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P.leag print or type. ' Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of "3.Emergency Response Phone 4.Manifest Tracking,Number /� WASTE MANIFEST j'F, j-, •11 O J U A 8 3 4 F L E 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address) t� I%FElectronics Stockton, CA 95206 Generator's Phone: 6.Transporter 1 Company Name U.S.EPA ID Number Ad%enced Chemical Transport Inc./DBA ACTernjro CAR000070540 7.Transporter 2 Company Name U.S.EPA ID Number 8.Designated Facility Name and Site Address U.S.EPA ID Number 2WO rld°I eIlsf CAT080013352 Compton, CA 90222 Facility's Phone: (310)537-7100 9a, 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit and Packing Group(if any)) 13.Waste Codes HM No. Type Quantity Wt.Nol. 'Non-RCRA Hazardous Waste Lid(CAS . P 231 O _ M X75 w 2' . THIS WASTE STREAM HAS BEEN QUALIFIED FOR RECYC11ING/-fF1,&%TN1ENT AT THE DeMENNO/KERDOON DBA WORLD 011 3. cL, r u71711-I Y IN COIi CALIF OR VA. THIS FACILITY HAS THE NECESSARY FERI�1fi TO YOUR VtrASTE STREAM AS QUALIFE L. OUR EPA NUMBER I 4. y}��y:�,a:�;:�:,�+,>k s"*:«i�eria�?�S;Ytc��.�'!�•3%'N�R±i+'�+�,�•�:�..a:,F., .,. 14.Special Handling Instructions and Additional Information Project NUrnber 222388 L currlerit D269204 1) AM— t x I-Ca% (e-a I 15. GENERATOR'S/OFFEROR'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,p 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 Pr. v. Exporter,I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent. 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 ay.34, quantity gene is true. Generator's/Offeror's Pri ed/Type�JNam /e Signature Month Day Year v,5-7 t-0 A�Zx,,-K 1 /11 71,/f 16.International Shillhents Import to U.S. ❑Export from U.S. Port of entry/exit: ? Transporter signature(for exports only): Date leaving U.S.: W 17.Transporter Ack owledgment of Receipt of Materials LLI Transpo 1 Pr' d/Typgd Name Signature Month Day Year Z Transporter 2 Printed/Typed Name Signature Month Day Year. 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quantity El Type ❑Residue ❑Partial Rejection El Full Rejection Manifest Reference Number: _._.. . 1Bb Alternate Faeility(orGenerator) U.S.EPA ID Number U LL Facility's Phone: w 18c.Signature of Alternate Facility(or Generator) Month Day Year Q Z y19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) G 1. � � 2. 3. 4. 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a Printed/Typed NaTe-,�-. Signature Month Da Year LL 'EPA Form 8700-22(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR