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Please Tint or e. Form designed for use on elite 12 itch typewriter.) SC MA"W 6/6AUSForm Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 1 21.Generator ID Number 22.Page 23.Manifest Tracking Number <br /> (Continuation Sheet) 2of2 <br /> 24.Generator's Name <br /> U.S.EPA ID Number <br /> 25. Transporter�_ Company Name Men Harbors Wimmm "Suvion Ino A D 0 3 0 3 2 2 2 5 0 <br /> 26. Transporter Company NameC f A44&1� A(t,,l U.S.EPAID mber ✓ <br /> 27a. 27b.U.S.DOT Description(including Prop ir Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit 31.Waste Codes <br /> HM and Packing Group(if any)) No. Type Quantity Wt.Nol. <br /> O <br /> w <br /> Z <br /> LU <br /> C7 <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Trans rte Acknowledgment of Receipt of Matenals <br /> H PnnledlTyped Name Signature Month Day Year <br /> 0 <br /> a <br /> Z 34.Transporter Acknowledgment of Receipt of Materials <br /> PnnledfT Na a gn u on ay Year <br /> i ,o U z� <br /> 35.Discrepancy <br /> J <br /> U <br /> Q <br /> LL <br /> 0 <br /> Q36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> z <br /> O <br /> w <br /> 0 <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br /> Ckm Horbm n..tea M Wrovrkft paltn1°'for and WIN adapt OW WOM f tla SoMrOK Is dtl Vk& -/ <br />