Laserfiche WebLink
k <br /> r Please print or type. Form Approved. OMB No. 20%0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST • Generator I u be 23 estTracktngHum er <br /> (Continuation Sheet) SVrtSys <br /> 24. Generators Name <br /> I <br /> 3Y IC <br /> 25. Transporte ,;;p \Tompany Name U.S. EPA ID74umber <br /> �Fe) Sol`1`AF /POM 2 72 5S ca 1749.) © Sig 99 <br /> 26. Transporter Company Name U.S. EPA ID Number <br /> C hboyloV& Yylipuo3benw ,-u <br /> 27a. 27b, U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 28, Containers 29, Total 30, Unit <br /> 31 . Waste Codes <br /> HM and Packing Group (f any)) No. Type Quantity WtNot. <br /> O <br /> fwww <br /> z <br /> w <br /> C7 <br /> c <br /> 32. Special Handling Instructions and Additional Information <br /> i <br /> i <br /> 33. TransportAckraM*ment of Receipt of Materials <br /> w Printedlr S' n re <br /> g Month Day Year <br /> O <br /> a <br /> w 34. Transporter Acknowledgmentof Rewiptof Matedals <br /> P� ed Name tur Month Day Year <br /> 35. Discrepan 23 ' <br /> v <br /> u <br /> 0 <br /> — _ aslsReperCfilanagemen sees aza ous�vastetrealmenF�, ispasal;ar�i tecyidingsystems}-- `— — <br /> e7 <br /> w <br /> 0 <br /> EPA Form 8700-22A (Rev. 1217) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e•MANIFEST SYSTEM <br /> I ' <br />