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• • Form Approved.OMB No.2050-0039 <br /> Please print or type.(Form designed for use on elite(12-pitch)typewriter.) <br /> 21 Generator tD Number 22,Page 23.Manifest Tracking Number <br /> UNIFORM HAZARDOUS WASTE MANIFEST nn_� <br /> (Continuation Sheet) <br /> 24.Generator's Name { j <br /> /�� /� , /� U.S EPAID <br /> ,Number <br /> 25. Transporter_ CompanyW&6��v`-'`«r!/ 1t�C��Q f 5 1 r <br /> U.S EPA iD Number <br /> 25 Transporter Company Name <br /> i <br /> t <br /> Conaners 2g -total 30.Uni! <br /> 274 27b U.S.DOT Description(including Proper Shipping Name,Hazard Class.ID Number, 28 31 PJaste Cuees <br /> Hhr and Packing Group(if any)) No. Type Quan?dy V".`t;Val. <br /> O <br /> w <br /> z <br /> w <br /> ca <br /> 32 Special Handling Instructions and Additional Information <br /> W• o 3 -7 <br /> 33.Transporter Acknowledgment of Receipt of Materials Month Day Ye <br /> O PrntedlTyped N`m Signature j <br /> ar <br /> 7 I <br /> a <br /> Z 34.Transporter Signae <br /> Acknowled ment of Receipt of Matedals Month Day Yea' <br /> PrinteOyped Name <br /> F- <br /> 35.Discrepancy <br /> J <br /> U <br /> Q <br /> LL <br /> D <br /> a 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> dou <br /> z <br /> O <br /> y <br /> W <br /> C <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. <br /> DESIGNATED FACILITY TO DESTINATION STATE(#F REC3fREL)} <br />