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Please print or type. PP <br /> 'MA iPPW 12,/9/2008 Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 2Ge rator ID Nu e 22.Page 23. �t Tr kI Nu ber <br /> (Continuation Sheet) 2 of 2 \ i <br /> 24_Generator's Name <br /> 25. Transporter Company Name Td StM Motor Trm k U S EPA ID Number <br /> ops�:o�s_9se <br /> 26 Transporter Company Namc <br /> U.S.EPA ID Number <br /> V cc, wry s� <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit <br /> M and Packing Group(if any)) 31.Waste Codes <br /> H <br /> No. Type Quantity Wt.Nol. <br /> O <br /> !Q <br /> w <br /> z <br /> LU <br /> c� <br /> 32.Special Handling Instructions and Additional Information <br /> X 33.Transp iter Acknowledgment of Receipt of Materials <br /> LLI F— <br /> W <br /> PrintedlTy Signature Month Day Year <br /> a <br /> N34 Transporter_ Acknowledgment of Receipt of Materials <br /> z <br /> < Printed/Typed Namer Sign Month Day Year <br /> 0 ,n S v <br /> r 35.Discrepancy <br /> f— <br /> J_ <br /> N4(�iN�MN..�Y i -w�� �YI•111 WH Y/vM fi��YeM►���di�rwMr It•Idev�lt�d <br /> LU <br /> Q 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> O <br /> w <br /> 0 <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITYTO EPA's e-MANIFEST SYSTEM <br />