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3K — 2897673 <br /> Please print or type.(Form designed for use on elite(12-pitch)typewriter.) Farm Approved.OMB No.2650-4039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page , 23,Manifest Tracking iVumber <br /> (Cnntinuation Sheet} .I fli�Li a.f r o f 3#7 J1L34 2 Dfl r <br /> 247r.1�-,enL3e�rra;Name �{ 1 i f rT <br /> LUr1-iI1 V14FUS- 8ffi i Q9) 83-8285 <br /> Tran Company Nage U.S.EPA ID Number <br /> Li <br /> kj C" <br /> 26. Transporter_: Company Name Ur S PA D Number �) I { <br /> 27a. 27b,U.S.DDT Desaiption(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers <br /> HIVI and Packing Group(d any)) 29.Total 30.Unit 31.Waste Cedes <br /> Na. Type Quantity Wt.Npl. <br /> 352 <br /> 3 <br /> I 352 <br /> DM p <br /> Rem ibefig <br /> 352 <br /> DM P <br /> 0 8 UN3244 VAASTE SOLIDS CONTRIKING CM. SIVE LIQUID, K.O.S. <br /> X (SULFURIC ACID, LER) 8 PGII Rotua8) � "BeLU <br /> 183 <br /> 9 iiN3378 VfWf Sum CRRIMTE PE XYHYD"TE S.1 P61I one, 1211 <br /> 3III�}. .: <br /> R { 1=1lIa l <br /> 10 NWRCRA MIA WASTE LI IO (MINERAL, YESETAILE OILS) <br /> ➢ <br /> 11 VA 913 ( IUSTIKE LIQUID, N.O.S. (PETROLEi3�} DISTILLATES, <br /> MMTIC NYDRX#RNANS) CI�ST.IPLE LIQUID KIII 8408871 � D11dprA <br /> 12-VK1263 WSTE PAINT RELATER WMIRL`3 P6II RQ(1i8R1) 214.. <br /> X : <br /> 13 .I I� M #IAZARWK WASTE.LIQ DS (i ER BRSER 1IRCTS) <br /> 1k NWRCRA HAZARDOUS METE LIQUID337 <br /> (OL'YPHQSAIf.,R-{P}I45 .TN1'L) 51.YCINE) B (� F, } <br /> 32:5 sl <br /> M Handling Instructions and Additional Infomration <br /> Vill <br /> ,. {gl COI�Y{a�ATCL-Q4 - ER6(15i7 4273113I+(-R73192s-2B8 (97; C�1`5.1i1-fl3 - E{tS{I4Rj <br /> H8311284-61/025510 (H) C.QI YNR IL-RB - 51.�.5U2 18-13I5=82558E {11) CVF1993L5-01 - ER6{120) '758 4#q3.-R57l� 5453 (123 <br /> CV126313-E2 - ER611283 58511935.15-Y39/925513 (13) CVFMRLOOSEIL02 -`N/A-014/025496. XON-R {i47 <br /> te '33.Tra rter Acknowledgment of Receipt of Materials - e <br /> W 'Printedf€yped Name <br /> Signature Month Day Year <br /> d <br /> CL /a} j <br /> 34.Transporter Acknowledgment of Receipt of Materials ✓ 1 <br /> Printed/Typed Name <br /> �- Signature Month Day Year <br /> 35.Discrepancy <br /> a <br /> Hazardous Waste Report Management Metfied Codas(i.e.,codes for hazardous waste treatment;disp)sal,and recycling a st s) <br /> LD 53 1co <br /> {6} <br /> LU <br /> {e3 (97 <br /> o k. <br /> X93 VI / 1 <br /> (11) - .. I 12) {137 <br /> SPA Form 8740-22q(Rev.3-I5) Previous editions a e o solete. <br /> DESIGNATED FACILITY TO.DESTINATION STATE(IF REQUIRED) <br />