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Please print or type. Form designed for use on eliter12- ch ewriter. PWe ed. 0UNIFORM HAZARDOUS WASTE MANIFESTeneratorID Number 22.Page 23.Manifest Tracking Num(Continuation Sheet) L000231582 o f 008680095FLE <br /> 24 Generators Name <br /> Kluart #4862 <br /> 25. Transporter Company Name U.S.EPA ID Nu AL <br /> DFRARTMENT <br /> 26. Transporter Company Name U.S.EPA ID Number <br /> 27a, 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit <br /> HM and Packing Group(if any)) No. Type Quantity Wt.Nol. 31.Waste Codes <br /> 5, Non RCRA hazardous waste, solid 1 DF 00081 P 561 <br /> I— <br /> G. Non RCRA hazardous waste, liquid 4 DF 00563 P 561 <br /> 7.Non RCRA hazardous waste, solid (Non—PCB 4 CF 00154 P 181 <br /> Ballast), <br /> 0 <br /> w <br /> Z <br /> LU <br /> t7 <br /> 32.Special Handling Instructions and Additional Information a e Regu a a o i s a ]e ��egu a e <br /> Liquids) 7. 1@3408(Lamp Ballasts) <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> W Printed/rName <br /> Signature Month Day Year <br /> O <br /> a <br /> Z 34.Transporter ment of Receipt of Materials <br /> Printed/Typed Name Signature Month TFF-7ear <br /> 35.Discrepancy <br /> J <br /> U <br /> Q <br /> LL <br /> 0 <br /> W <br /> Q 36.Hazardoul Wiste,RM nagemenl Method Code i.e. for h rdous waste treatment,dis I recycling systems) <br /> Z (�`J <br /> 0 <br /> rn <br /> w <br /> o g <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br /> 8700-22a_12v3 CAL20070093 S40059094 040gPAI F.1 M nnaoaa,-7 <br />