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Please ofind or . Formtlesined for use on elite12- itch iter 61R 1702544499-002 SC PPW V41/2017 Form A roved.OMB No,2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator IQ Number 22.Page 23.MangestTracking Number <br /> (Continuation Sheet) CAR 0 0!0 0 4 8 9 4 2 Poft 4149 FLE <br /> 24.Generators Name <br /> Tw et0853 <br /> 25.TrunspDrter Company Name US.EPA ID Number <br /> 26.Transporter__._Company Name U.S.EPA ID Number <br /> 27a. 27b,U.S.DOT Desrration Including Proper Shipping Name,Hazw Class,ID Number, 28.Containers 29.Toad 30.Unit <br /> HM and Packag Group(ifany)) No. Type Ouardity MAW. 3/.Wass Cades <br /> 5.UN179i.WASTE HYPOCHLORITE SOLUTIONS.S.PG 11 D002 122 <br /> 00i OF 00072 p <br /> X &Ft3077.HAZARDOUS WASTE.SOLID.N;OS-fMERCURYI.9. 001 OF 0{1446 P D009 181 <br /> t <br /> 7.WHI14 CRA HAZARDOUS WASTE,LIQUIDS,WAPSAND 331 <br /> LOTIONS) 002 C F Oi181 Tr <br /> 0 <br /> S.NON-RCRA HAZARDOUS WASTE,LIQUIDS.(NON-PCB 181 <br /> a BALLASTS 00i D F 00023 P <br /> w <br /> z <br /> w <br /> C7 <br /> ) <br /> k <br /> i <br /> r Mandl p n lions and Add ft lahpn X30 <br /> 6.Tar—Mere ERG#171 1X5 <br /> 7.tar—state reg 2XFBT.N <br /> 8.7AR-NON PCB Sal 1X5 <br /> 33.Trans r m of of <br /> Pnntedllyped Nam signature Month Day Year <br /> K <br /> O <br /> `-� 34.Trans er AdmovA rtrentotReceiptafMatemes <br /> Pnmed(ryped Name Sgreature Mwth <br /> Day Year <br /> t_ <br /> t35.Disrrepanry <br /> IJ <br /> 0 <br /> W <br /> 36,§11ft4YJasie Report Management Medved Codes(i.e„codes for hazardous waste Vestms) <br /> treatment,djsposel,and rerydirgsysle <br /> 6.Hi41 T. <br /> Hi41 8.Hi41 <br /> N <br /> W <br /> t, s <br /> I=P41 9fA' �S��I�I�)9hj0A � Fand will accept the waste the genemer FtM Nein ED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />