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0 <br /> Please print or".(Form designea for use on elite(12-pitch)typewriter.) ORDER * Form Hpp7oNe�.'OM6'No.20500039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator 10 Number 22.Pan- 23.Manifest Tracking Number <br /> (Continuation Sheet) C A D 9 8 1 3 9 6 0 2 1 2 of 2 007523736JJX <br /> 24.Generators Nemo <br /> GENERAL MILLS <br /> ATTN: MADE BROUGHTON <br /> n <br /> U.S.EPA ID Number <br /> 25.Tranaporler_ Company Name <br /> TWr C A R 0 0 0 0 4 7 6 9 6 <br /> 26.TranspMer_ Company Name U.S.FPA IO Number <br /> ,. A Z D 9 8 2 4 0 35 8 6 <br /> 27e. 27b.U.S.DOTDescroort unducling ProWShippiig Name,HazardClan.0 Number, 2e,Code'^ 29.Tmel 30.Unit <br /> HM and packing Group(eany)) N. <br /> Type Quantity WCNd. 37.Waste Codes <br /> 5. NON—RCRA HAZARDOUS WASTE, SOLID t n <br /> (EMPTY POLY DRUMS) <br /> i s D F 512_t.. <br /> t -- <br /> 6. NON—RCRA HAZARDOUS WASTE, SOLID <br /> (EMPTY POLY DRUMS) <br /> c F <br /> i <br /> ISI <br /> w <br /> �._f <br /> II <br /> I <br /> I <br /> t <br /> 1 <br /> 1 <br /> 32 Spedel Handling Instructors,anclAddriona!Information <br /> 33.Transpotter_Acknowledgmedof Ream td Materials <br /> K Pr!ntorryped Name Signature Month Day Year <br /> O <br /> a <br /> Z 34.Transporne, Acknwwledgment of Reraipt at Malefiais <br /> Printediryped Name Signature Month Day Year <br /> F <br /> 35.Discrepancy <br /> J <br /> U <br /> a <br /> LL <br /> O <br /> a36.Hazardous Waste Report Management Method Codes(i.a.,cedes for hmMnus waste treatment disposal,and recycling Systems) <br /> (9 <br /> N <br /> W <br /> 0 <br /> EPA Form 8700.22A(Rev.3-05) Previous editions are obso!ete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />