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Please print or type. Form designed for use on elite(12-pitchwriter. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 12MneratorID Number 22.P e 23 anifest Tracking umber <br /> (Continuation Sheet) t\111117 <br /> 24,Generator's Name <br /> All (All"Pr <br /> 25. Transporter Company Name � m � <br /> An <br /> 26. Transporter Company Name U.S.E VA I LP Nud'i <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)) <br /> No. Type Quantity Wt.Nol. <br /> J$ i <br /> 10 <br /> ------------ <br /> I i <br /> i <br /> t <br /> $ <br /> f yj <br /> i <br /> Ce <br /> Or <br /> Z $ <br /> W.^ <br /> CD <br /> f + <br /> I <br /> I <br /> i <br /> r � <br /> I <br /> l <br /> I <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Tran rte ment of Receipt of <br /> H Pdntedlfyped Name Signature IN R <br /> a _ <br /> co 34.Transporter _Ack meat Rece t of Materials <br /> Printed/Typed Name <br /> signature <br /> F ay Year <br /> 35.Discrepancy <br /> L3M&H—azardcus <br /> Waste Report Management Method Codes fi.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />