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Please print or type. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 23.Manifest Tracking Number <br /> (Continuation Sheet) CAL000425303_ 3 . CM60161SKS <br /> 24,Generators Name <br /> GARDNER 7R"ING/il is SALES IN SAME <br /> �5 Company Name U.S.EPA Ib Number <br /> 25. Transports TRI STATE MOTOR TRANSIT CO.. MOD095038998 <br /> 26 Transporter_ Company Name 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 Ad./Val. 31.Waste Codes <br /> K <br /> aO <br /> K <br /> W <br /> Tpi <br /> Z <br /> W <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter Acknowfedgment of Receipt of Materials <br /> W Printedfryped Name Sig 7 h Yg.r <br /> Shed Sain <br /> = 34.Transporter_Acknovtedgmenl of.Reseiini Materials <br /> Printed/Typed Name Signature Month Day Year <br /> 35.Discrepancy <br /> J <br /> U <br /> LL <br /> 0 <br /> W <br /> Q 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> [7 <br /> fn <br /> W <br /> O <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITYTO EPA's e-MANIFEST SYSTEM <br />