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SSL SHIP# 223S8SROS III I N 11111111 loll III I I <br /> 0 0 6 3 6 3 4 6 a $ K S <br /> Please pAni or",(Farm dasVred for use on eft(12-pitch)lypewrfter.) Form roved.OMB No.2050-M9 <br /> UNIFORM HAZARDOUS I I Goniaftr ID Number 2.P8"i 4.ManifesiTmeWi Numitwl <br /> WASTE MANIFEST 00M KS <br /> 5.G&wator's Now and M&,h;V AdOrm GNMM Sita Address Ci4ftent than matting address) <br /> Cal-Trans ShoP 10- Lodi C-31-Trav-is Stiop 10 ,- Lcdi <br /> 1603 2 R St altz E Pine st, <br /> STOCKTON CA 95206 <br /> Gen-mrs Pbwc 20?.-333-6753 1 !-0 ry i CA X5240•-31i <br /> 8.�VI-MrSYEftEMS <br /> ?5240--31iVI-MrSYEftEMS U.S.EPA ID Number <br /> 7,Traftspodar 2 Company Nana U.S.EPA MNumber <br /> 6,Des gwled raGRY Name and Site Adftss54'�ET'Y MA313 <br /> U,S.EPA M Number <br /> 6000 ?STH STRIEFT <br /> CA 9S62a <br /> FaORVS Phone: 916-336--4913 1 <br /> 9a, g5.U.S,DOT Descroon PrIdudif-9 Proper Sllopkq Nave.Hazard Glass.D Number containers 14.Total 112.UM <br /> No. Typ, Quantity wilvd, <br /> 1, NON-RCRA HAZARDOUS WASTE, LIQUID G : 134 <br /> 0 (AqUEOUS RRA9E CLEANER) <br /> _7 <br /> NON-RCRA HAZAROGUS WASTE7,LIQUID <br /> (AQUEOUS PARTS WASHER SOLUTION) P_& 8 114 <br /> 4. <br /> 4.Spa a!Nandlirg krstntci�rrs <br /> "AdftwAl C A 2401743 CS6 �-i <br /> '214 HR EHEROENCY 41-800-468-1760 (SK TF11 M1qN-7kq <br /> AUTH AS "ASENT-FOR" BY SEN TO RETAIM LICEMSED SOV C'ARRIER.5 AS , I ARY <br /> 15. GENEFtAMR'SlO"EROFt'SCER nFICAT": F hereby wast nrnantare'*and accuralelydescribed above by dw proper sh4ong awne.ad arodassified,packaged <br /> marked and labeledplacarded,and am in al;respells jT prop6roon�on brtrwsport a=rdgV to applic&e slitamaborw and raliorw)goverr"YmMai reom'ns.If expos ghpmect awl am tie pfilary <br /> Expo4w I wtfy that the cmldON Of this c0nw9nwrd mnfufm 10 the terms of be attadwl cFA AoImo"ment a Corsmt <br /> F cerfily that the waste frmnirnizst=Rta(wrwf idanIftd in 40 CFR 262271a)(ff I an a large claaftly pffwator)or(b)(11 am a small quay*geouglDr)s true <br /> I ragne. s PrretITyped Name MuWDay 'Year <br /> 16.Irwnawnw shilwen7 <br /> D Iry rt 10 U.S. &0oft from ij7s. z' <br /> Tramporter Signature(for exports 00y): DMa ieaviN U,$.; <br /> 17,7ramVorter AftoAetjgrr,,L.Nt Of Receog of Mawi3Is <br /> "pm,"a"I �7 <br /> Name Signature htonsh Day Maar <br /> TranspdtF9r2 n Name <br /> Signature A1n rth Day Year <br /> 18.DUTPMX-Y <br /> 18a Dumpartcy lnd-ra€iorr Space: QLrantily El Type F-1 Rd. PeAll R.Ie. <br /> manifest Refererrcc Number: <br /> Ift.Alternate FaciRy(or Gerwator) U.S.EPA U)Nwbe, <br /> FaaWs Owe. <br /> Mc Mwdb Day Year <br /> -ZaM'xz Waste RePOd IVW9*=ftt Method Codes 6.0,Codes W hazardous WaSW treatmimL dispo*and mcoyQ systarm) <br /> W I - <br /> 2, <br /> 14 1 4. <br /> T <br /> Desq"eted FawWy OAT*r or Operate;Cwffcwm of mck*orhuardow mtffois armed by ft madfasi except as rxked in Item Igo <br /> rinte6�Yped Nm* S <br /> kimt1we morim Day yeat <br /> ii fJ t /7 <br /> ffl-/21 <br /> DESIGNAfeD FACILITY TO DESTIAT"Of STATE(IF REQUIRED) <br />