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Please print or type. So PPW 121ROf2M Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number rr 22.Page 28.Manilest Tracking Number \\ 1/ <br /> (Continuation Sheet) �(,. ,�\ V�QAll 1 � )^'11 SKS <br /> 24.Generator's Name <br /> OnICO—� bo,� ' s Cl�r,er5 <br /> 25. Transpotler�_ Company Name U.S.EPA ID Number <br /> Td9hftN4 tTnlrkCv M00095036998 <br /> 26. Transporter Company NameU.S.EPA ID Number <br /> G lea �a v)-x v > Sins M 3 322-25d <br /> d <br /> 27a. 27b,U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit <br /> HM and Packing Group(if any)) No. Type Quantity Wt./Vo, 31.Waste Codes <br /> K <br /> QO <br /> K <br /> w <br /> z <br /> � � I <br /> 1 <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Tiefsporter Acknowledgment of Receipt of Matenals <br /> r Pd e y e gna Month Day Year <br /> V <br /> = 34. <br /> Trans <br /> poder dmowledgment of Receipt of Matenes <br /> PnnletllTyped Nam Sgnatu Month Day Y ar <br /> arm i cr S 7C <br /> 35,Discrepancy <br /> J <br /> U <br /> Q <br /> LL <br /> W <br /> W <br /> Q 36.Hazardous Waste Report Management Method Codes(i.e,codes for hazardous waste treatment,disposal,and recycling systems) <br /> z <br /> 0 <br /> N <br /> W <br /> D <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br /> P1erw elererrree w..M.wrnwwrr rrwwti w.nw.r/rww ew..rrr M..www.r.4r.i.I <br />