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,.-a 1189922 <br /> Form designed for use on stile 12- ilei)typevvritar.) Form Approved.OW No.2050.0039 <br /> uNIFORM HAZARDOUS WASTE MANIFEST 121.Generator ID Number 22.PW2 21 Manifest Tracking Number <br /> (Confinualion Sheet) =fl000W8=239__ of 14-9 07752021= <br /> 24.Generator's Nam Qs <br /> Home Depot C/O PSC Attu. HOBO Depot CSS <br /> U51 Ian [olive M impa 101111, Holutgo IL 77156 M11313-73ji <br /> U.S.T .S.EPA ID Number <br /> Z5 7 Y Name <br /> 6 <br /> 26.Transporter Company U.S.EPA ID Numbor <br /> 27a. 27b.U.S.DOT Descripbon(ndu&g Proper Shipping Nam,Hazard Class,ID Number, 28•Contalms 29.Toff 30.Unh <br /> HM and Paddrg Group(if arq,)) No. Type <br /> Quartt ty WtJvot. 31.V6619 Codes <br /> 5 912811 WASTE TOXIC, LIQUIDS, ORGANIC, 1,0.5, (2,4-0( 6.1 PGII Dllb 0116 331 <br /> 'YaXIC' RQ(0116=11) D DE 004 - F --- <br /> F�f <br /> 6SO , <br /> X <br /> r r GANI , C-6.0, 0112 141 <br /> X (SULFURIC ACID, HYDIOCHLORIC ACID) 8 PGII RQ(0112=111) 001 DP' 00/c P — <br /> 11111c, IC, . . 001 D112 122 <br /> X HYDROXIDE, POTASSIUI HYDROXIDE( S Par RQ(Dll2¢l11) 001 <br /> Dk' QQ j P <br /> z <br /> rar 911 <br /> RQ iia <br /> H$1F <br /> I.O.S.W _111ATUTIRAIARWIVI WASH, SOLID, { ,4- ) 8111RI GS° 9 Dili 181 <br /> X PGIII RQ(D/16x111) 001 bF W1 <br /> X12 Imam VAI 11 � <br /> R <br /> QEl <br /> It KON-RCRA- <br /> QCTB) 291 <br /> oa DF x64 3 P <br /> 32.Spedsl Handling Insbudbas and AddiBOrral - - 4 <br /> VNVJ 17) HOKEBA-14 - ERG(154) ACIDIC/CORitoul" LOO (8) HOHESB-15 - no(154) ALXALIIE/COI>loBIvE L <br /> WMEW111) HOKSPESTLF-11 - 119(171) FERTILISE@ SIEEPISOS { <br /> 4) ROKEIR-14 - 101-ICRA an 101 7 01,116 1 jkXSC <br /> =Name <br /> er mad d of W"ls <br /> Pti�Md(fypedName aye bli0h Day Year <br /> 1 vn <br /> left IQ( lic) <br /> 34.Trans Aar Acknov4 of Rete d FRaler�fs <br /> Print Name Signattae Manch Day Year <br /> 35.DkaDPW" <br /> 0 <br /> 38.Hazardous Wade Report Manegernenl Method Codes p.e,codes for hazardous waste Irestmant,disposel,and recydfng sysbn) <br /> 5j Hill 1(61 H141 1) Hitt S Hi41 9 H161 H141 <br /> w <br /> 0 11 H14111 H141 12 H141 14 H141 <br /> EPA Form 8700-22A(Rev.3-D5) Prevbus editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />