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FORM NFS-UHWM <br />AL <br />UNIFORM HAZARDOUS <br />21. Generator's US EPA ID No. Manifest Document No. <br />22. Page <br />Information in the shaded <br />WASTE MANIFEST <br />? <br />areas is not required by Federal <br />(Continuation Sheet) <br />✓� <br />w, <br />23. Generator's Name <br />L. Stafe Manifest Document Number <br />SAN JOAQUIN COUNTY <br />HARVEY LN LNDFILL 1810 E. tAZELTUN <br />Mae enerator's ID <br />17720 EAST ttARNEY LN STOCKTON, CA 95201 <br />LOUT, CA 95240 ATTN: 6II4iA?A ANOREiiS <br />24. Transporter (= ) ams EPA ID Number <br />N. State Transporter's ID <br />'1612I /. 'C <br />O. Transporters Phone <br />26. TransporterCompany Name 27. US EPA ID Number <br />P. State Transporters. ID <br />Q. Transporter's Phone <br />29. Containers <br />30. <br />31. <br />R.Total <br />28. US DOT Description (Including Proper Shipping Name, Hazard Class, and ID Number) <br />Unit <br />Waste No. <br />1-7917 <br />No. Type <br />Quantity <br />WtlVol <br />a. <br />S7 COLPffiD(p£ITT, CRM -D, (Aecoaola)(Limited Quantity), <br />Lim <br />(g: <br />126), : 744528) <br />,_`` <br />$ <br />G� 0 IDT <br />`SIU ) <br />612 <br />b. <br />P <br />NIXT MIJ ED tATpRIAL, 3, UN1263, Re II, (E-11624), <br />I <br />s), (pf: C0141911) <br />5 <br />612 <br />r L�T <br />C. <br />IVH NITRATE FP3Yl'ILIZEELS, 5.1, NA2072. PO III, <br />190), <br />(p£: 744493) <br />E 5 <br />612 <br />d. <br />E <br />a <br />N <br />E <br />( <br />g: 140), (p£: 698402) <br />(� /� <br />E S T <br />612 <br />R <br />A <br />e. <br />T2 <br />,I <br />O. <br />, (.g: 140), (p£: 698402) <br />E S T <br />612 <br />f. <br />SOLID, IC, N.O.S., 6.1, <br />IU), <br />(pf: 744523) <br />612 <br />F9 <br />9 <br />METRO <br />LEa7M CASts, LIQUEFIED, 2.1, UN1075, (arg: 115), (pf: <br />HA <br />7 <br />4532) <br />D a x <br />612 <br />h' <br />SIVE LIQUID, ACIDIC, INaea ANIC, N.O.S., 8, UN3264, PO <br />I <br />E, (Iab-psok), (acg; 154), (pf: 769884) <br />E S T <br />NA <br />r, I/ <br />7• l <br />Frei � 5 <br />/ / U�` <br />AN <br />icC,Ir51�V�P �yN5�1 <br />00 <br />y <br />co <br />S. Additional Descriptions for Materials Listed Above <br />T. Handling Codes for Wastes Listed Above <br />* 28n: 744528 *+ 28N; Rao +x no: 744493 •a.28D: 698402 3. 28N: <br />698402 ^* 28F: 744523 •+ 280: 744532 *• 28H: 769884 <br />32. Special Handling Instructions and Additional Information <br />Hear appropsiara PPE when handling hazacdaua matatials.Hbetaie RCRA asempG per 40 CFR Haar aPpropri.ta <br />PPE when handling hazardous materials.Raetaia RCeA esampt pat 40 CFA <br />261.4(6)(1) e:Olueion. Haste was pecked aaaozding to 49 CEA 173,12b. Job► 1403- 06369 <br />Site:.' a <br />T <br />33. Transporter Acknowledgement of Receipt of Materials <br />Date <br />A <br />Printedlfyped Name <br />Signature <br />Month Day Year <br />N <br />S <br />P <br />°a <br />34. TransporterAcknowledgement of Receipt of Materials <br />Date <br />E <br />Printedlfyped Name <br />Signature <br />Month Day Year <br />R <br />A <br />35. Discrepancy Indication Space <br />C <br />L <br />i <br />T <br />V <br />