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Please Drint or Form des ned for use on elite 12 itch typewriter.) Form roved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21 MNr 22.P 23.Manlfeat Tracking Number(Continuation Street) a <br /> 24.Generators Name <br /> L419 Power 0 - W)r-- <br /> 25. Transporter Company Name U.S.EPA INumber <br /> 26, Tran CompName _ U.S.EPA ID Number <br /> Company <br /> Ir� n •O r/�P-✓1 s c .S'r-�V. c.cl /�i1rJ 0 ��.z <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit 31.Waste Codes <br /> HM and Packing Group(if any)) No. Type Quantity Wt.Nol. <br /> O <br /> w <br /> z <br /> w , <br /> C9 <br /> E <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Tran rter Acknowledqment of Receipt of Materials <br /> F P,ri�!aped Joe Si aNre Month, Day Year <br /> O <br /> S <br /> a <br /> Z 34.Transporter Ackrwwl rnent of Recei of Materials <br /> PdntedlTyped N me rgnature _ n ay Year <br /> � � 6 <br /> 35,Discrepancy <br /> J_ <br /> C.) <br /> a <br /> a <br /> Q36,Hazardous Waste Report Management Method Codes(i.e.,oodes for hazardous waste treatment,disposal,and recycling systems) <br /> W <br /> G <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />