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Please pdnt or Form designed for use on elite 12 itch ewnler. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generabx ID Number 22.Page z Zi.ManlfestTracking Number <br /> (Continuation Sheet) g ooh Q V( Z (�`�(/J C7 Q 0 82, J 3 K <br /> 24.Generators Name <br /> 'VV-0 C- `vwdt,t <br /> CC t VV <br /> ZtOe. <br /> � i� b[ZE, ta� <br /> 25.Transporter2 Company Name <br /> U.S.EPAI Number <br /> 26.Transporter Company Name U.S. A ID Number <br /> 27a 276.U.S.DOT Description(Including PmperShippir-g Nacre.Hazard Class,ID Number, 28.Cartainers 29.Total 30,Unit <br /> HM and Packing Group(decry)) No. Type Quantity WUVoL 31.Waste Codes <br /> 0 a <br /> 0 <br /> w <br /> CDZ <br /> w <br /> 32 Special Handling Instructions and Additional Informa on <br /> 33 Transporter AcknoVedgmental ReceiptofMaterials <br /> _ Sagnatu,/� h Year <br /> Lu Pru Lcnyped Name h 11 < 17 <br /> O <br /> a <br /> Z 34.Transporter_Acknowledgment of R 't of Materials <br /> Printed/Typed Name 9n�m ay Year <br /> r <br /> 35.Discrepancy <br /> J <br /> U <br /> Q <br /> LL <br /> O <br /> LU <br /> 36.Hazardous Waste Report Management Method Codes(Le_codes for hazardous waste treatment,disposal,and recyding sySlems) <br /> z <br /> k- <br /> U <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />