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78722 1509001 <br /> or type.(Fam desigtred for use on elite(12-pitch)typemdtec) FormAppnrved.OMB No.2050-0039 <br /> (FORM HAZARDOUS WASTE MANIFEST 21.Oenemlor ID Number 22.Page 2 23.MangestTnddng Number <br /> (Continuation Sheet) CAL0002136076 of 2 000038506DF1'r <br /> 24.0 usaloes Name <br /> CUSTOM METAL FINISHING <br /> 5 (209)463-5811 <br /> 25.Transposer_Company Name U.S.EPAID Number <br /> 26.Transposer_ Company Name U.S.EPAID Number <br /> 27a. 27b.U.S DOTDSSMppon Q tcki mg propem SNppmg Name.Ha Clan,ID Number, 28,Cona mu , 29.Total 30.Unit <br /> FBA NWPadmgpop(dar0')) No. Type Guam* WWd. 31.Waste Codes <br /> 5 UN3299 PASTE TOXIC LIQUID, CORROSIVE, INORGANTer N.O.S. (SODICID001 D003 111 <br /> X CYANIDE, SODIUM HYDROXIDE) 6.1 (8) P6II 1 DF G <br /> 6 UM1588 HASTE CYANIDES, INORGANIC, SOLID, N.O.S. (COPPER 1J' DQ03 181 <br /> R CYANIDE) 6:1 PGII RQ(D803=lOQBI 1 3-<D P <br /> 7 ON3260 PASTE CORROSIVE SOLID, ACIDIC, INORGANIC, N.O.S. (DEBRI pf- D007 181 <br /> X CONTAMINATED PITA INORGANIC ACID SALTS) 8 PGII 4 P <br /> o B <br /> a4 <br /> W <br /> Z <br /> � 9 <br /> 18 <br /> 11 <br /> 11 <br /> 13 <br /> 1; <br /> 32.SPCW4ancffingln u#cnaandAMb.. infmmatim (s) 515894-QO - ERG(154 <br /> ) ZINCATE (6) 538659-00 - ERG(157) CYANIDE TRW DEBRIS (7) <br /> 515809-00 ERG(ISO SHOP DEBRIS <br /> 33.Trenspon>;r_ mem ofReceipt of Materiels <br /> F PrintedRypetl Name Signature <br /> Mmth fay Year <br /> O <br /> CL <br /> aZ 34.TmrisporNrof Receiptof Mmcre6 <br /> y PnnuMypetl Nmue Signature <br /> Moah Day Year <br /> 35.OboWanuy <br /> U <br /> LL <br /> O <br /> W <br /> 36, Waste Repos Management (is.codes for hsaNs ovmste area bnen al,and maydmg systems) <br /> 47) <br /> X51 . <br /> rn <br /> w <br /> 0 LEPAFotm 87700.22A(Rlas 305) Pral1.SediOatsmIt"1,t,te, DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />