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- jeuletrioaEddy j o a ql jo e iledurn�os e sl Yai nn�aliam Vry _, ., W , ;, ,,,� N�NuGts tier, <br /> )(moIaq) IA. I �! 4 adit(atlla tl_�Id- e ua asn io au6lsa uaa se ualo sI <br /> r ainp j u,oii u031121AaJ00s aieijdojdde Gut pue aisem Uoue io4 siauleluoa to)agwnu alll jatu� urlot sltti buiiaidtuoo aoaq suoitanjlsui tie peaty <br /> Please print or type. Form Approved,OMB No.2050.0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121.Generator ID Number 22,Page 23.Manifest Tracking Number <br /> (Continuation Sheet) e. 76' f <br /> 24.Generator's Name 4 • <br /> 25.Transporter Company Name r„ } U.S.EPA 1D Number <br /> 26,Transporter Company Name U.S.EPA tD Number <br /> 27a, 271b 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.Nol. 33.Waste Codes <br /> EL' <br /> O <br /> r— <br /> LU <br /> z <br /> LU <br /> C7 ' <br /> 4 <br /> 1 <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transparler Acknowledgment of Rece'ptof Materials <br /> LLI PrintedlTyped t� Signature Month Day Year <br /> x'. a <br /> O - <br /> IL <br /> Z 34.Transporter Ackn 'fsdgment of Receipt of Materials <br /> PrintedfTyped Name Signature Month Day Year <br /> H <br /> 35.Discrepancy <br /> J <br /> U <br /> Q <br /> 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) . <br /> Z <br /> 0 <br /> 55 <br /> LU <br /> a <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. GENERATOR'S INITIAL COPY <br />