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r HUtNUY L;L)N I AL i I tLtHHUNt NUMB <br />2t • Generator's US EPA ID No. <br />UNIFORM HAZARDOUS <br />Manifest <br />22 Page Information in the shaded areas is not <br />WASTE MANIFEST <br />Document No. <br />required by Federal <br />law, <br />(Continuation Sheet) . <br />3 .., <br />23. Generator's Name <br />L. State Manifest Document Number <br />Appl ;md Structtarem Corp. <br />2 <br />a4a? 3cluth Al vpor t Uxy,; F-0. Eox 61a <br />y�krl ;�sy <br />'209'198 F°"33: 9 <br />209'1983- <br />M. State Generator's ID <br />nee <br />2tC..:e•k:tcjn, i-A 9S.20C <br />w: <br />24, Transporter Company Name 25. US EPA ID Number <br />N. State Transporters ID <br />O. Transporter's Phone <br />26. Transporter Company Name 27. US EPA ID Number <br />P. State Transporter's ID <br />�� <br />Q. Transporter's Phone <br />28. US <br />rOT Description (including Proper Shipping Name, Hazard Class, and ID Nurbar) <br />29. Containers <br />30, <br />Total <br />31 <br />Unil <br />HM <br />No <br />Type <br />Quantity <br />WVVcd <br />Waste No. <br />a. <br />'.at r '?: ate ton L'h r 7r .re 1.exu 1 i:.{ A" - o 5 '. `7 A'l: r S.o <br />�. <br />c <br />yf <br />mac:, id, . a, UN 17 0 a I RD 0 0 2 <br />J <br />yf� <br />o o (0 <br />b. <br />Oini RC 4';wsard.•sra-a wa—!5t : 5olid (cjrap�iAt.-e-, prr. <br />4✓� <br />C, <br />C. <br />7j <br />� I77 <br />`M1 <br />4 <br />itis ! <br />� <br />t <br />_ Y, M <br />E <br />N <br />R <br />T <br />R <br />GCS <br />um <br />ool!' <br />f. <br />I <br />L') S C11400", 's" <br />9. <br />h. <br />i. <br />S. Additional Descriptions for Materials Listed Above Et r,.; <br />T. Handling Codes for Wastes Listed Above <br />yt <br />'^x <br />32. Special Handling Instructlans and Additional Information <br />24 HOUR M3T.RGaCXCY SP01,73er f800i3aa rR42 <br />11 <br />Conti. Cxantian '.i. k'g; — -111 <br />r <br />T <br />33. Transporter 5 Acknowledgement of Receipt of Materials <br />Date <br />R <br />A <br />Printed/ Typed Name <br />Signature <br />Month Date Year <br />N <br />S <br />© <br />R <br />34. Transporter Lir Acknowledgement of Receipt of Materials <br />Date <br />T <br />PrintedfTyped Name <br />Signature <br />Month Date Year <br />E <br />R <br />F <br />A <br />35, Discrepancy Indication, Space <br />C <br />L <br />I <br />T <br />GENERATOR'S COPY <br />