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Please Drintor Wile, Fonndes' nedforuseonelite 12- tch writer. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST I A.Generator IDumber 22.Page 23,Manifest Tracling Number <br /> (Conalnua0on Sheet) , �5 3f` Z 37 ,S' <br /> ,0 <br /> 24.Generators Nam _ - �^ _ L a� / /] <br /> `//,TTLr <br /> ��•' s `.,,J ItO o ./o <br /> ®_ u ber <br /> 25,Transporter Company Name / U.S.EPAIDN2zJ— <br /> 26.Transporter Company Name 0.5.EPA IU Number <br /> 27a. 27b.U.S.OGT Dosepabn gnclu ling Proper Shipping Name,Hazard Class,ID Numho, 28.Containers29.Total 30.Unit 31,Waste Codes <br /> HM W4 Packing Group(dany)) No, Type Guanky WWOI. <br /> / v <br /> O <br /> a <br /> W <br /> c7 <br /> 32.S pedal Heading Insbuc9ons andAddiamtal Information <br /> 33.Tmm tier Ackn ment of Receipt of Materials <br /> Prim Name Slgnatu Mon Day Year <br /> ZM-19i, i / 0 <br /> °n 3ME <br /> AcknoW ment oft of Malofels U 47PName tagnature I ear <br /> 35.Discrepancy <br /> V <br /> LL <br /> O <br /> 36.Hazardous Waste Report Management Method Codes(.e.,codes forhazaNaw mate treatn em,dlsposel,and recycling systema) <br /> z <br /> 47 <br /> w <br /> 0 <br /> EPA Form 8700-22A(Rev,3-05) PreAous editions are obsolete, DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />