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Form Approved.OMB No.2050-0039 <br /> Please print or e. Form desi ned for use on elite 12-itch ewriler. 22 P g^ y st Tracki ber <br /> UNIFORM HAZARDOUS WASTE MANIFEST m or y_!f[,/ <br /> (Continuation Sheet) ;J <br /> 24.Generator's Name <br /> -SaU.S.EPA ID Number [r// <br /> 25.Transporter(..:?—Company Name '� , d <br /> G <br /> .S.EPA ID Number <br /> 26.Transporter <br /> i <br /> ID Number, 28.Containers 29.Total 30.Unit 31.Waste Codes <br /> 27a, 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class, Quantity Wt.Nol. <br /> HM and Packing Group�rf any)) No. Type <br /> 0 <br /> aO <br /> K <br /> LLL <br /> w <br /> z <br /> O <br /> 32,Special Handling Instructions and Additonal Information <br /> 33.Trans rte Ackn a ment of R ahmals Month Day ea - <br /> Signature O J� <br /> w PrintedlTyped O fJ <br /> P w <br /> IL <br /> to 34.Trans Or Acknowled ment of Receipt of Materials ignatu o ey Ye <br /> Prints yped Name <br /> 35.Discre ncy 1 <br /> J <br /> U <br /> Q <br /> LL <br /> W <br /> 6 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems <br /> 2 <br /> (7 <br /> W <br /> O <br /> EPA Form 8700-22A(Rev.3.05)Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />