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;'Pe <br /> DTIC. 02710, 0311 <br /> Pleas to t Form designed for use on elite 12 itch er. Farm A roved.OMB No.20SH039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Genealor ID Number 22.Pae 23.Manife^s�t Tracking Number1 <br /> (Continuation Sheet) <br /> 24.Generators Name ' <br /> \\L� - (-6 1 U U , s W� <br /> 25. Transporter Company Name U.S.EPA ID Number <br /> \ 22250 <br /> S:EPA ID Number <br /> 26. Transporter Company Name C e0C <br /> 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.unit 31.Waste Codes <br /> HM d Packrg Group fdany)) No. Type Ouan6Ty Wt1V01. <br /> QO , <br /> K <br /> w <br /> z <br /> w <br /> c� <br /> r <br /> 32.Special Handling Instructions and Additional Information <br /> a, 33.Tran rter ment of Receipt of Matenats <br /> 6i P �e N� � S a \ 'T' tall <br /> y r <br /> C <br /> 6 <br /> z 34.TransponerAdNnOwI ment of Receipt of Materials <br /> PnntedlTyped Name >. r9^a on y e( <br /> 35.Discrepancy <br /> J <br /> V <br /> Q <br /> LL <br /> 0 <br /> 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous oaste treatment disposal,and moping systems) <br /> z <br /> N <br /> O ; <br /> EPA Form.8700-22A(Rev.3.05) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR STATE(IF REQUIRED) <br /> 11744.0891 <br />