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Please print or type. Form Appmved.0MB No.2050-0039 <br /> UNIFORM HAMODUS WASTE MANIFEST 21.Ganarator lD Number 22,Page 23.Manifest Tracking Number <br /> (Continuation Sheet) CAM78780920 2 012218573FLE <br /> 24,Generator's Name SMrTMCYCC ii unItYHoGI9ta1 <br /> 1420»Tracy Slid p <br /> Tracy,CAS537s <br /> U.S.EPAID Number <br /> 25.Transporter Company Name <br /> 26.Transporter Company Name U.S.EPA ID Number <br /> I� <br /> 27a. 276.U.S.DOT Description(inciuding Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit <br /> HM and Packing Group(H any)) No, Type Quantity Wt voi. 39.Waste Codes' <br /> =077,Wasta Hazardous @lasts,solid,mo.s.(LEM).9.01 181 D <br /> DF P <br /> NA30S2.MkstL-Hanrdous%VaSb,IigUld.p.n.s.(CHROMUTA 135 D00 <br /> X POTAEXAUM IODIDE.a.III a DF d� A <br /> NcIn-RCRA Hazardous ahsL Ltquld(Buffered Forinalint) 3�t3 <br /> OF �7$ p <br /> 0 <br /> 0 <br /> w <br /> a <br /> w <br /> L7 <br /> ;EE <br /> _ h <br /> g <br /> P <br /> i <br /> �V <br /> pP <br /> G <br /> I <br /> 32.Special Handling instructions and Additional Informatfon <br /> 5)D7D12B-4A1-1530 ER31171 G)47D1a776M959 ERS4.171 7)070131570-31269 <br /> X S Sr C1 <br /> 33.Trans r Acknowfedgment otReceipt of Mated* Aff <br /> FW- Printedfr Signa re Month Day Year, <br /> .I 1Z 49�� Lzt--0. 1 <br /> 34.Trans er novrfedgment of Race. Materials ) <br /> Printedrryped Name Sgnature dV Month Day Year <br /> 35.Discrepancy <br /> J_ <br /> f7 <br /> 4 <br /> n <br /> w <br /> Q 36. ous Wade port hlanagemeat Methe Codes(i.e.,codes for hazardous waste treatment,disposal,and ru_gding systems] <br /> 2 <br /> S2 <br /> N <br /> W <br /> O <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITYTOEPA's e•MANIFESTSYSTEM <br />