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Please print or> (Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 <br /> 1.Generator ID Number 2.Page 7 of 3.Emergency Response Phone 4.Manifest Tracking Number <br /> u WASTE MAN MANIFEST _sd..i� 7 ,... �.-10 00727 ( J <br /> 5.Generator's Name and Mailing Address Generator's Site Address(it different than mailing address) <br /> STOCK i•f?N'STEI-L 7003 C.HAIAk,.)f R(..ANE <br /> P 0,BOX 8429STOCKTON yy € rSTO C K T 0 r CA 95212 <br /> Generator's Phone: n o '-1' <br /> 6.Transporter 1 Company Name - U.S.EPA ID Number <br /> 7.Transporter 2 Company Name U.S.EPA ID Number <br /> e;;KI s <br /> B.Designated Facility Name and Site Address U.S.SPA ID Number <br /> CRI S37&ti.}VERTON <br /> Facilitys Phone: sdar,, <br /> ya 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit 13.Waste Codes <br /> HM and Packing Group(if any)) No. Type Quantity Wt.Nol. <br /> s <br /> I <br /> i <br /> Z 2. r <br /> W 32..... _.m. . ... .._ <br /> c� NON RC;RA HAZARDOUS S WA"F E.':OLID '4��� I� tig � <br /> 3, <br /> 1171E REFERENCED WASTE W FOR St ISSISQUENT OF)—SITEt <br /> (DISPOSAL,TREATMENT OR REUSE CROSBY k OVTRRTON,INC OPERATES THE FACHLITY UNDER <br /> 1'FRMITS GRANTED TO THM.BY THE DEPARTMENT OF TOXIC SUBSTANCE CONTROL 71DOEI}¢R <br /> WrM TILE ENVIRONMENTAL PROTECTION AGENCY IN ACCORDANCE WrM THE pROVISIONS OF F <br /> THE RESOURCE CONSERVATION AND RECOVERY ACT OF 1976 TOGETHER W <br /> S ALL OF Tt{E NECESSARY c <br /> OERMffS TO ACCEFr THE REFERENCm WASTE AND All THE WASTE HAS RMN HANDLED <br /> ACCORDINGLY _ .......... <br /> _.._ ,_...._..... <br /> i <br /> 14.Special Handling Instructions and Additional Information <br /> ),`'AFAR cIPE ER—C44152 E!OEPGENC:' <br />