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707566-13 <br />P. PI tint or tye Form deslgned for use on elite ) <br />L <br />I <br />ease <br />P • <br />21. Genre or ID Number <br />22. Pagd,7 <br />23. Manifest Tracking Number <br />UNIFORM HAZARDOUS WASTE MANIFEST <br />(Continuation Sheet) <br />C101.1.111(3C1II5114 <br />o 2 <br />000069511D.AT <br />24, Ceneratoes Name <br />SAN JOAQUIN COUNTY PUBLIC WORKS DEPARTMENT <br />1810 EAST HAZELTON AVENUE , STOCKTON CA 95201 (2091468-3066 <br />U.S. EPA ID Number <br />25. Transporter Company Name <br />U.S. EPA ID Number <br />26. Transporter _ Company Name <br />27a. <br />27b. U.S. DOT Descrplbn (fincluding PieparShWping Name. Hazard Class, ID Number, <br />28. Contalners <br />29. Total <br />30. Unit <br />31.WaateCodes <br />No. <br />Type <br />HM <br />and Pecking Grog of any)), <br />Quantity <br />WLNol. <br />S UN2929 TOXIC LIQUIDS, FLAMMABLE, ORGANIC, N.O,S. (DIAZINON, <br />vfv) <br />612 <br />X <br />PETROLEUM DISTILLATES) 5.1 (3) PGII <br />v <br />i c (} <br />=' <br />6 UN17BO CORROSIVE LIQUIDS, N.O.S. (SULFURIC, ACID, ACETIC ACID) 8 <br />612 <br />X <br />P61I <br />I <br />bi'= <br />SS <br />F' <br />7 UN1719 CAUSTIC ALKALI LIQUIDS, N.O.S. (AMMONIA, SODIUM <br />X <br />HYDROXIDE) 8 PGII <br />D1' <br />N <br />0 NA2212 ASBESTOS 9 PGIII <br />612 <br />DF <br />W <br />w <br />9 UNIVERSAL WASTE LAMPS <br />CF <br />�� <br />P <br />45 <br />n <br />F+er <br />V <br />1a <br />32. Special Handling Instructions and Addhonal lnformatmn j 6 SJCH W510-00 - ERG(,131) LABPACK OR LUOSEPACK 6 SJCH'HWE50-00 - ER6 1St' LABPACK- <br />CID, TREAT '(71'Sj=1096D-00 - ERG(154) ELADPACK- BASES, TRE (B) SJCHHWSIO-90 - ER6(171) ASBESTOS, LANDFILL (9) SJCHKW995-00 <br />FLUORESCENT TUBES, W (10) SJCHHUI10-09 - ANTIFREEZE, RECYCLAB (11) SICHHW323-00 ER6(1231 BULK FUELSIPETROLEUM (12) SJCHHWIID-0 <br />MOTOR OIL, RECYCLABL (13) SJCH8030-00 ALKALINE BATTERIES, <br />33.Transpoder_Acknewl_ ment'of RecelptofM3te(ials <br />�sa <br />Pdnted(Typed Name Signature Month Day w <br />K <br />O <br />a <br />2 <br />XTransportur_ACNno ment of Receipt of Malerals <br />Primed/Typed Name Signature Month Day Vr <br />35. Discrepancy A <br />J <br />U <br />LL <br />O <br />rW- <br />36. Hazardous Waste Report Management Method Codes{I.e., oodesfor hazardous waste treabnent disposal, and recycling systema) <br />5) H141 (61 N141 7) H141 (8) l91 <br />di1D1 <br />y <br />W <br />illi 12) 13) <br />EPA Form 6700-22A (Rev. 3-05) Previous editions are obsolete. <br />DESIGNATED FACILITYTO DESTINATION STATE (IF REQUIR <br />