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Teri <br />FORM#FS-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 C <br />5 1 1 1 0 O�O4y 6 9 2 6 2 3 <br />3 <br />areas isnot required by Federal <br />(Continuation Sheet) <br />law. <br />23. Generator's Name <br />L. State Manifest Document Number <br />ONTY OF SAN JOAMUIN�1 <br />469262 <br />10 E. NAZBLTOl1 /r1 r 50N iiaD$0nJ <br />M. State Generators ID <br />OCKTON, CA 95201 ATTN: <br />(209)468-3066 -?O <br />24. Transporter Company Name 25. US EPA 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 />No. <br />Type <br />Quanti <br />WWoI <br />a. <br />NS <br />CODillill Y ILIHITED QUANTITY', ORK-D, (Aerosols), <br />1126), <br />(pL: 744528) <br />001 <br />GF <br />00(025 <br />F <br />N <br />b. <br />gg <br />SIVE LIQUID, ACIDIC, ORGANIC, N.O.S., 8, UN3265, PG II, <br />- - <br />pacK), (erg: 153), (pP: 769884-0) <br />0 <br />nf:O. <br />0 OI Z _ <br />P <br />40 <br />ID <br />ZING LIQUID, CORROSIVE, N.O.S., 5.1, UN3098, PG II, <br />( <br />hl <br />rine, Hydrogen), (erg: 140) , (pi: 698402) <br />D0 1 <br />0.).w <br />P <br />001 <br />G <br />d. <br />E <br />N <br />E <br />R <br />R <br />e. <br />T <br />O <br />R <br />T.- <br />9. <br />h. <br />i. <br />S. Additional Descriptions for Materials Listed Above <br />T. Handling Codes for Wastes Listed Above <br />38A: 744528 ( j X rp3 ) ** 38N: 769884-0 ( 1 300 1 ** 38C: <br />6 8402 l 1 x 30 DP ) <br />32. Special Handling Instructions and Additional Information <br />Job Y 1483-04811 <br />is RCRA exert per 40 CFR 261.4(6)(1) exclusion. Use proper PPE <br />when handling hazardous <br />to <br />terials. / ERG Guide 126 , 153 , 140 <br />33. Transporter __ Acknowledgement of Receipt of Materials <br />Date <br />T <br />Prinled/ryped Name <br />Signature <br />Month Day Year <br />N <br />s <br />gDate <br />34. Transporter _ Acknowledgement of Receipt of Materials <br />EPrinted/Typed <br />Name <br />Signature <br />Month Day Year <br />R <br />35. Discrepancy Indication Space <br />A <br />C <br />L <br />T <br />r <br />