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Plaa r of nrh,nd-. t[ rv, nei•���s r.. <br />EPA Form 87uu-22A (Rev. d-0 b) Previous editions are obsolete. `'' DESIGNATED FACILITY TO GENERATOR <br />--- _-" <br />UNIFORM HAZARDOUS WASTE fr1ANIFEST' 21 Gi '10 Number 22. Page <br />2. <br />fest Tracking Number EOrMApproved. OMb No. 2050-0039' <br />(Cyntinuation Sheet) 1-:A11 1 L 11) t) 10 4 4 ... <br />0003 58 £ 57 <br />F LE <br />24. Generator's Name <br />SAN JOAQUTN HC'4.TSEHOLP UXZARDOIIS WASTE FACILITY <br />25. Transporter Company Name <br />U . EP <br />um er <br />Soon T5 <br />1) <br />-�'°r9k' <br />26. Transposer Company Name <br />� <br />um er <br />� Q <br />S U1C <br />5 <br />n <br />7 <br />, <br />27m 27b. U.S. DOT Description (including Proper Shipping Name. Hazard Class, ID Number, 28. Containers <br />29. Total <br />30. Unit <br />HM and Packing Group (if ani -' - --.- _. _ <br />- - - No. <br />Type <br />Quantity <br />31. <br />Wtivol. <br />Waste Codes <br />cAUST7c. ALKALI Lf,-Tl' <br />Ii TITRE, <br />- <br />- <br />N �,S 5,ialdl'rJ.�,PC;II, EF.G:ISAJ, (Fe '64LiN57 <br />N.F <br />-'' 3--*2d=•3.,cr1 , �F}x T ; rrss:'>r--rF-£ ^T'�.m.,1:..:' ! / <br />N; R. <br />1_' a <br />(Y <br />AEROSOLS CONGUMER C0P4MODIT'( �1RF, D <br />(AEROBOL'tZ I LID9ITED QUANTITY t , i ER(-,: i , <br />N/R <br />3 <br />�� <br />(PF:744528) <br />C g- <br />z. <br />O t <br />co �3c <br />AF1i'4O2i ItTpt tiITFD TL FEP.TTLIZERS, a, UNr'U?T, F(3TII <br />EFl:J4�l, /FI:?•74) <br />3 <br />NIk. <br />w <br />'i.G <br />rra© <br />oo�t5 <br />�a�-c=ra-ar..-+—r%z��i' PF-�'--5 ' <br />. I , _ • / <br />N ; R <br />i F <br />P <br />(. <br />-Re�•E`�E9�-E�-�EEra�-�Ft§B` ?+'�3Ei-E; to—rr5. , <br />to JdA <br />Pel roieuin cQses,I lgueled Q.i-on 147 <br />— <br />32. Special Handling Instmetions and Additional Intonation <br />5; "aR5o _ s ,) DF,� 7, Rfi4 i7 .Tr '0 Pf'. 7: '9452 , <br />MBCF,R: <br />744453, <br />'-r pF. <br />n ori. Ij2. n , uk', ••' <br />-�- ,• r Cr V 'A <br />.�_..�= <br />—" <br />4 ...L 65; <br />Dm `-444+06 <br />12yvv93 <br />C> d- <br />a, <br />33.Ymns oder_ Acknowled merit of Recantof Materials <br />F <br />PrintedlTypetl Name- Signature <br />Month Day Year <br />K <br />a <br />S. <br />�G �, 4 <br />o _3 0 <br />z <br />34. Transporter_tL Ackrowled ment of Receipt of Materials <br />Q <br />ate' <br />Printed7Typed Name Si e r <br />i r 9 2 <br />Doth <br />Day .Year <br />35. Discrepancy " <br />r <br />Q <br />LL <br />O <br />ourU <br />36. hazardous Waste Repos Management Method Codes (Le,, codes for hazardous waste treatment, disposal, <br />Z <br />C7 <br />and recycling systems) <br />- <br />N <br />W <br />EPA Form 87uu-22A (Rev. d-0 b) Previous editions are obsolete. `'' DESIGNATED FACILITY TO GENERATOR <br />