Laserfiche WebLink
Plc.ec mini — t— X— A—;—A f— —...n o14n 110 .. a..hl a,.r ,.,.H... <br />87@0-22a_12v3 CAL20072032 S41053281 040921353 M PD082917 SD082917 <br />UNIFORM HAZARDOUS WASTE MANIFEST <br />(Continuation Sheet) <br />121- Generator ID Numberrof <br />CALO 0 74 4 <br />. Page <br />2 <br />23. Manifest Tracking Number <br />1 010685538FLE <br />24. Generator's Name <br />Dollar -General #13585 <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 />HM <br />27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, <br />and Packing Group (if any)) <br />28. Containers <br />29 Total <br />Quantity <br />30. Unit <br />Wt.Nol. <br />31. Waste Codes <br />No. <br />Type <br />5.Non RCRA hazardous waste, liquid (Consumer <br />Products), <br />1 <br />DF <br />00082 <br />P <br />331 <br />o: <br />0 <br />W <br />Z <br />W <br />C7 <br />32.S pedal Handling Instructions and Additional Information <br />5.110524(Nan-RCRA Liquid Waste (CA Only) - Loosepack) <br />33. Transporter Acknowledgment of Receipt of Materials <br />!2Printed/Typed <br />a <br />Name Signature Month Day Year <br />I I I I <br />34. Transporter Acknowledgment of Receipt of Materials <br />PrintedfTyped Name Signature Month Day Year <br />J <br />V <br />W <br />35. Discrepancy <br />Q36. <br />Z <br />0 <br />Hazard us a$te}2epgrt�anagemel t Method Codes (i.e.. codes for hazardous waste treatment, disposal, and recycling systems) <br />H <br />W <br />i I I <br />EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED; <br />87@0-22a_12v3 CAL20072032 S41053281 040921353 M PD082917 SD082917 <br />