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Please print or type . Form Approved . OMR No . 2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFESTrator 1 22 . Page 23. Ma fest Tracidin Numbar <br /> (Continuation Sheet) CW 7 ,- <br /> 24 . Generatofs Name <br /> -11Ye (teI Tic <br /> , Transporter � Company Name U . S . EPA ID Number <br /> 25 <br /> l-- �lT KG O 7563i` i9 <br /> 26 . Transporter Co y a U . S . EPA 10 Number <br /> 27a , 27b . US . DOT Description (including Proper Shipping Name, Hazard Class , ID Number, 28 . Containers 29 . Total 30 . Unit 31 . Waste Codes <br /> No. <br /> HM and Packing Group (if any)) Type Quantity Wt Not <br /> C <br /> O <br /> w <br /> Z <br /> w <br /> r7 <br /> 32 , Special Handling Instruchons and Addifional IMormadon <br /> 33 . Transporter ment of Recei tedais <br /> W PrintedRyped Nadir Signature Month Day Year <br /> ix UVb Q <br /> O <br /> a <br /> Z 34 . Transporter77t Acknowledgment of Receipt of Materials <br /> a dntedRyped Name Sgnature Month DaSy Year <br /> lilyQ <br /> Iv � <br /> 35 . Discrepancy <br /> J <br /> U <br /> Q <br /> O <br /> 36 . Hazardous Waste Report Management Method Codes (i . e . . as for hazardous waste treatment disposal , and recycling systems ) <br /> Z <br /> O <br /> N <br /> W <br /> O <br /> EPA Form 8700- 22A ( Rev . 12- 17 ) Previous editions are obsolete . DESIGNATED FACILITY TO EPA' s e- MANIFEST SYSTEM <br />