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d` <br /> Please print or type (Form.deslgned for use on elite(i2 pitch)typewriter) <br /> Form Approved OMB No 2050-0039 <br /> "fit 8}tIVI HJMTJ4RD&5 WASTE`MAIGFEST 2 L.GeneratorlU.NUmtter , :;; eH 2z Page 23.Manifest Tracking Number <br /> (Continuation Sheet) f�. L�?�r�s� �c�� �✓�` ,„, i!r�`r � ., � ' � � � <br /> 24 Generator's Name <br /> 25. Transporter Company Name U-S.EPA ID Number <br /> 26 Transporter Company Pawl U.S EPA ID Number <br /> 27a 27b U.S DOT Dt„scApkon(including Proper Shipping Name,Hazard Class,ID Number,, 28.Containers <br /> HM and Packing Group(if any)) 2D Totaf 30 Unit <br /> No Type OuanVty WtNol. 31 WasteCodes <br /> gg€ <br /> f <br /> s � i <br /> Z <br /> I <br /> 1 <br /> : <br /> 32 Special Handling InstructiDns and Addilional Information <br /> 33 Transporter Acknowledgment of Receipt of Materials <br /> FW- Printed/Typed ame j 4 s L ,i � Signature <br /> l Si - .� Month Day Year <br /> o ��" <br /> a v <br /> z 34.Transporter Acknowledgmertt of Receipt of Materials 7 <br /> Printedllyped Name Signature <br /> Month Day Year <br /> r <br /> --- 35:-Dis_pancy <br /> J <br /> U <br /> a <br /> u_ <br /> Q36 Hazardous Waste Report Management Method Codes(!.a,,codes for hazardous waste treatment,dis <br /> z poral,and recycling systems). <br /> 1 EPA Form 8700-22A(Rev 3-05) Previous editions are.obsolete. <br /> DESIGNATED PACILITYTO GENERATOR <br />