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w Please pnntor type.(Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050 0039 <br /> F24.Generatores <br /> AZARDOUS WASTE MANIFEST 21,.Generator ID Number ^^ / 22.Pace 23.Manifest Tracking Number <br /> Continuation Sheet). <br /> Name <br /> D• !.,Oe -A)oftj4kcA <br /> 25.Transporter Company Na U.S.EPA ID Number <br /> GYM-. A-, <br /> U.S.EPA 10 Number <br /> 26.Transporter C a y am � n '\,v` <br /> 1 l: u 'VI.�J' �\ <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,HTard Class,ID Number, 28.Containers 29.Total 30.Unit <br /> HM . and Packing Group(if any)) No. Type Quantity Wt.Nol. 31.Waste Code <br /> i <br /> W <br /> W .010001* <br /> ti <br /> >. ' ^• <br /> •j. ..."000-1011101 <br /> r <br /> r• <br /> i. <br /> 2.Special Handling Instructions and Additional Information <br /> 01, <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> Printe ped Name Signature Month Day Year <br /> CL <br /> N :34.Transporter - nowleclgme t of Receipt of Materials <br /> Z <br /> etlfTypetl Name laopa Day `Ye <br /> ! 3 Di repanby <br /> LIJ <br /> 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> t t s <br /> LU <br /> 'EPA Form 8700-22A(Rev.3-05) Previous-editions are obsolete. DESIGNATED FACILITY TO GENERATOR STATE(IF REQUIRED). <br /> , <br /> X31,0'0.212© a` <br />