/Typed Name Signihare Month Day Year <br /> C: C7 fa p f� J r l 1 <br /> E T 17. Transporter 1 Acknowledgement of Receipt of Materials <br /> R /11 <br /> ZA int d/Typed Name nal / Month Day Year <br /> P <br /> w O 11r.—Transporter 2 Acknowledgement of Receipt of Materials <br /> Q T Printed/Typed Name Signature Month Qay YeRr <br /> U E <br /> Z_ R <br /> 19. Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> I <br /> L <br /> I ?I}—�acility Owner or Operator Certification of receipt of hazardous materials covered by,^ft ma+tttest except as noted in Item 19. <br /> T <br /> y Prifnd/Typed Nf31ne 7 �Signat e I i % ;` Month a rYenr <br /> ��.�`s' f <br /> DHS 8022 A Do 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 />