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10/23/2003 15:25 4086839172 PTR:ADMIN PAGE 03 <br /> Pl67& rlM or,t a.(Fv—deelgned for use on Nhe 12• ch typewriter.) Form Approved.OMB no.2050-0038 <br /> UNIFORM HAZARDOUS 21.Generator's US EPA ID No. Manifest Document No. <br /> WASTE MANIFEST � <br /> Continuation Sheet <br /> 23.Generator;e e <br /> 1 i <br /> 24.1iT�l')Sppft Co pang Name �� 2rw <br /> 28: Transporter—Comp ny N a 27.US EPA ID Number <br /> 29.Containers 30. 31. <br /> 8.US DOT Description(Including Proper Shipping Name,Hazard Class and 1D Number) �c Total,. Unl�. <br /> HM No. TY 6u&rftilhfWWoI <br /> d. <br /> b. <br /> z <br /> G.d. • <br /> E <br /> N <br /> I- <br /> R R <br /> A 6. <br /> T <br /> O <br /> A <br /> 9 <br /> i <br /> I: <br /> 32.Special Handling Instructions and Additional Information <br /> r 33.TiraWort r Acknowledgment of Receipt of Materials Date <br /> NPr' t i ped Nuhe 9Are.1 th PA Year <br /> P <br /> R .Transporter_Acknowledgment of Receipt of Materials <br /> E Printed/Typed'Name SignatureManrh Dpy, year <br /> R - <br /> A 5.Discrepancy Indication Space <br /> L <br /> T <br /> v <br /> EPA Form eroo-22A(Rev.a-tie) Previous edition to obsnkea `8ARSPORTATIOR Ne <br /> *#* Wpe, s ,,- n z�z <br />