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Please print or type. SC MA PPW 12/9/2008Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121.Generator ID Number 22.Page 23,Manifest Tracking Number <br /> (Continuation Sheet) QO� 2 of 2 002 <br /> 24.Generator's Name <br /> 7,3 q� r <br /> 25. Transporter—3— Company Name 3 9.0 A 9 <br /> 26. TransporterCompany Name (um ?3 I <br /> I LLEAA b-3 <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit <br /> HM and Packing Group(if any)) 31.Waste Codes <br /> No. Type Quantity Wt.Nol. <br /> O <br /> Q — <br /> w <br /> z <br /> w <br /> O <br /> a <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> LLI Printed/Typed Nar96Signature <br /> 0 /" Mo Day Year <br /> O <br /> a <br /> Z 34.Transporter Ackno ledgment o Receipt of Materials <br /> Printed/Typed Nam <br /> C th D Y <br /> Sig atur Monar <br /> F— C� <br /> } 35.Discrepancy <br /> H <br /> J <br /> U <br /> Q <br /> LL <br /> W <br /> Q 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> 0 <br /> Cn <br /> LU <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br /> #'I&*"Umpkare Na the*wwrwwrlafs warml#*for OnAwill m-rawf thar&N&Me diftwarNwr I&ehiww/wd <br />