Laserfiche WebLink
Please print or WDJ. Orrn designed for use on elite(12-pitch)tVDewrlter) s Form Approved.01VI6 No,2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22,Page 23,Manifest Tracking Number <br /> *(Continuation Sheet) I CPLOOL-43730 7,6 ; 12 of P I 008548a87FLE <br /> 24.Gendrator's Name <br /> 25,Transporter Cgmpany Name U S.EPA l0 Number <br /> 26,Transporter-3(Company Name U.S,EPA ID Number <br /> 27a, 27b,U.S.DOT 4ascription(including Proper Shipping Name,Hazard Class,ID Number, 28 Conlemers 29 Total 30.Unit 31,Waste Codes <br /> HM and Packing Group(f any)) No. Type Quantity WtNol <br /> 54onsxtmer ElecbroniPs fDr" Recycling (General 1 CF 00010 P 181 ' <br /> E—w"Aste)a <br /> G.Non RCRA hazardous watea liquid (Consumer 1 DF lhofi�& P 331. <br /> o • <br /> w ' <br /> 0 <br /> , <br /> + fr G <br /> 4 <br /> 32 Special Handling Instructions and AddibonalSnfotsna'iori 5. 11054ENConsumet^ Elect?,^o'nics for Recyglinsg), &1105'a4(Nan--RCRA <br /> Liquid taste Mq Only) — Loosepack) <br /> 33.Transporter Acknowlednment of Receipt of Materials k <br /> I` H Printedrfyped Name Signature Month Day Year <br /> Ocn ' <br /> 34 Transporter AdTzWedament of Recolot of Materrais <br /> PdntedrrypedName Signature Month Day Year <br /> { 35,Discrepancy ; <br /> U <br /> tu <br /> W ' <br /> 36.Hazardousa3te Qepprt agement Method Codes(I,a co a sforhe�rd-2 ipus wa Ite treatment;disposal,and recycling syste`s) <br /> W { ! <br /> Q EPA Form 8700.22A(Rev-3-05) Previous editions are obsolete DESIGNATED FACILITY TO GENERATOR STATE(IF REQUIRED) <br /> 87th — ?�3 i?v3 CALP007?-@3; M i293 + S P4�421 f 7 5i�(4 117 <br />