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<br />UNIFORM HAZARDOUS 21. Generators US EPA ID No. Manifest Document Na
<br />22, Page Information in the shaded
<br />WASTE MANIFEST
<br />1
<br />areas is not required by Federal
<br />(Continuation Sheet) C I N 1 1 1 0 0 1 0 4 1 1 2 0 9 0
<br />2 of Law.
<br />L. State Mamifest Document Number
<br />23. Generators Name
<br />SAM JOAQUIX COUNTI
<br />1l0
<br />M. State Gernerators ID
<br />1850 E t9vacm
<br />SIOQ.T71f, CA 95201 M -M: ALISOK R11=9
<br />rahspo er �ifly 0 URI @F
<br />@ fl@�@ @ @
<br />O. Transposers Phone
<br />20. Transporter Company Name 27. US EPA ID Number
<br />P. State Transporters ID
<br />Q. Transpoltters Phone
<br />28. US DOT Description(/hEluding Proper Snipping Name, Hazard Class, and ID Number)Total
<br />29. ontainers
<br />W.
<br />31.
<br />Unit
<br />R,
<br />Waste No.
<br />No. T Oe
<br />Quantity
<br />Arrival
<br />a.
<br />rL*#VaIt LICUMS, R.O.S., 3, UX1993, " II, (gadeliro,
<br />thinr ca), (ec9: 120, (pf: 669979)
<br />pt
<br />O i
<br />D
<br />as 0 0 5 5
<br />A
<br />b.
<br />p11XP sztffi , 31 OR5263,
<br />744527)
<br />RA
<br />c.
<br />cAu) IC AIIIILI LIQ0ID6, N.O.S., 8, un.719, I II,
<br />(lab-psak), (ex'g: 154), (pf: 7445251
<br />Wk
<br />D
<br />r 0007
<br />a 9
<br />to
<br />4
<br />d.
<br />pW6TZC AiptLI LIgUID5, R.O.S., a, 051719, W II,
<br />E
<br />(lab -peak), (eco: 154). (PE: 769885)
<br />XA
<br />N
<br />I
<br />0 0
<br />A D
<br />0 050
<br />v!OE
<br />e
<br />A
<br />e.
<br />00101055YE LIQUID, ACIDIC, IIa0>MASrtC, 5.0.5. , 8, UX3264, e0
<br />1
<br />2I, (lab -peak), (ecg: 154), (pf: 769884)
<br />VA
<br />0
<br />R
<br />00
<br />D
<br />O 0T 0
<br />AR
<br />(.
<br />COXSVlER L1'MQODIM, CEPS -D. fMcovelal (Limited Orar+ra cY1,
<br />(e19, 126), (pf: 744528)
<br />M
<br />-
<br />g.
<br />7a040KM RITMSL IrVD LIZMS, 5.1, M2072, 20 III,
<br />1401, tpf: 744493)
<br />Fit
<br />0 0
<br />1 D
<br />r ® 0 6 0
<br />h,
<br />MIDIZI1Ri LIQUID, CORADSM, X.O.S., 5.11 Ur309u, p6 II,
<br />(IAB sant) , (e49: 1101 , (pf: 699402)
<br />p 0
<br />D
<br />ID 0 1 D
<br />j,
<br />m(IDILIIQ3 eOLID, R.O. S-, 5.1, 0X1419, e0A II, (lab-parJr/,
<br />(m1: 1401, (pF, 698402)
<br />O D
<br />D
<br />0 0 0 7
<br />I°I
<br />S. Additional Descdptions for Materials Listed Above
<br />T. Handling Codes for Wastes Listed Above
<br />• 2M 689979 ; M.SS) •e 288, 744627 t (19 X 65) ♦• 28C: 744625 ;
<br />12 (( B9) )) t@@1 i69fl®0 i It N 0@I 4t 969( 759094 i 10 Y Jill 44 et(@(
<br />744528 ; (1 X ffi) •• 2ae: 746493 ; (4 X 30) •• 28141 698402 ) (31301 �•
<br />261: 692402 r (1 R 30)
<br />32. Special Handling Instructions and Additional Information
<br />11rppL epptapcisra Pa: wbm Wndllry � ate Jv. Rw is nQ,A ezempt pec 40 C 261. 4(b) (1)
<br />a101uwm. wee peaked to60cding to 49 C 173.12b. Job *1493-05526 Site, 7950 SauC eA a idgetocd St,
<br />stoaktmr G 95206. / ow [bride 128 , 154 , 126 , 140
<br />1
<br />33. Transporter _ Acknowledgement of Receipt of Materials Date
<br />R
<br />Printed/Typed Name
<br />Signature kforith Day Year
<br />N
<br />S
<br />W firJR5 Aar — A@hR@wl@jf@@Ri @I P1@419 W M@t@ri@Is 9AI@
<br />T
<br />PrintedfTyped Name Signature vonth flay year
<br />E
<br />R
<br />I r 135-
<br />I�I
<br />Discrepancy Indication Space
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