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Please print or type. Form Approved. OMB No. 2050-0039 UNIFORM HAZARDOUS nm 2. Pa e 1 of 3. Emergency Response Phone 4. Manifest Tracking Number WASTE B4ANIFESTX133 � ? W, , 6 e// f /L/6 0 2 0 4 2 6 9 7 0 45, enerator s Name and Mail! dd ss r�� Generator's Site Address (if different than mailing address) Z � iC4v ? SYO Generators hone: apD� 6. T €'iMS N Le ?i i , Inc* U $. T ' "Te 1 7 5 `t 7. Transporter 2 Company Name U.S. EPA ID Number 8. [M Name and Site Address U.S. EPA ID Number 6300 Stadium Dr Kansas Ctly MO 64129 Facility's Phone: 816 924m6M ga. 9b. U.S. DOT Description (Including Proper Shipping Name, Hazard Class, ID Number, 10. Containers 11 . Total 12, Unit 13, Waste Codes HM and Packing Group (if any)) No. Type Quantity Wt.IV0I, fil 2, U �/� t C� 40 i t /Vo �t C ^ ® ! C ® S AJ 7)VJC � D p 4. 14. Special Handling Instructions and Additional Information / / / n Cox I s� 15. GENERATOR'SIOFFEROR'S CERTIFICATION: Thereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, arcs are classified, packaged, marked and labeled/placarded, and are in all respects in proper condition for transport according to applicable intemational and national governmental regulations. if export shipment and I am the Primary Exporter, I certify that the contents of this consignment conform to the terms of the attached EPAAcknowiedgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator or (b) (if I am a small quantity generator) is true. Genres/Offerors Printed/Typed Name Signa t Month py Year 17 J 16. International Shipments ❑ Import to U.S. ❑ Export U.S. Port of an /exit: Transporter signature (for exports only): Date leaving U.S.: W 17, Transporter Acknowledgment of Receipt of Materials TransporterPdnted/Typed Na Signature Month Day Year I a /� LLA Z: Transporter 2 Printed/Typed Name Signature Month Day Year tp- 18. Discrepancy 18a, Discrepancy Indication Space ❑ Quantityyp j ❑ Type El El Rejection Full Rejection Manifest Reference Number. 18b. Alternate Facility (or Generator) U.S. EPA ID Number r c� W Facility's Phone: w 18c. Signature of Alternate Facility (or Generator) Month Day Year �Q 19. Hazardous Waste Report Management Method Codes (Le., codes for hazardous waste treatment, disposal, and recycling systems) ® 1 . 2, 20, Designated Facility Owner or Operator: Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a Printed/Typed Name Signature Month Day Year EPA Form 8700-22 (Rev, 12-17) Previous editions are obsolete. DESIGNATED FACILITY 4 0EPA's eurTANIFESTS S E ENI