Laserfiche WebLink
Forra Appr ea OMB No.2050-0039(Expires 9-30-91) ted, yy y Toxic Substances Control Division <br /> se7rint or type. Form designed for use on elitt Titch typewriter). and Front Of P" 7 Sacramento,California <br /> UNIFORM HAZARDOUS generator's US EPA ID No. Manifest 2. Page 1Tillnformation in the shaded arses <br /> Ak DocumentNo. <br /> WASTE MANIFEST ofa not required by Federal law, <br /> 3. Generator's Name and Mailing Address A. State Manifest Document Number <br /> SUMIDEN WIRE, PRODUCTS CORPORATION �l7 0#�.��,.��C <br /> 1412 EL P I NAL" DRIVE B. State Generator's ID <br /> 4. T�CKZO �neALIF. 95205 (209) 466-8924 (24 HQUR NUMBER) HRH 3 {I— 5 8 <br /> O 5. Transporter 1 Company Name 6. US EPA ID Number C. State Transporter's ID <br /> LID <br /> CHEMICAL WASTE C MANAG MENT INC. iCiAQ1010131918161i 118 D. Transporter'a Phone <br /> N <br /> L0 7. Transporter 2 Company Name 8. US EPA ID Number E. State Transponer's ID <br /> o 1 1 1 1 1 1 1 1 1 1 1 1 F. Transporter's Phone <br /> m <br /> 9. Designated Facility Name and Site Address 10. US EPA ID Number G. State Facility's ID <br /> J <br /> APPROPRIATE TECHNOLOGIES II ,, INC. C l' '11-01C 0 1 10 1t <br /> 1700 MAXWELL ROAD H. Facility's Phone <br /> 7 Z CHULA VISTA, CA. 92411 ICIAIT10181010111011011 (619) 421-1175 <br /> r� CC 12. Containers 13. Total 14. I. <br /> w 11. US DOT Description(Including Proper Shipping Name,Hazard Class,and ID Number) Quantity Unit Waste No. <br /> No. Type Wt/vol <br /> ...r U a. ) State <br /> 792 <br /> G RQ HAZARDOUS WASTE LIQUID O.O.S. <br /> EORM-�E NA9189 r'k S ' C 1 T T © -Z (j' D002f rD407 <br /> N <br /> E b. i State <br /> ai R ^^' <br /> O A <br /> m T EPA/Other <br /> v O <br /> cv R C. State <br /> v <br /> 0 <br /> CP EPA/Other <br /> ccLU <br /> d. State <br /> f– <br /> Z <br /> w <br /> E <br /> U PA/Other <br /> LU <br /> cn J. Additional Descriptions for Materials Listed Above K. Handling Codes for Wastes Listed Above <br /> 11.a. PROFILE # 21331 (WASTE SULFURIC AcrD AND WATER) a- j � b. <br /> LuPICKLING LIQUOR <br /> E.R.G. # 39 E.R.G. <br /> a . <br /> Z <br /> 0 <br /> F 15. Special Handling Instructions and Additional Information <br /> 6 <br /> Z <br /> LU <br /> USE PROPER PROTECTIVE EQUIPP4ENT WHEN HANDLING (OSHA LEVEL t1C") <br /> J <br /> J <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 /> 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 I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined <br /> Cr <br /> U to be economically practicable and that I have selected the practicable method of tr atment,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 entity 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 d that I can afford. <br /> U <br /> Z <br /> Printed/Typed Name S:i:gnatur Month Day Year <br /> 0 <br /> Cc <br /> Cc <br /> WT 17. Transporter 1 Acknowledgement of Receipt of Materials ^1 <br /> R ^ <br /> Z A Printed/Typed N e S /` Signature Month Day Year <br /> Q <br /> N <br /> U P <br /> w O 18. Transporter 2 Acknowledgement of Receipt of Materials <br /> U) R Printed/Typed Name Signature Month Day Year <br /> T <br /> U E <br /> Z_ <br /> 19. Discrepancy indication Space l"1 <br /> F <br /> A <br /> C <br /> I _ <br /> L <br /> I 20. F pwner or Operator Certification of receipt of hazardous materialscoxeved-hy this manifest except as noted in Item 19. <br /> T <br /> yrated! ed ame� / - Big at 1 Month Dayr� (�a <br /> DHS 8022 A Do Not rite Below This Line <br /> EPA 8700-22 <br /> (Rev.6-89)Previous editions are obsolete. <br /> --1e low: TSDF SENDS THIS COPY TO GENERATOR WITHIN 30 DAYS <br />