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Please print or type. Form desi ned for use on elite 12 itch ewriter. Form Approved , OMB No. 2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121 # Generator ID Number 22, Page 23. Manifest Tracking Number / <br /> (Continuation Sheet) <br /> 24. Generator's Name <br /> SCC c �L L <br /> U.S. EPA ID Number <br /> 25, Transporter Company Name <br /> U.S. EPA ID Number <br /> 26, Transporter Company Name <br /> 27a, 27b, U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 28. Containers 29, Total 30, Unit 31 . Waste Codes <br /> HM and Packing Group (if any)) No. Type Quantity Wt.Nol. <br /> I DF 2o 6 ' <br /> ® X / j012../ J dLu �, / ° Xl �i S l 7 ill . _ <br /> /7, f13Z-� G , fix ! C. Q res x r6 <br /> S 10A4 CVal sb <br /> i9 (� a / 3 e'® lV1. 9'act0I l01L, /— M1 <br /> ® cJ ,� � z� z. �. c�DI � ! 5� , � �, � ! c , ° 557 <br /> Zf UAl326Yj / > to G.lcc�rOS/ a ! <br /> 2� UAJ326;, w69x1451U4414utof, cOrc / ILO®? . �. . <br /> U �c 1321pC,, f Cv � G� Scv� GL� c4S/ ► C, Z S S 1 <br /> djo <br /> V1 L) /jj 1jcjAjCdZ4At <br /> PC <br /> 32. Spe !at Handling Instructions and Ad '6 net orma on � 1 L1 5 �-'( � / K 3 Z Go W �D 151i •t ! L L ^ <br /> L� .J 'r0. s� � a CUA. Toc �� c, l� � C -!� C/ � s� Z-� Ct�� c c �/� 34� � ZC S <br /> x <br /> ! 1 0 � pr7C/ ss � I Cortes i ® � tac/PS'L`20 � � `YS�o® n• �n � i� L�t�L '2� �/ <br /> 33. Trans orter Acknowledgment of Receipt of Materials <br /> �u Printed(ryped Name Signature Month Day Year <br /> CLO <br /> 34. Transporter Acknowledgment of Receipt of Materials <br /> PrintedfTyped Name Signature Month Day Year <br /> 1-- <br /> 35, Discrepancy <br /> J <br /> V <br /> U <br /> Uj <br /> 36. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) <br /> Z <br /> 0 <br /> W <br /> 0 <br /> EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED) <br />