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'.ease print�-type. rorm aeslgt.ea for use on 04,10 t ttpticn/typewnter. ,,,,,,..,,,�,,.,,. ..•...,,,..•, <br /> IFORM HAZARDOUS <br /> I. Cieneraor's US EPA ID No. Morufast Document No. 2. Page 1 Information in the thaded areas <br /> n not required by Federal law. <br /> IC ,—i <br /> WASTE MANIFEST L 0 10 11 11 11 16 Ig 181 0 1 0 1 0 0 �ON&fON� <br /> 3. Generator's Name and Mailing AddressZUCKERMANN—MANDEVILLE, INC. A. State Manifest Document Number <br /> C P.O. BOX 48592466.321- <br /> n STOCKTON, CA e. State Generators ID <br /> CN in <br /> 4. Generator's Phone ( ) ( 2 0 9 ) 464-8355 <br /> I <br /> O 5. Transporter 1 Company Name 6. US EPA ID Number C. State-Tronspgrtgr's ID. <br /> co <br /> FALCON ENERGY CAD 19 8 2 5 2 6 815 7 °' Pliers- (209 )- 463-17108 <br /> J 7. Transporter 2 Company Name S. US EPA ID Number E.-State Tronsparw's ID <br /> I N c ' IC]AID19i8iai5i I 1 1 a 10 19 F. Trmsporier's Phone Q O <br /> Q s t d 10. US EPA ID Number G. State Focifitys ID c7 <br /> .z 5�1�A )ESS 'VNVI:MtgTAL <br /> 'O 12618 MAIN STREET <br /> _:Z H. Facility's Phone - <br /> ;Q LOS ANGELES, CA 90061 IC A D101010 0 8 8 2 5 2 ( 213) 756-7896 <br /> •I– 12. Containers 13. Total 14. Unit <br /> __� 11, US DOT Description(including Proper Shipping Name, Hazard Class,and ID Number) No. Type Quant Wt/Vol L Waste Nuni <br /> J <br /> WASTE HYDROCHLORIC ACID, SOLUTION 8 , State141 <br /> 3 G UN 1 7 8 9 , PG II EPA/Other <br /> NE 1010 1 D14 D10!0!011 D002 <br /> no N b. State <br /> E <br /> v <br /> � A/011ier R EP _ <br /> A 1 I I <br /> �p T C. State <br /> 0o O <br /> R EPA/0",,V <br /> ._. . <br /> w <br /> ~' d. Stas I <br /> Z <br /> W <br /> u <br /> EPA/Other <br /> W <br /> N <br /> OJ.,Altional Dw ns bMaterials Listed Above - K. Handling Codes for Wastes Usted Above <br /> 0 a- 2C Ej U _ a. �0 I b. <br /> W ) <br /> C. d. <br /> a <br /> I5. Special HantlBng Instructions and Additional If 24 HOUR EMERGENCY RESPONSE NUMBER 1 ( 800 ) 399—HELP <br /> Z ►I4. P- 1331 b <br /> W <br /> I_ <br /> 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of the consignment are fully and accurately described above by proper shipping name and are clossif ca, <br /> Qpacked,marked,and labeled,and ore in all respects in proper condition for transport by highway according to applicable federal,state and international laws. <br /> U <br /> If 1 am 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 hove determined to be <br /> economically practicable and that I have selected the procttcable method of trea rent,storage,or disposal currently available to me which minimizes the present and future <br /> N threat to human health and the environment; OR, if I am a small quantity er on I hove made o ood f th effort to rn—m.ze my oste generation and select the nest <br /> waste mono ement method that is available to me and that I ran afford. ALOF9 Z CKERMANN—MANDEVILLE INC. <br /> O Printed/Typed Name Signature �� s Monts Day Yfor <br /> V T 17. Transporter I Acknowledgement of Receipt of Materials <br /> W e <br /> ♦ tTy Na e $ an e �Mo <br /> y/ <br /> C/ <br /> W r <br /> 0 18. Trons over 2 Acknowled ement of Receipt of Materials <br /> W e Printed/Typed Name ^� Signature i Mont ay year <br /> W 1 � <br /> O p iJ <br /> W 19. Discrepancy Indication Space <br /> N <br /> Q F <br /> V A <br /> Z C <br /> _ I <br /> L <br /> 1 20. FacJi net or Operator Certification of receipt of hazardous materials co ed by this manifest except as noted to Item 19. <br /> T Printed/Typed Name Sig re Month Day Year <br /> Y <br /> Cor,r1c rti-�ca-11-i;�%=i(L <br /> DO NOT WRITE BELOW THIS LINE. <br /> DTSC 8022A (7/92) <br /> EVA 8700-22 <br />