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539610-20 ERI Provider: SES 4113668 <br /> Please print or type. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4.Manifest Tracking Number <br /> WASTE MANIFEST CFtR0002 51`, 000335448 DAT <br /> 5_Generators Name and Mailing Address Generators Site Address(if different than mailing address) <br /> AERO TURBINE Aero Turbine <br /> 6808 Lindber(,il; Street 6800 L indbergh Street <br /> Generator's Phone: 'STOCKTON CA 95285 (209403 <br /> — ISTOIC T CA 95 6 <br /> 6.Transporter 1 Company Name U.S.EPA ID Number <br /> STERICYCLE SPECIALTY WASTE SOLUTION INC t'Iw, ,, i.109124- <br /> 7. <br /> , i. '91` 4.7.Transporter 2 Company Name U.S.EPA ID Number <br /> 8.Designated Facility Name and Site Address U.S.EPA ID Number <br /> 21ST CENTURY ENVIRONMENTAL MANAGEMENT OF NEVADA, LLC <br /> 2845 Neulands Dive East <br /> Facility's Phone:FERI LY: U 3408 75-7750 <br /> ga 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 WtJVol. <br /> 1- NII3077 HAZARDOUS VASTE, SOLID, N.O.S. (SANDILfIST GRIT VITH D007 DDDR 181 <br /> X CHROMIUM, LEAD) 9 PGIII RQ(10071DR80=10L1S) 00 ill^ 30 P <br /> W 2- NON-RCRA HAZARDOUS VOSTE, LIQUID (MINEROL OIL, Cl9STOR OIL) <br /> !la DF P <br /> 3. UN2922 0STE CORROSIVE LIQUIDS, TOXIC, N. I.S. (CHROMIUM VI OXIDE, D002 1807 192 <br /> X SODIUM FLUORIDE) D (6.11 PG11 RQ(DD07=18LRS) TP y'(/� P <br /> ;{� ¢� p�']�y �g;�* 0S <br /> ([3;g K.O.S. /�r; nyr LER <br /> [�T F 161 ,r�r r�r� r7 <br /> 4. M03002 HAZARIOUS 0STE, LIQUID, KO (CHROMIUM, LEAD) 9 PGIII DI1 RBD7 D888 <br /> 14.Special Handling Instructions and Additional Information <br /> (1) 6RID243-00 - ERG(171) SANDBLASTING MATERIA (2) GR10251-D7 - ZYGLO PENETRANT ZL A (3) 1517549-08 - ERG(154) RINSE <br /> RATER FROM ALO (4) 1617553-08 - ERG(171) RRULIN/TURCU RINSE Y , r d-/S', 3 761-C , V- <br /> 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged, <br /> marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations-If export shipment and I am the Primary <br /> Exporter,I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent. <br /> I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)or(b)(if I am a small quantity generator)is true. <br /> Generator s/Offerors Printed/Typed Name Signatur Month Day Year <br /> Davy�+>rs �Ar+Ptc,,w+ (0 C Z <br /> 16.International Shipments <br /> j_ ❑Import to U.S. ❑Export from U.S. Port of entry/exit: <br /> ? Transporter signature(for exports only): Date leaving U.S.: <br /> WIT Transporter Acknowledgment of Receipt of Materials <br /> WTransporter 1 Printed/Typed Name [ Signatur Month Day Year <br /> CL <br /> Z Transporter 2 Printed/Typed Flame Signa Month Day Year <br /> 18.Discrepancy <br /> 18a.Discrepancy Indication Space <br /> ❑ Quantity El Type El Residue ❑Partial Rejection 0 Full Rejection <br /> Manifest Reference Number: <br /> 18b.Alternate Facility(or Generator) U.S.EPA ID Number <br /> J_ <br /> V <br /> lar Facility's Phone: <br /> w 18c.Signature of Alternate Facility(or Generator) Month Day Year <br /> Q <br /> Z <br /> 19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> C 1. 2. 3. 4. <br /> 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a <br /> Printed/Typed Name Signature Month Day Year <br /> EPA Form 8700-22(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFL STEM <br />