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At Apr 16 05 04:13p Angela Metz 2094685672 p.4 <br />(Fano desianad for uae on e , J2-aitch)lvmwriWr.) <br />F, RM.. QNB Ab. 2O5 .. <br />GNro (:F tR runYtlecrTr,®mvn �o•.vw ...-w.....�.«. c'R�w..n��....++.�oe..aR•, ws,.....-w,...�.....i..w..•. <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 H 1 1 1 0 0 1 0 4 4 9 5 e 2 e <br />2 of 2 <br />law. <br />23. Generators Name <br />L. State Manifest Document Number <br />sm JCAwng cowry <br />AA-Y4932d <br />M. State Generators ID <br />Lazo a HA3LFTa8 <br />STC Mtl CA 95201 P3TN: ALISON HUDSON <br />24. Transporter Company Name 25. US EPA ID Number <br />N. State Transporter's ID <br />O. Transposers Phone <br />26, Transporter Company Name 27. US EPA ID Number <br />P. State Transporters ID <br />O. Transporter's Phone <br />29. containers <br />30. <br />31. <br />R- <br />2& US DOT Description (Including Proper Shipping Name. Hazard Class, and ID Number) <br />Total <br />Unit <br />Waste No. <br />No. Type <br />Ouentty <br />WW01 <br />a. <br />:A`ffL1BIL L19U=, N.O.S., 3, W1993, PQ II, (c Vellna, <br />ehirv,uca), fug: 1221. (p_: 699979) <br />tW <br />3M <br />b. <br />PAIN!? L1EY.tM '-P.1'ETiU1L, 3, I 263, PG TT, (ov)T E 811521), <br />(arg: 129), (PE: 7.44526) <br />10% <br />C P <br />4� <br />J <br />C. <br />PAINT ItE[AT© [�, 3, w.1263, M- I!, 11 r9: 12e), (PE: <br />744527) <br />Rd1 <br />D M <br />!a1 <br />0 <br />tl. <br />E <br />N <br />E <br />R <br />A <br />@. <br />7 <br />0 <br />R <br />I. <br />9. <br />h. <br />i. <br />S -Additional Descriptio s for Materials Listed Above `� <br />• 23A: 689979(Xat• 2M 7445261 <br />T. Handling Codes for Wastes Listed Above <br />J`j�) <br />y 28C: 744527( 1-7x550M) <br />32. Special Handling Instructions and Additional Information <br />i(�rc aPProPia:.e I+PT_ rbrr havlli�g ha �ar_.ia_rs matanals. '+3ste is %[LL �x.^.m'. F^s 3C CER 251.1(b) (1) <br />1T_LiaiOn. 'cai packod accor�ng tro 49 CER 173.12b. Oub*1492- S,t : 7350 5 RA 8-1.13aeex.4 St. <br />Swcktoa CA 9520E L23 <br />T <br />33. Transporter _ Acknowledgement of Receipt of Materials <br />Date <br />Printetl/Typed Norma <br />Signature <br />nth Day Yew <br />"a <br />P <br />34. Transporter _ Acknowledgement of Receipt of Materials <br />Dale <br />T <br />Printed/Typed Name <br />Signature <br />Month Day Year <br />E <br />R <br />F <br />35. Discrepancy Indication Space <br />c <br />C <br />L <br />T <br />Y <br />GNro (:F tR runYtlecrTr,®mvn �o•.vw ...-w.....�.«. c'R�w..n��....++.�oe..aR•, ws,.....-w,...�.....i..w..•. <br />