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PI "nrint'nr hmA- (Fnnn daslnnad fnr nap nn AIRd 119=nNrhl fvnPwrkar 1 . , C..— A.—-4 nuo ►r^ anon nnan <br />EPA ForrtrB70- ¢A (Rev. 3.05). Previous editions are obsolete. GENERATOR'S INITIAL COPY <br />UNIFORM HAZARDOUS WASTE MANIFEST <br />2t. 9,ree t7 lQ Numb -. v . ` <br />f22.Pags <br />I 23. Mardfaet TT 41pq yymt r 1 <br />(Continuatlon Sheat) <br />t; ^d - <br />✓\ <br />M. Generator's Name <br />}} <br />� �. (��.. ^rf ,_, �' y� t � :.� `; li i � (`� 1� •., , fY r.. „ (`-�1 �• ; e•.f" 'fb" r� <br />- rr.;_.., _. . <br />U.S. ID Number <br />25. Transporter } Company Name Ir , •. , <br />w <br />U.S."FPA ID Number <br />25. Transporter Company Name <br />27a. <br />27b. U.S. DOT Desaiptlon Qncluding ProperShipplhg'Name Hazard Clasa;^ID Nyrnber,,. * .. <br />25. Containers„ <br />29.50tai - <br />30. Unk <br />31 �KastaC <br />HM <br />, and Paddng:6roup�(M}j n _ ._ _ sk ... a . _ -rb+, <br />-e~ <br />tgfr: ypa <br />_ <br />n <br />'Z. <br />wR` <br />~ .x-•!- ':i•. k ..f,'lbii•?'hr"`f <br />.�':..���. ...n.. <br />.rr.',.r <br />. <br />�i ::rk�Y('y��.ygy, - � ;.yh:�t.• -:,: ,'M••.y.(.jr3-� .':fvY'}=.. if!'�.. •mss,'•'` - - _-�e..c� . r. <br />i.as?.:, :1i�+';' <br />a - <br />.e'...:^-2�:•Y <br />@:e' -Y n, <br />;r �,»•� <br />..'.� <br />is <br />.. ,.. •.: ... ..•:.. i. -.--s :., -) ..-.;•. <br />�;: :dR=.n:' <br />•l: ,>'w <br />.y•'. _fir: <br />�� _ <br />_ <br />�!x., '- <br />S2., Special Handing Instructions and Additional Information <br />33.TrarsporterAdm t of Receipt of Materials <br />PrintedTyped Name �++ Signature �t Mordi lay Year <br />-34 • r - .rA�owb <br />PrfntedlTyped Name 81Mrehnne Month Day Year., <br />35. Discrepancy <br />es <br />36. Hazardous Waste Report Management Method Codes (I.e., codes for hazardous waste treatment, disposal, and recycing systems) <br />C* <br />W <br />D <br />EPA ForrtrB70- ¢A (Rev. 3.05). Previous editions are obsolete. GENERATOR'S INITIAL COPY <br />