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`Ter i
<br />FORM kFS-UHWM
<br />(EXPIRATION DATE 9-30-98)
<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 />areas is not required by Federal
<br />(Continuation Sheet)
<br />C A B 1 1 1 0 0 1 0 4 4 4 6 1 7 6
<br />2 0i 3law.
<br />23. Generator's Name
<br />L. State Manifest Document Number
<br />im jowly tAiwT
<br />ALwitirk
<br />M. State Generators ID
<br />1810 E RALIEl'Qi I
<br />STOC6TDI, CA 95201 ASTIP: ALISOS X 3131E
<br />1209)4
<br />24. Transporter mpany Me A ID Number
<br />N. State Transporter's ID
<br />O. Transporter's Phone
<br />26. Transporter_ Company Name 27. US EPA ID Number
<br />P. State Transporter's ID
<br />Q. Transporter's Phone
<br />29. Containers
<br />30.
<br />31.
<br />R.
<br />28. US DOT Description (Including Proper Shipping Name, Hazard Class, and ID Number)
<br />Total
<br />Unit
<br />Waste No.
<br />a
<br />No. Type
<br />Quantity
<br />Wt/Vol
<br />a.
<br />PLaaa,BLe LIQUIDS, B.O.S., 3, U1111993, PO II, (geaali..,
<br />...:...r..e) , (anq: 128) , (p£: 689979)
<br />lOi
<br />ML
<br />b.
<br />PAM FAnAn® bUM21111IAL, 3, U411263, PB ii, (ergo 128), (Pi,
<br />744627)
<br />>a
<br />9 6 a
<br />a
<br />1111A.
<br />C.
<br />CNISTIC ALKALI LIQUIDS, B.O.S., 8, 0111I719, PO II,
<br />(lab -peak). (ergo 154), (p£, 744625)
<br />W
<br />G
<br />d.
<br />CAUSTIC ALIGLI LIQUIDS, K.O.S., 8, t1t1.719, PB II,
<br />E
<br />N
<br />(S W -peak) , (erg: 154) , (p£: 769885)
<br />E
<br />WL
<br />BA
<br />R
<br />A
<br />e'
<br />OOIaiOSIVE LIQUID, ACIDIC, I110086ANIC, X.O.S., 8, U113264, Poo
<br />T
<br />I1, (lab -pack), (arq, 154), (p£, 769884)
<br />O
<br />aA
<br />R
<br />D r
<br />0 0 4 9 S
<br />p
<br />AN
<br />f'
<br />OtYSOiIIIIIIIII11. 001610/0 , 010111", (Aerosals) (Listed Quandt" ,
<br />(eag, 126), (p£o 744528)
<br />8A
<br />P
<br />8A
<br />9-
<br />AM1011i BITMTB MWXLIL88S, 5.1, MR2072, PO III, (ang,
<br />140), (p£, 744493)
<br />aA
<br />h.
<br />®IL11I9 LIQUID, 0011MOS1W, S.O.S., 5.1, U83098, Be II,
<br />(IAB PACK), (erg: 140), (pf: 698402)
<br />SA
<br />IB(
<br />i'
<br />CORROSIVE LIQUID, ACIDIC, 0RWMC, B.O.S., 8, 083265, PO II,
<br />(LAB PALM), (az'Q, 153), (p£, 769884)
<br />�
<br />AN
<br />S. Additional Descriptions for Materials Listed Above
<br />T. Handling Codes for Wastes Listed Above
<br />28A0 689979 f (110065) „ 28B0 744527 , (73156) •• 28C, 744525 1
<br />(4x55) -• 28D: 769885 p (2430) •• 28E; 769884 , (4X30) •• 28P0 744528
<br />, (2X08) •• 28Go 744493 1 (3X30) -, 28110 696402 1 (1X30) '• 2810
<br />769884 , (1X5)
<br />32. Special Handling Instructions and Additional Information
<br />sraer appnoprieta PR" .loan handling haoardoua aia r"le. 11ante in R azampt pee 40 CPA 261.4(b) (1)
<br />e:mlueion. was peaked according to 49 C 173.12b. Job ►1483-05526 Site: 7850 South LU\ Bridga£otd St.
<br />Stcakr CA 95206. / MG Guide 128 , 154 , 126 , 140 , 153
<br />T
<br />33. Transporter Acknowledgement of Receipt of Materials
<br />Date
<br />R
<br />Printed/Typed Name
<br />Signature
<br />Month Day Year
<br />gN
<br />P
<br />°n
<br />34. Transporter _Acknowledgement of Receipt of Materials
<br />Date
<br />T
<br />Printed/Typed Name
<br />Signature
<br />Month Day Year
<br />35. Discrepancy Indication Space
<br />A
<br />T
<br />Y
<br />
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