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f <br /> e <br /> Please print or type, Form designed for use on a'Aa(12-pli typewriter.) Form Approved.OMB No.2050.0039 <br /> UNIFORM HAZARDOUSµyAS7E MANIFEST 1 21 Generator ID Number 22.Page 23A IllIfostTracking Number <br /> (Continuation Sheet) �4"�)j <br /> 24.Generator's Name <br /> i <br /> U <br /> 25,Trznspo ta> Ce npany Neme U,S.EPA ID Number <br /> ! U.S.EPA.ID Number <br /> 26. Transporter Company Name <br /> I <br /> 27a. 271c.U.S.DDTDesc 1pllon(ncluding Proper Slopping Name,Hazard Class,ID Number, 28 Contaiiars 29.Tots 30.ty Wt.un1 t 31.Waste Codas <br /> Hvi ono Packing Group(if any)) No. Typo QuantiN01. <br /> II <br /> li <br /> r � <br /> w <br /> LU <br /> i <br /> i <br /> i <br /> I <br /> , <br /> 32.Special Handling Instrucllar�s and Additional Information <br /> I t <br /> x 33.Trar rte __Ackno led moral of Receipt of A7slorials <br /> P <br /> 4t ,yped Name Sig , a Month Cay Year <br /> a <br /> 34,Trans ortar Aeknowlod meat of Rocelol of htator'als t <br /> I. 4tx Printed/Typed Name SignaiLre mogth Day Year i <br /> I' <br /> 35.Discrepancy <br /> U <br /> I � <br /> I' p <br /> 30.Hazardous Waste Repots Management Method Codes(l.a„codes for hazardous waste treatment,disposal,and recycling systems) <br /> U5 r I <br /> LU <br /> © I <br /> EPA Form 8700-22A(Rev.3-05) Previous ed1dons are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) I <br /> i <br /> 1 , <br /> j <br /> :I <br />