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1 <br /> 1 <br /> Please print or type. Form Approved , OMB No. 2050-0439 <br /> UNIFORM HAZARDOUS WASTE MANIFEST for tuber 22, Pa a t riot Number <br /> (Continuation Sheet) <br /> 24. Generator's Name ` <br /> U.S. EPA tD Number <br /> 25, Transport Company Name yam „ O (� S` <br /> Y l U.S. EPAIDNu r 1 t� <br /> 26. Transporter Comply �la�e� _ + ]mlops imn PPA <br /> 27a. 27b. U.S, DOT Description (including Proper ShippShipping Name, Hazard Class, ID Number, 28• Conta'nersW 29. Total 30, Unit 31 . Waste Codes <br /> HM and Packing Group (if any)) No. Type Quantity WtNol. <br /> i <br /> i <br /> i LC <br /> iu <br /> iu <br /> c� <br /> I <br /> I <br /> I <br /> I <br /> i <br /> 32. Special Handling Instructions and Additional Information <br /> i <br /> I <br /> r>c 33. Trio Acknowled9frient of Receipt of Materials <br /> w e�tedlTyped Name S oats Month Day Year <br /> 4� UakL tib t 3 <br /> t2 34. Transportor ---LAAcknowledgimntofReceotofMatedals <br /> t Pdntedrryped Name 9natum Month Day Ye r <br /> t— <br /> omam <br /> 35. Discrepancy <br /> i= <br /> .J <br /> 0 <br /> i4 <br /> {� <br /> U 36. Hazardous Waste Report Management Method Codes (Le. , codes for hazardous waste treatment, disposal, and recycling systems) <br /> t9 <br /> iu <br /> L� <br /> EPA Form 8744-22A (Rev. 12-17) Previous editions are obsolete. DESIGNATED FACILITYTO EPA's 94ANIFEST SYSTEM <br />