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47'2544-17 <br /> Please pl of or lypa,(Form designed for use on elite 12-pitch)typesoi 2 7 40 Bir� <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator Ip NUosber �'or nApproved.` OMB No.245t O39 <br /> �Page� 23,Manliest 7racking Humber _ <br /> (CoAtinvatlonShBot) CALCI©iI391073. 4f 3 �1CIOlb�85EfI)AT <br /> 24.G+eneratOPS Nam <br /> BI& LOIS STORES <br /> 300 PHILLIP RD RTIH: BfjJA FERARU CflLUtIBUS aH 63228 (6141278-�&14 <br /> 2$.TranspWer spy nw, US,EPA ID Number <br /> 26,Trauppr#er� CanpanyNzmo U.S.EPAIDNumber <br /> 2Ta, 27fi.US.DOT {Y rgPMaSl,w0l Nameli,Itaxard Class,rt)Numb". 29.Cattaine s <br /> 13M and Aad g Gmtrp(dany)} 29.Tow 30.rim 31,1Yaste t odes <br /> Ko. 'type Quantity VAN01, <br /> 15 UNI791 URSTE HYPQCHLORIIE SOLUTIONS-8 P611 111 DOl�2 <br /> P <br /> lfi � <br /> 17 <br /> � IB <br /> �.r <br /> �z" I9 <br /> 20 <br /> 2I <br /> 22 <br /> 23 <br /> 26 <br /> 32,speoz]Harxia,y uwmor�seneaaa6ma3rnom,atson (15 UNTILEAU-04 - ER6 154) BLEACH IE: <br /> � 3:i.7ransPorter�,Rcictq�d tofRet�piafJtiaaferiats <br /> PrurtedlTypednameSjnatre FMh Day year <br /> 0 <br /> CL <br /> z 34.7�arrsportet �totRooGpt6lh3aterials <br /> Prie!a 9iyped Name $"two Month Day Year <br /> 35,Oisttepancy <br /> W <br /> U <br /> 36.Iiara w Li 3,i,,n Mient W5—w wes Re,mdesfor hazardous was(o treatment,G;spasal,and reeyct ng sysrenu) <br /> W <br /> C] <br /> 1. <br /> EPA Form 87fD0-22A(Rev 345) Previouseditinns we obobsotete. DESIGNATED FACILITYTO DESTINATIQN STA7I*{!F REQUIRED) <br />