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142741--115 24613013 <br /> gleaso print or typo.(roam deslgnsd for usa on 4Yila(12-pltd))typowritcr.) Form Aplrroved,41J!B N0.20UO- 39 <br /> UNIFAEth'HAZARDOUI WASTE t,1ANIFEST j2i,G0n8ra1c(1DNuniber 22,Rego,) 23,Manifust Tracking►tumter <br /> (ConflnuaUon Sheol) MC1022g1.071 Q f 0001.387020FIT <br /> 7-Gcrrerato4Na e <br /> 316 LOTS STORES <br /> 30 pD DE-49 FERMI, t;ULUs`1$l1S Uf# 43229 (511.)278-2708 <br /> U.S.EPA ID Numhef <br /> 25.'fransparter cvmpnyNamp <br /> �_ t3.S.EPA ID Num.Oer <br /> 26.Transporter CompaayNarca <br /> 27a. 27b-US.DOTDaWipn(mdtic'mg PioperSh ftg Name.Hazard Class.ID Numbu,. 26.CmUnm 28.TOW 30.Unit <br /> H63 zndPa fTypo ouplacy)) No. o Quensv WUVOI. a� WasleCodes <br /> 5 UN1993 {TASTE FLAIIGRBLE LIQUIDS, H.0.5. VCROSEHE, DIESEL) 3 331 0981 DOGS <br /> X D6II RQIDOD173303 P DO07 0018 0035 <br /> b HUK- M HAZARDOUS VASTH LIVID MTER BASED PRODUCTS) 331 <br /> p,p1 L i r <br /> � <br /> Q"{ }}L rJ �T y u`�WnnG�T iuT ni <br /> x <br /> a?f— , <br /> H92 -12-2- <br /> , <br /> , J t , • s ♦ i �S�yy 101' <br /> -T11 OmT <br /> IX <br /> 13 U112910 URSTE TOXIC;LIQUIDS, ORSAW, H.D.S. (2,44) 5.1 P611 331 nl lb <br /> 32.3,ecta,t�ardruxdlns�andA4'dtiarwtis}TorsYYarJan BLFLAHLIQ-02 - ERT 12B FI.9iif1AELE LIQUIDS 5 ELHUNREGL14-02 - HUN-REStII.€ITED 8A5TE <br /> RM <br /> EL IC-002- M(153) TOW LIQUIDS LUU5EP W <br /> � �.7 - �„,WraYox' me<Ytattece:ptotFaateru�}s <br /> uu Pdn(edlrypvd Mame 5 rzdaYe Month bay Year <br /> Q <br /> tx. <br /> 34,TrwLVorier Adwdagw' 01Roo* ,' atvi <br /> PrLmwdlfypedNama ttonlh Day Year <br /> t- <br /> 35.Disaeparsey . <br /> ca <br /> a <br /> 3o.liarardalsYdasEa apattsfatra�merthx3rcdC,odgs(1.e.,codrsierhazardouswasteireaUr�en di p0&1j, idreWdosysteers) <br /> 51 t- t 1 T 1-11 t) (9)- <br /> 18 {1 12) <br /> DESIGNATED FACILITYTO DESTINATION STATE IF REQUIRED <br /> EPAForm 876D-22A(Rev.3-05) Ar4vioas editions are obsolete. f ) <br />