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PIe Se print orlype:.(Fam desgned for jusan elios(12-pttc4 typewriter.) Form Pg toyed.OMB No.:2060,0039 <br /> uwirORM HAZARDOUS WASTE MANIFOST 29 Generator ID Numbdr 22 Fege 23.Manifest Tracking Nrmtrgr <br /> 24.Generators'Name.: ''... •' <br /> r <br /> V U.S EPAJDNumb9r <br /> 25.Transporter' Cemny Name - .: .... �(. <br /> 28.Trarraporter Cor> ny Name 7 J-. U. ID er �. t <br /> Vitt <br /> 27s. 27b-U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Totgl 30.Un t <br /> HM .and.Paokirg Group(If any)) Duan WtNd. B1.Waste Codes <br /> „ <br /> AIo'' �-MPe �C <br /> aO {/ <br /> W <br /> " <br /> y . <br /> PoA -'Sir" _ �A..^T..,l'= W=-+l(.'. �.�.:'_tiC - -M•`.^�, .- v.•'P�.'rv•, '1 __- <br /> •' • -.. '. -•' .•'. ':-- .: ; .,';www. \ <br /> 32.Specht Handting Instruclfons and Additional Information <br /> 1 <br /> _3&Transport Ackrmwl' enlo(Rece of Materials f '" (F,=0 <br /> 1'rihtedRyped Name ure Month Day Yefar <br /> rA 34.Transpor*. Acknowled meas of Recelpt of Malerlals <br /> .Printed/Typed Name ate. Signet" pq Y <br /> 35.Dlscrepaney - <br /> f lazardoust Mettn <br /> Waste Report,MAnegemend.Codea(Le:,codes lgctrazardam Waste l raUnent,disposal,.and rOcyding sy pm) <br /> .c <br /> C <br /> 4EPA t17A(Flea 3 05)`Prewais eddans are obsolete. DESIGIYA7ED,FACILITY TO-GENERATOR <br />