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r- <br /> Please: ritor Fonn desl -for.useon elite 12 itch writer. Fonn roved.OMB No.2050-0039 <br /> UNIFORMHAZARDOUSWASTE MANIFEST 27.Generator lD Number 22.Page; 23,Manifest Tracking Number <br /> (Continuation Sheet) - - <br /> 24.Ganeraid s Name - <br /> US.EPA ID Number <br /> 25. Transporter_ Company Name <br /> U.S.EPA ID Number <br /> 26. TmnWoner_ Company Name <br /> 27a. 27b.US.DOT Desaip dam duds g Pmpgr SNppng Nam;Hazard Class,ID Number, 26. ontain <br /> Cers 29.Total 30.Unit 3L Waste Codes_ <br /> HM and Paddrg Group('Aany)) No. Type Quantity WtNol. <br /> 2214 <br /> QO <br /> K <br /> W .. m....�..au. <br /> z <br /> W <br /> 32.Spedal Harding Irrsbuctons and AdditionalIinfro ation <br /> 33.Transiaorter Admaylodgmert of Remit o1 Materials <br /> lal PrinteMyped Name Signature Month Day Year <br /> K <br /> AcluoyledumW <br /> O <br /> LL <br /> dRece of Materials <br /> Printed/Typed Name Signature ear <br /> I— <br /> 35 Discrepancy <br /> J <br /> U <br /> a <br /> Q36.Hsu dons Waste Report Management Method Codes(i.e.,codes for razardous waste eaemient,disposal,and mgdirg systems) <br /> N <br /> W <br /> O <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsdete. GENERATOR'S INITIAL COPY <br />