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Please Drint or type, Form designed for use on elite 12- itch typewriter.) Foran Approved.OMB No.2050.0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121,Generator ID Number e 23.Manifest Tracking Number(Continuation Sheet) ►! 1-5 aQ627"!'4SKS <br /> 24.Generator's Name <br /> !ES SCHWAB TIRE CENTER SAME <br /> U.S.EPA ID Number <br /> 25.Transporter_ company Name BEDROCK INC DBA TSMT CO. leepa ,4 g <br /> U.S.EPA ID Number <br /> 26.Transporter Company Name <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(if any)) No. Type Quantity Wt.Nol, <br /> O <br /> TEOW <br /> Z <br /> W <br /> CD <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter AcknvW d ment of Receipt of Materials <br /> H Prinied/Typed Name Signature Month Day Year <br /> 0. <br /> 34.Transporter Acknowledgment of Receipt of Materials <br /> PrintedfTyped Name Signature Month Day Year <br /> F <br /> 35.Discrepancy <br /> J_ <br /> CJ <br /> LaL <br /> O <br /> Q36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposai,and recycling systems) <br /> z <br /> C7 <br /> y <br /> W <br /> O <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />