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EMERGENCY CONTACT TELEPHONE NUMBER <br /> eneratoes US EPA ID No. Manifest 22. Information in the shaded areas is not <br /> ,UNIFORM HAZARDOUS Document No. required by Federal law. <br /> WASTE MANIFEST rr!` 3'. <br /> (Continuation Sheet) <br /> 23.Generator's Name ✓f <br /> 24.Transporter Company Name 25.US EPA ID Number - <br /> 26.Transporter Company Name' 27.US EPA ID Number <br /> 6 <br /> 28. S OT Description II�NdkvPmpersnipongNe .Paea`dcaaandIDN—ber) 29.Containers 30. 31. <br /> p Total Unit <br /> HM No Tye Quantity wWol <br /> a. <br /> b. <br /> C. <br /> G d. <br /> E <br /> N <br /> E <br /> R <br /> A e. <br /> T <br /> O <br /> R <br /> f. <br /> g• IF THE IMAGE DISPLAYED IS <br /> NOT AS LEGIBLE AS THIS <br /> h. OVERLAY,IT IS LIKELY DUE <br /> TO THE POOR QUALITY OF THE I <br /> ORIGINAL DOCUMENTS/IMAGE. <br /> 32.Special Handling Instructions and Additional Information <br /> E/< <br /> T 33.Transporter ✓ Acknowledgement of Receipt of Materials , w, Date <br /> A Printed/Typed Name Sig ,tura r' Month Date Year <br /> P <br /> 0 34. Transporter Acknowledgement of Receipt of Materials Date <br /> R <br /> Printed/Typed Name Signature Month Date Year <br /> E <br /> R <br /> F 35.Discrepancy Indication Space <br /> A <br /> C <br /> L <br /> 1 <br /> T <br /> r :,�� copy <br />