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Arkansas Department of Environmental Quality <br /> Hazardous Waste ion <br /> P.O. Box 8913, Little'Rock,AR 72219-8913 <br /> Telephone:'(501) 682-0833 <br /> n <br /> Please print or type. (Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS 1.Generator's US EPA ID No. Manifest 2.Page t Information in the shaded areas is not <br /> Document No. required by Federal law. <br /> WASTE MANIFEST1317 of <br /> 7 3.Generator's Name and Mailing Address A<State MangestrD��ocumentNutribet <br /> CONTINENTAL MARITIME OF SAN DIEGO, INC. <br /> 1995 BAY FRONT ST. ( YARD } e t�ta aneratarslDr,; <br /> � <br /> SAN DTE6(}, CA 92113 <br /> cc <br /> 4.Generator's Phone t51 23 4—8 851 <br /> a 5.Transporter 1 Company Name 6. US EPA ID Number G:State Transporter's ID <br /> H.CAO 006910�R' <br /> ENVIRONMENTAL RECOVERY SERV_ D.Transporter's Phone <br /> — <br /> 7.Transporter 2 Company Name 8.� StEPR ID frE.State Traneporter's ID-r1j H <br /> 9.Designated t-acuny rvd.ne dna ane Address a. __ .3.State Facility's ID <br /> RINECO <br /> 2007 VULCAN ROAD — HASKELL H.Facility's Phone <br /> BENTON, .AR 7201.5 <br /> (501); 7'78-9089 <br /> 12.Containers 13. 14. <br /> 11.US DOT Description(Including Proper Shipping Name,Hazard Class and ID Number) Total Unit l <br /> No. Type Quantity wtivol <br /> E a <br /> E RQ, WASTE PAINT, 2, UN1262, PG II (DO01) 461„ <br /> N <br /> E <br /> R DIc 11 <br /> A WASTE SOLIDS CONTAINING A FLAMIKABLE LIQUID, N.O.S., 4.1, <br /> T UN2175, PIG II (FAINT), (D001) <br /> R j3 <br /> C. <br /> d. <br /> J.Additionai.Descnption for Materials,C{sfedAbove K.Emergency Response Information <br /> SS,UDGE, .9904-62198"', EMERGENCY CALL EI+i IROSERV'. <br /> P.INIT DESRIS,, .9904-0Z1.99r ,'��"� <br /> s —5152-427-727''7 <br /> ,gz <br /> If n0 atternate TSD —— — — <br /> —F,;return to generator={ <br /> 15.Special Handling Instructions and Additional Information <br /> ]=AGENCY CALL ENVIROSEAV 1-562-427-7277 BILL TO ENVIRONMENTAL RECOVERY SERVICES *� <br /> USE PROVER SAFETY EQUIPMENT *** SHIP : USS GEORGE PHILIPS *** CXSD JOB # 1611 *** ERS W.O. # <br /> 14,189 *** LX <br /> 16. <br /> GENERATOR'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, <br /> kaged,marked,and labeled/piacarded,and are in all respects in proper condition for transport by highway according to applicable international and national government <br /> r lotions and Arkansas state regulations. <br /> If i m a large quantity generator,I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically <br /> practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimizes the present and future threat to human <br /> healtha nd the environment;OR,if 1 am a small quantity generator,I have made a good faith effort to minimize my waste generation and select the best waste management <br /> method that is a ai bie to me and that I can afford. <br /> PrintedfTyped Nam Signatur Month Day Year <br /> ! a <br /> - 2070 <br /> T 17.Transporter 1 Acknowledgement of eipt of Materials <br /> R <br /> A Print yped Name Sign re Month Da Year <br /> N � � vd <br /> S <br /> P <br /> O 18.Transport c owledgement of Receipt of Materials <br /> R Prin d/T�edame Signat a !Month <br /> h Day YearTZ D <br /> E <br /> R <br /> 19. iscrepancy Indication pace <br /> L <br /> I <br /> T 20.Facility Owner or Operator:Certification of receipt of hazardous materials covered by this manifest cept as not in Item . <br /> Y P e ype Name r Signature CDay Year <br /> l vYc <br /> EPA Form 8700-22(Rev.9-88)Previous editlofi Is obsolete. <br /> NOTICE:THE ORIGINAL AND NOT LESS THAN TWO(2)COPIES MUST MOVE WIT H S WASTE SHIPMENT.ONCE DELIVERED,THE TRE ENT/ <br />