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Please print or Ice. Form designed for use on elite(12-oitchl Wnpwriter.1Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 23.Manbst Trackt Number <br /> (Continuation Sheet) ti..s7 i�"i <br /> 24.Generatoes Name <br /> C /5 r! <br /> 127a. 27b. <br /> porter Company N j 1 U.S.EPA IDANuumber ) <br /> ( .(({ SoI�ft ((�sv—J 1�i�• /vJ� 060 00 q�2 <br /> porter C'7, <br /> ny Name d j S f- 133 <br /> Cf (i f aT �(�� U.S.EPA umber <br /> U.S.DOT Descr pti ng Proper Shipping Name,Hazard CSS, D Number, (`J �� ��� <br /> 28.Containers <br /> HM and Packing Group(if any)) 29.Total 30.Unit 31.Waste Codes <br /> No. Type Quantity WtNoI. <br /> o <br /> W <br /> y <br /> -_ 1 <br /> 32.Special Handling InsbucUons and Additional Irdomta6on <br /> Ix 33.T r Acknowl Trent of R ' of Materiets <br /> UJ PdntedITyped Name_t e- <br /> --Z <br /> a �G Z <br /> Signature Month Day Ye <br /> z 34.Tran AdcnovA ant of t of Materials <br /> Pdnted/Typed Name <br /> h rgnahrre <br /> ear <br /> 35.Dmiscrepanby <br /> J <br /> V <br /> U <br /> G <br /> W <br /> Z36.Hazardous Waste Report kagement Method Codes(i.e.,codes for hazarrmus waste beatrrmnt, <br /> disposal,ark recycling systems) <br /> W <br /> c <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. <br /> DESIGNATED FACILITY TO DESTINATION STATE(I)'REQUIRED) <br />