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,444,1 <br /> 'y/'.0 •' P0. 43csX� C-.e- <br /> Please print or type.(Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121 Generator ID Number22.Page 23.Manifest Tracking Number <br /> (Continuation Sheet) C� 49 0bG�9 �� '2 0/O S�,V� <br /> 24.Generator's Name V <br /> U.SEPA ID Number <br /> .E <br /> 25.Transporter Company Name r � � / S��YI Z�S (xo �'" <br /> 26. Transporter Company Name <br /> U.S.EPA ID Number <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number. 28.Containers 29.Total 30.Unit <br /> HM and Packing Group(if any)) / No. Type Quantity Wt.IVol. 31.Waste Codes <br /> 1 u.t/3Z�o Lf 1.14471,-i1 ve- <br /> 1�y' 2, •rJ-a S_ B-, l� 'E <br /> co O/Z <br /> Gf.✓✓�Tirr/6'L✓�S TC J W ► C/�J rir'.'� ZI!. / / S-'Ar <br /> 5ott,i,., /� Po t 9s�t ti. ✓� dtiz2 / 00 7 p <br /> 3 ui✓ Z�!u �, uJ�S`�e J tii-e-���,•y,,�',mac'� SSi I� <br /> o6 -7 P 1 <br /> I <br /> o U.✓32 6 z G'rn-rt�yi✓e S6C> / � .tm SS/ <br /> 1J/-- UOS <br /> A1.7 Cfas "4:7 <br /> 6 UAV3c-77/ 6:;;P,04w, /i <br /> /"ti77' , 9, <br /> � 3- ! I <br /> `? <br /> L'-'l all, 00171 <br /> Q Z o <br /> o,✓-/'�e1� � .�vcc-� Se, G, SSi l <br /> 016 G <br /> I <br /> 32.Special H ndlinc Instructions and Additional Information 27b3 C–�� /� /LGA–Gf /X Ste/ <br /> ,z27 <br /> b! i c7?�e2 /3,r,r<e--`�—0/0, -rse�a��/l. ?76_ c eta /7�,'Ne-z— <br /> f Z ` /Sy,,Y�z -�SJ,/.YS�/i'a/Y z-267 Ceti-tri %?i,/fes 2-tio/, �x sr , <br /> 7/J3 �� /72J I C--O J 1 > Y2-76 Y L�L�lf/7/, /f�=Z–GO3/ /x-n'Cr t <br /> bf1 >,s�5 C-'/ /7i Kurz -vaz /xsscsf <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> Printed Typed Name bJc� -A i-7 4, %1-f– Ui / {S' 6'a117 <br /> Signature 9r. <br /> Month Day Year <br /> O <br /> a <br /> Z 34.Transporter Acknowledgment of Receipt of Materials <br /> Printed/Typed Name Signature Month Day Year <br /> H <br /> 35.Discrepancy <br /> _i <br /> V <br /> 0 <br /> w <br /> a 36.Hazardous'Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> CD <br /> W <br /> w <br /> c <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED) <br />