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Please orint or tvoe <br /> Form Approved. OMB No. 2050-0039 GENERATOR o- I ( UNIFORM HAZARDOUS WASTE MANIFEST <br />(Continuation Sheet) <br />21. Generator ID Number <br />CAC003169286 <br />22. Page <br />2 <br />23. Manifest Tracking Number <br />016996500FLE <br />Generators Name Certified Freight Logistics <br />37.720224.-121.528487 <br />Tracy, CA 95377 <br />U.S. EPA ID Number ,pt 4'..kQ5i.ve, Transporter ,. Com.any Name V\ "I I• CVO ck.. , "kW . . . . 1 \ CO .‘_°: I eAReett133-574" , U.S. Ep.'6 ID Number <br />Transporter _y Company Name <br />tri V 1 14 Pi •-'1Z4/..71‘.1 /14 <br />27a. 27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 28. Containek1 29. Total 30. Unit 31. Waste Codes <br />HM and Packing Group (if any)) No. Type Quantity Wt.Nol. <br />.— <br />, <br />Special Handling Instructions and Additional Information TRANSPORTER Transporter 3 Acknowledgment of Receipt of Materials <br />Printed/Typed Name . Signature Month Day Year <br />Ilei4"\—\.-V C1C7-7.:W\ S I I Li I 1 1 1 21, <br />Transporter ji Acknowledgmentfof Receipt of Materials <br />Printed/Typed Na ,-...., <br />Signatf Month Day Year <br />I " 12-2- DESIGNATED FACILITY Discrepancy <br />Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) <br />I 1 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