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i1 <br />101— nriml nr tvno IF:— rinei—i f-- nn olito I0-nitrhl lvrwwritor 1 <br />C— &— —A M40 AL. 'MC nnon <br />EPA Form 8700.22A (Rev. 3.05) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR STATE (IF REQUIRED) <br />i <br />_^»^ 1—'1il'_ �f-lt r.,, �.a •- ---- <br />UNIFORM HAZARDOUS WASTE MAkIFEST 21_ Jahr Id Numtlrerl` <br />.FI1-03033-3-MAI t` <br />(continuation Sheet) <br />22, Page <br />'?i L <br />12//3;.��Manliest Tracking Humber <br />NJ4JijJ IL�rFL �.t i C- <br />24. Generators Name <br />1)tiI,1, Y Gt w -r a,1 014303 <br />25, Transporter Company Name U.S. EPA ID Number <br />26. Transporter Company Name U.S. EPA ID Number <br />f <br />27a. <br />HM <br />27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class. ID Number, <br />and Packing Group (if any)) <br />28. Containers <br />29. Total <br />Quantity <br />30. Unit <br />Wtim. <br />31• Waste Codes <br />No. <br />Type <br />`t.idt]fd ttt't?r-1 h1:31F60rta tie 7e, -inlid (C(mEi F::t;1 <br />Prodatrt s <br />) <br />X01 3 <br />p <br />33I <br />0 <br />w <br />Z <br />LU <br />is <br />32, Special Handling Instructions and Additional Information 5, I .l l L 3 f '. ! O i} "C [;(j p i. t' t ! w" D (C;a Rn 0 <br />Cr <br />33. Transporter AclavAedgment of aeoeipt of Materials <br />F <br />R <br />PrintedfTyped Name Signature Month Day Year <br />Z <br />34, Transporter Acluvwledgment of Receipt of Materials <br />1 <br />u <br />a <br />o <br />PrintedfTyped Name Signature Month Day ear <br />I I I I <br />35, Discrepancy <br />' <br />LU <br />36. Hazardous Waste Report Marragemard Method Codes {i.e., codes for hazardous waste treatment, disposal, and recycling systems) <br />Cr <br />I ILU <br />. <br />EPA Form 8700.22A (Rev. 3.05) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR STATE (IF REQUIRED) <br />i <br />_^»^ 1—'1il'_ �f-lt r.,, �.a •- ---- <br />