|
a
<br />,print or type. (Form designed for use on elite (12 -pitch) typewriter.)
<br />[UNIFORM HAZARDOUS WASTE MANIFEST 1 21. Generator 10 Number
<br />(Continuation Sheet) CV,000143776
<br />24. Generator's Name
<br />NODI C;�ROME
<br />316 N, IdAIN STREET , LODI CA 35210 (209JJ63-1631
<br />25. Transporter Company Name
<br />26. Transporter Company Name
<br />27a, 27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number,
<br />HM and Packing Group (if any))
<br />r ppN.M.Q 5 0H'RTFfl?h QRICJACID) 8AUN332aA. PGOIG+NICR¢(D02) ERG(159j
<br />6 WASTE CORROSIVE LIQUID, BASIC, INORGL,IIC, N.O.S. (SODIUM
<br />Q METASILICATE, CAUSTIC SODA) 9 U93266 PGII RQ(D002) ERG(154)
<br />7 WASTE CORROSIVE LIQUID, ACIDIC, INORGANIC, 9.0.9, (SULFURIC
<br />Q ACID, LEAD) 8 UN3264 PGII RQ(0002) ERG(154)
<br />781241 44877
<br />Form Approved. OMB No. 2050-0039
<br />22. Page 23. Manifest Tracking Number
<br />3
<br />U.S. EPA ID Number
<br />U.S. EPA ID Number
<br />28. Containers 29. Total 30. Unit
<br />31. Waste Codes
<br />No. Type Quantity- Wt./Val.-
<br />Aa 402 92
<br />.tet T° :-��
<br />002 1122
<br />002 006 D008
<br />int
<br />Csra
<br />r"T'm+.n-i�r r1,(}Tnn ennarlrrn rt e, r12Tr""lii" �7--•--rt+ -1
<br />!}01
<br />19,1',
<br />••• amn•r-V, nnnr, C71
<br />s
<br />_
<br />nrr+fin= ,n-?
<br />+amu .., r-�.... ..-T�_. L n -l. lr�+ inti ra�Ul: Ij :,V✓
<br />a+••
<br />+..
<br />r71
<br />10 TASTE CORROSIVE LIQUID, ACIDIC, INORGANIC, N.O.S. (NITRIC ACID,)032
<br />792
<br />I
<br />Q
<br />COPPER) 8 UN3264 PGII RQ(100) ERG(154)
<br />DT
<br />g -4D
<br />O
<br />G
<br />I
<br />10-0
<br />.nall.i
<br />V°,'
<br />-v .: Vo1 L1L1Ulil, G1UiUr 1d Ir.vdtriU, a. .J, jJULLUIIi�
<br />�
<br />-
<br />r'
<br />ill.lr, .r..tl�l.r vl4r J +.fJ�J. L�Ill _ Vln4511 vgnilc4)
<br />r`
<br />r
<br />ne71S 1hau I S ilQui , GIIJLi., 11(javd.'17, rr,u, , t7U d
<br />7
<br />L:-
<br />SeT71m2 ACTnl 0 r,rnn-9nrl�n )
<br />r0TTTWMTC
<br />14 WASTE CORROSIVE LIQUID, ACIDIC, INORGANIC, 9.0,5, (SULFURIC
<br />002
<br />306
<br />0003
<br />ACID, LEAD; 8 UN3264 PGII RQ(D002) ERG(154)
<br />DTOQa
<br />P
<br />32
<br />32. Special Handling Instructions and Additional Ir fonnalion
<br />(5) 3679222--00 - COPPER SULFATE (6) 367932-00 - ALKALINE CLEANER EAT (7�
<br />367933-00 NICKEL STRIP (Sj 35; tt
<br />.;.::;
<br />-. tt.a (`7n90 a0„AIWU-1inpnrf�r fln Tr en*a (13 367937-00. NI"1RIC ACID (t:;
<br />,aru - - JVa"' U� a rut:V naru
<br />116025A-00 -
<br />NICKEL STRIP SLUDGE o
<br />33. Transporter Acknowledgment of Receipt of Materials
<br />Printed/Typed Name Signature
<br />Month Day Year
<br />34. Transporter Acknowledgment of Receipt of Materials
<br />Pdntedfryped Name Signature
<br />Month Day Year
<br />35. Discrepancy
<br />36. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment disposal, and recycling systems)
<br />EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIWIATED FACILITY TO DEST1iit:ATION STATE (IF FIEGUIRED)
<br />
|