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351326 1212675 <br /> Please print or Foram des' ned for use on elle 02-pitch) writes Form A roved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.13aneabrlDNumber 22.Pag111 23.Mari Tracking Number <br /> (ContinuationShaet) CAN111000503 of 2 1 002708798FLE <br /> 24.Generators Name <br /> SAN JOAQUIN COUNTY PUDLIC MORNS DEPARTMENT <br /> 1810 EAST HAZELTON AVENUE STOCKTON CA 95201 (209)168-3066 <br /> 25.Transporter_ Company Name U.S.EPA IO Number <br /> 26. TanspoMr_ Company Name <br /> U.S.EPA ID Number <br /> 27a. 27b.U.S.DOT Description(irluding NOW Shipping Name,Hazard Class,ID Number, 28.Containers <br /> 29.Total 30.Unit31.Waste Codes <br /> HM and Paokimg Group(danyJ) No. Type Quantity WWbLOL <br /> 5 ON3432 POLYCHLORINATED DIPHENYLS, SOLID 9 PGII / 112 <br /> x / OF K <br /> 5 UN2794 DATTERIES, YET, FILLED WITH ACID (LEAD-ACID AUTOMOTIVE G <br /> x DATTERIES) 0 POIII UNIVERSAL PASTE- DATTERY(IES) P <br /> /YI <br /> �Btr— <br /> 0 0 <br /> r <br /> 9 UN1960 AEROSOLS 2.1 612 <br /> x DF 7 P <br /> 10 Un 1-1 lq11,1105 60LM %CAI�'350d'CauS+it.R11fR)i u ,iris ' DF <br /> vft%RVA <br /> 11 Uri 1'71.0 docrelSlvg 1-�$uiCIS N.O,S, <br /> Gs W Rxjic--igczjj ►9iI A-ad t; I DF l <br /> 12 UI)29,19 T41C Wj uadS j�larwnab�o^9MiG fill <br /> No.S,(D►azylon�� Ic,.tn1d1�11: L.1,3 ! Dir 1 rj '� <br /> 13 /,j/j '�' N'fi?JiS "j7t 5 Ci24s �Q <br /> d / <br /> 14 c <br /> 32.Special Handling Instructions and Additional Information S S]C11111920-00 - ERG(171) PCB LI T IAALLASTS]ATTERIE , 1 5 CHHY81y810B7 �Q A T <br /> AEROSOLS, PAINTS(7SJC�ZI1�3 JNrIsD ERIES �RESj�s✓CI�f�L✓0-00 N CD Bg E��dOIRsCHc+2�/ude5 ER61126! <br /> 33.T iter Ackwvded mentof Recti tofWtterials - `lQ <br /> hw- PrintecifTyped Name SignaWre Month Day Year <br /> K <br /> O <br /> a <br /> N 36.Tan m lvkm nmlof Recti NM1lalerials <br /> Pdnledlfyped Name Sgnai Morm Day ear <br /> r <br /> 35.Discrepancy - <br /> J I <br /> U <br /> 4 <br /> LL <br /> O <br /> G36.Harzrdws Waste Remd Management Medrol Codes(.e.,oades for hazardous waste treatment,dermsel,and racyciing systems) <br /> Ito T) 18) (9) <br /> 0 <br /> EPA Foran 8700-2ZA(Rev.U5)Previous editions are obsolete. DESIGNATED F4GILITY TO DESTINATION STATE(IF REQUIRED) <br />