Laserfiche WebLink
Please print or tvoe. Form Approved OMB No 2050-0039 GENERATOR UNIFORM HAZARDOUS WASTE MANIFEST <br />(Continuation Sheet) <br />21. Generator ID Number <br />CAL000305222 <br />22. Page <br />2 <br />23. Manifest Tracking Number <br />023612976JJK <br />Generator's Name <br />RAMOS OIL CO THORNTON <br />U.S. EPA ID Number <br />Transporter 3 Company Name RUST AND SONS TRUCKING INC CAR000187922 , <br />I <br />U.S. EPA ID Number <br />Transporter 4 Company Name NORTH STATE ENVIRONMENTAL INC CAR000206086 1 <br />I <br />27a. 27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 28. Containers 29. Total 30. Unit 31. Waste Codes HM and Packing Group (if any)) No. Type Quantity Wt.Nol. <br />LI <br />LI <br />LI <br />Special Handling Instructions and Additional Information <br />IY <br />ILI i— <br />IX 0 ._ 2 <br />g <br />I— <br />Transporter 3 Acknowledgment of Receipt of Materials <br />Printed/Typed Name Signature Month Day Year <br />ILLEGIBLE I ILLEGIBLE I 12 I 02 I 2021 <br />Transporter 4 Acknowledgment of Receipt of Materials <br />Printed/Typed Name Signature Month Day Year <br />KAREN SEDANO 1 KAREN SEDANO 112 1 03 1 2021 I DESIGNATED FACILITY I Discrepancy <br />Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) <br />I I I I <br />I I I I <br />EPA Form 8700-22A (Rev. 12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM