Laserfiche WebLink
�- Please print or type. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 2 . e rotor u r 2 e 23.M nifest Trac Nu r { <br /> (Continuation She <br /> 24.Generator's Name - 11 <br /> Y 0C <br /> U.S.EPA ID Number <br /> 25. Transporter Company Name <br /> Ron 195'I 3d' c1 <br /> 26. Transporter Con y Name r U.S.EPA ID Number <br /> G 6e is *14'P 3 du vx-x <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 26.Containers 29.Total 30.Unit <br /> HM and Packing Group(if any)) No. Type Quantity Wt.Nol. 31.Waste Codes <br /> K <br /> QO I <br /> C <br /> W <br /> Z <br /> W <br /> L7 <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Trans Mr Acknowledgment of Receipt of Materials <br /> PrintetllTypeO Signature Month Day Year <br /> a <br /> 234,Transporter Acknowledgment of Receipt of Materials <br /> PrintedRyped Name Signature Month Day Year <br /> 35.Discrepancy <br /> J <br /> U <br /> LL <br /> O <br /> Q36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> O <br /> h <br /> w <br /> D <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYS" <br />