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i.i <br /> Please print or type {Form designed for use on elite(12-pitch)typewriter) Farm Approved.OPAB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 27.Ge e ator ID Number 22.Page-7 r23. nifest Tracking Number(continuatiom5heet) (;t ;_ r'i'13'S[3€3 cif C3Q1L# �}qD <br /> 24-Generators Name <br /> AT <br /> CON-WRY FREI6HT 1CUFIIST <br /> r25- <br /> T 5 1983- 85 <br /> Transporter Company Name U.S-EPA ID Number <br /> 26- Transporter Company Name U.S.EPA ID Number <br /> 27a. 27b.U.S.DOT Description(inGuding Proper Shipping Name,Hazard Class,ID Number, 28.Containers Y9.TSI 30.Unit - <br /> HM and Packing Group(d any)) No. Type Quantity Wt.Nol. 31.Waste Codes <br /> 5 r r C t 352 <br /> B11 P <br /> 352 <br /> DN P <br /> E -RIERR ffitIftIftr ) 352 <br /> D14 P <br /> 0 1 UN3244 WSTE MIS NNIRINIM CWSIVE LIQUID, N,0.5. P logo 1Oi <br /> x (SULFURIC KID, LEN➢) 0 PG1I RQ(1 ) <br /> Z_ <br /> 371 ATE 90110" CRRDONRTE PEROXYHYMM 541'0611 181 1 <br /> P <br /> 10 -RCRA HABRIM.11ASTE LIQUID (MIXERAL, VNET'AILE OILS) <br /> 221 <br /> fl � P <br /> 11 MWI C4N@ US1T11LE LIMB, N.O.S. (FETROLEW DISTILLRTES, 331 <br /> }C IM N I TIC HYIROORRMS} C(I MTIILE LI ID P61II RQ( 11 o <br /> �-, r <br /> 1.2 1253 TE PAINT TED IRL 3 II ROOM, @1 214 <br /> DM � 5 P <br /> 13 KON-RCRA HAMM MST LI WER MM PR(1 TS1 331 <br /> DP! P <br /> 1 <br /> N"914 MMDOUS VASTE LIVID . 331 <br /> fGLYPMflTE,N-( T VL) SLYCINE) VM � � p <br /> 32.5pedaf Handling Instructions and Additional tnformatiun t <br /> (#( C(141 T( - - (154} 4173?I3Z4-871!#252## 491 Y5.111-03 - ERG(14 ) <br /> 58031 12644 (1#) C 1pY IL-16 - #1515-413-#255 (111 C41E19W-01 - MUM 7514554413-8571125453 (12) <br /> CUE1253L3-82 - ER6(128) 5150935154 39.1.025513 (131 SEl-12 - NI0-9141025495 N-R (14) ' <br /> 33.Transporter_—pct nowledgmerd of Reo*t of Materials <br /> t nnteVyped Flame Signature <br /> Month Day y,,71- <br /> 34-T—POrL'r—._AckruA2ggrnent of Receipt of MaWa[s <br /> lstintetY 1 yped Name Signature <br /> F— - Month Day Year <br /> 35.Discrepancy <br /> V <br /> u'a.. <br /> c:1 <br /> w <br /> 36.Hazardous Waste Report Management Method Codes(i.e.,oudes for hazardous waste treatment,disposal,and recycling syslems) <br /> 1 fb1 71 481 (9) {t• <br /> 10; 41i112} i� [131 (14) <br /> FPA Form 870(0 22A(Rev.3-05) Previous oditions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQt 1fIED) <br />