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At or type. Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039.Expires 9-30-99 <br /> UNiFORNI HAZARDOUS 21. Generator's US EPA ID No. Manifest Document No. 22, Page Information in the shaded areas <br /> WASTE MANIFEST � is not required by Federal law. <br /> (Continuation Sheetrw 77 <br /> 23. Generator's Noe a �O ilirJg A��ss L SiafSM4ru7esf�D&,4jrnent Number <br /> 0 24. Transports Company Name 25. US EPA ID Number N. Stare TrenSportecs d� <br /> e�.; O Trans drtar"s pone- <br /> o 26. Transporter Company Name 27. US EPA ID Number P. State Trans nrter's'ID <br /> Q. Transporter'sPhone;•�: <br /> .._o <br /> o0 28, US DOT Description(Including Proper Shipping Name,Hazard Class and ID Number) 29. Containers Total Unit Waste No. <br /> m rM y� No. T e Quant' W of <br /> BLE <br /> a. $ p®0b�Id <br /> ooI 3D <br /> ' cm <br /> am <br /> 0 <br /> `o m <br /> ' E C. `. <br /> o � <br /> mm <br /> mo e d <br /> E <br /> '0 E <br /> , <br /> `S . ^ e. <br /> y� T <br /> ma 0 <br /> E `oT R <br /> mm <br /> d� <br /> r <br /> �o s <br /> 'om <br /> 5 0 <br /> m� 9 <br /> a E <br /> `m o` <br /> w o h. <br /> c m <br /> E v <br /> Ep <br /> E m <br /> VL <br /> d <br /> iy O <br /> O(p <br /> t o S. Add2i pnal Descriptions for Materials Listed Above T. Handling Codes for Wastes listed Above <br /> 3 � <br /> � o <br /> m3 32. Special Handling Istructions and Additional Information i +yon <br /> : �, �. <br /> E <br /> o m <br /> V <br /> a m T 33. Transporter Acknowledgement of Receipt of Materials Date <br /> Ao n Printed/Typed Name Signature Month Day Year <br /> Aa N <br /> a s <br /> �v p <br /> 0 34. Transporter Acknowledgement of Receipt of Materials Date <br /> T Printed/Typed Name Signature Month Day Year <br /> E <br /> h U <br /> S o F 35. Discrepancy Indication Space <br /> Ta A <br /> C <br /> y m I <br /> me I <br /> E T <br /> 3 0 Y <br /> T w EPA Form 8700-22(Rev.9.88)previous editions obsolete SAFETY-KLEEN CORP. <br /> 90289(continuation)6 <br />