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❑6GJn3-17 997G�3 <br /> Please pool or type.(Form designed torose on elite(12 TAch)typewrl'ter.) Form Approved.OMS N. 20:>o-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21 Generator lD Number 22.Paye2 23.Mamkst Tracking Number <br /> (corrtmuetiaN sneer) pTa� 7py-U of O110I84529DRi <br /> 24_Gaie2rora Name <br /> CON-0AY FREI6HT 0C@FUST <br /> T P S B5 <br /> 25.Tranaplarr Comeany Name US EPAID Number <br /> 26. TrznapyRr Company Name US.EPA ID Number <br /> 27a. 27b_US.DDT Deeaplion(ndudny Prep,,SbipWn9 Nab,,Helul Cla ID Number, 28.Cmbimers 2g Toryl 3p.Unit - <br /> HM abd Packing Gue,N a,)) No. Type 0'Tam, <br /> WINor, 51.Waste Ceob, <br /> 5 1 -pry uo ' 4 6 5 <br /> n 352 <br /> DM p <br /> ACRD.waloppOI15,.4InoTs S1ASRYk�6-PA6Kh'K� - 352 <br /> k Ch DM p <br /> 352 <br /> DM p <br /> 8 ID324F 19111SOUI4S CONtRINIX6 GQSIVE LIQUID, N.O.S. ( ( r , ID8@B i@1 <br /> X (SaFURIC ACID, LEAD) B P6II 111)(1118)111)(1118) p(BII9D) 1� <br /> L3 9 UNIVI ESTE SODIUM CAR86XRTE PE00XYNYDORTE 5.1 PHI 181 D1D1 <br /> X X 1011-10001 <br /> f -� P <br /> 18 ND(-RCRA HAZARDOUS ORSTE LIQUID INDIEMIL, YE6ETRILE OILS) �j 271 <br /> IM 7jO p <br /> 11WM3 CONDISTIDE LIQUID, X.O.S. (3NT00LEW DISTILLATES, 331 <br /> X INNONIATIC HYDROORRIONS) C00DUSTID,E LIQUID QUIII 0)(1881) Or p <br /> 12 !11283 WASTE PRINT RELATED ID. 3 MI Q03DD0ll &1@1 710 <br /> X OM p <br /> 13 -0001 iWZAA@OUS W1STF LIQUIDS tW3TE1 PRODUCTS) //�/� <br /> ' DM too P 331 <br /> 14 HAZARDOUS WASTE LIQUID - l� 331 <br /> (6LTPlgSATE,N-( TMTLJ GLYCINE) DM ( (rt�r- P <br /> I <br /> JZ Speaal HarMina frsWctimserd AddCpnallNrvmelipn ( <br /> (DI CdgtOYPMfCL-84 - E05(154) 427371823473/02528D (9) .IR-D3 - ER611II) <br /> 61137121;-051/@35520 (181 C YNR4It-08 - 815842518-015-1255@8 (11) W1913LS-01 - E16028) 158554483-957/935493 (12) <br /> CQF1253L3-82 - TRAM&) 585893515-Y29f825513 (13) SEI-02 - NIR-OW624495 HKI (14) R• <br /> 33.Taeorme ._PztnoWMg--R 0-11-1— <br /> 4 pnn@Mypyµnie <br /> i1 9gnature Monty Day <br /> 34.Traaspwrer_ AelomMed ant of R.itAufMa efeb <br /> Femaoymm Name Sgnamre <br /> MgmM1 DaY year <br /> '. <br /> 35.Dimepanq <br /> a <br /> v <br /> i= 3p.Hazardous WasR Rgiort Maiu9emenl MelnM Codes(i e.,milesla naramouawasteheaenem,tlisposal,and recydvlq systems) <br /> s) 5) 77 ie) N I (9) IL/t l <br /> 0 1 <br /> 11; flit <br /> 112) 11131(131 (14) <br /> EPA Form 8(0U22A(Rev.3-05) Pummesedibousereonsole,. DESIGNATED FACILITYTO DESTINATION STATE(IF REQUIRED) <br />