Laserfiche WebLink
rc,..... A—;.n&A far sea ray &Iiia 119 -Mr -hi hrnawrilar 1 <br />Pmm AnrwnvM t1MR Nn %W m a <br />EPA Form 871Mi-22A (Rev. 3-05) Previous editions are obsolete. <br />AL200Mi 40W743 4024 <br />DESIGNATED FACILITY TO DESTINATION STATE (H- ttt:UUHctU) <br />40249a MA011 Appromb 9 t l C[ l <br />. UNIFORM HAZARDOUS WASTE MANIFEST <br />{Continuation Sheet) <br />21. Generator ID Number <br />C A L 0 0 0 3 5 7 4 1 <br />23. Manifest Tracking Nuinber <br />004510999FLE <br />24. Generator's Nand <br />Cus <br />U.S. EPA ID Nunber <br />25. Transporter --3— Company Name <br />Triad TrarqM Ina O K D 9 8 1 S 8 8 7 9 -1-. <br />U.S. EPA ID Number <br />26. Transporter ,_„4_ Company Name <br />St`' a Waste Solubom Inc M N 9 0 0 0 1 1 0. 9 2 4 <br />27a. <br />HM <br />M. U.S. DOT Description (mdu ft Proper Shipping Nam. Hazard Class, ID Nunnber, <br />and Paddrng Group fd may)) <br />26. Containers <br />29, Total <br />ouantity <br />30. Unit <br />WLAIOL <br />31. Waste Codes <br />No. <br />Type <br />a <br />O <br />W <br />Z' <br />W <br />32. Special Handing hisfiections and Additional brimnatial <br />33. T of 522W of Materials <br />Kof <br />O <br />*flatureMoft Day Year <br />LIZ <br />a <br />z <br />34, Transporter of Receipt of Materials <br />t"- <br />Prirl Wyped Name g e� <br />J_ <br />LL <br />LU <br />LUV <br />35 Disomy <br />0 <br />36. Hazardous Waste Report Managernerit Me#W Codes (i.e., codes for hazardous waste treahnent, disposal, and mcydM system) <br />W <br />0 <br />EPA Form 871Mi-22A (Rev. 3-05) Previous editions are obsolete. <br />AL200Mi 40W743 4024 <br />DESIGNATED FACILITY TO DESTINATION STATE (H- ttt:UUHctU) <br />40249a MA011 Appromb 9 t l C[ l <br />