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Please print or type. Form designed for use on elite(12-pitch)typewriter) Form Approved.OMB No.2050-0039 <br /> 111NIFORM HAZARDOUS WASTE MANIFEST 21.GeneratorlD Number 22.Page 23.Manifest Tracking Number <br /> ' (Continuation Sheet) L�Z� 3 <br /> -Z- <br /> 24. <br /> 24.Generator's Name <br /> Ce s ee <br /> U.S.EPA ID Number <br /> 25,Transporter Company Name 3 <br /> U.S.EPA ID Number <br /> 26.Transporter Company Name / �/ fr <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(rf any)) No. Type Quantity Wt.Nol. <br /> F <br /> LLI <br /> ----------- <br /> 0 <br /> W <br /> 2 <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Tmns ner Ac owled ment of Receipt of Materials Month Day Year <br /> W— PrintedlT d Na Signature <br /> F <br /> I= ` <br /> O <br /> a <br /> Z 34.Trans ner Acknowled ment cf Reoei t of Materials <br /> Month Day Year <br /> Printedrryped Net <br /> ignature <br /> 11 AZ A <br /> r <br /> 35.Discrep y <br /> J_ <br /> V <br /> a <br /> c <br /> Lu and recycling systems) <br /> C 36,Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal, cY'ng <br /> z <br /> C7 <br /> N <br /> LU <br /> 0 <br /> EPA Form 8700-22A(Rev.3-05)Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />