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Please print or type. Form Approved. OMB No. 2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 647 <br /> rri <br /> k1 u be <br /> (Continuation Sheet) <br /> 24, Generators Name <br /> flDi (f n <br /> 9 <br /> S. EPA IDN ber <br /> 25. Transporter3— 1 i Company Name rk _ Y44, &\� CCA4 )A Cg� ! 4C v <br /> 26. Tr spoder mpa Name U.S. EPA ID Number 7 O <br /> C Z,; ; 0 f : c 1d 0 ? � � 25 v <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,Nol. 31 . Waste Codes <br /> O <br /> w <br /> z <br /> w <br /> O <br /> 32. Special Handling Instructions and Additional Information <br /> 33, Transporter Acknowledgment of Receipt of Materials <br /> F PrintedfTyped Signature ��-� Month Day Year <br /> CL <br /> Z 34. Transporter Acknowledgment VIReceipt of Materials <br /> Printed[Typed ame Signature Month Day Year <br /> 1c) e7 kq <br /> 35. Discrepancy <br /> v <br /> O <br /> a36. Hazardous Waste Report Management Method Codes (i.e. , codes for hazardous waste treatment, disposal, and recycling systems) <br /> 0 <br /> w <br /> I <br /> EPA Form 8700-22A (Rev. 112-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br /> i <br /> I <br />