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Please print of type.(Form designed for use on elite(12-pitchl typewriteq <br /> UNIFORM HAZARDOUS WASTE MANIFEST D Null&[ F-al Approve,3.01i Na-2U5O-0039 <br /> ,.atj_Sh'i iT f2l.16�enqal-r ll� 22.-5:, <br /> 111,Shee <br /> s�j <br /> (COnfinuatlon Sheet) (11 Dro <br /> 24 Goni Name <br /> �116 JTS ST rjgr <br /> ))ENA FERARU COLOMK5 01 <br /> A173- ))ENA FERARU COLMOGS Oti 13i2S 410219-21H <br /> 25. Transporter CcIllporry Nano U-S.EPA ID Number <br /> 1 <br /> 26 Tir'Onspoiter Company Name <br /> US-EPAIDNrsmLer <br /> 27a. 276.1).3.DOT De$cdpkl(inducing Proper Shipping Name,Ha2if6 Crass.ii)Number. 26.Containers lX <br /> HM 00 Parking Group jil any)} 29.No. Type Quanol.2.1tity Wit tval-Unit 31 Wasted„ - <br /> Th <br /> x <br /> x UN2819 WflSTE TOXIC, LIQUIDS, ORGANIC, N.O.S. (2,il-D) 5.1 P611 DF <br /> :31 A016 <br /> LU <br /> it U 1791 WASTE HYPHPLORITE SOLUTIONS 8 0611 <br /> x Pit .122 <br /> "1993 WRSTE F01HRBLE LIMB, X.O.S. (KEROSENF, DIESEL! 3 131 D$BI D905 <br /> x PGII PV D001=100) <br /> 14 M? D018 <br /> and Adoilkiii Into <br /> I'l J, <br /> ELTOXIC-03 - EM153) TOXIC LIQUIDS LOOSEP <br /> BEIIJAR6,114,B) Will DI 1111f1134!,I 1� H 1 1:1 111 <br /> (13) ILFLML10-3 3 ER6 1128) FMARILIF LIQUIDS WMGTBLEACH-94 ERG(1541 BLEACH <br /> 33.Transporter <br /> --ACkr'OwWgMMd n2!LPt Of MaLenab <br /> Uj Prtnievyom <br /> ir <br /> Signature <br /> O <br /> Morals Day Year <br /> c* 34.Tfunspi_ AcWm 4 cda nmv in F ci <br /> eceiptoli <br /> l"firitedffyPed Name <br /> F Signature Month Day Year <br /> } 35.Discrepancy <br /> La <br /> La <br /> � 3ra.llazai WageLftcrl Management Method Codes V e,codes for hai yms[e leggrriki disposal <br /> and recycling systems) <br /> 1) <br /> LU <br /> 12) <br /> EPA FOTM 8700-22A(Rev,3-05) Previous B&Uons are obsolete. DESIGNATED FACILIT TO DESTINATION STATE(IF REQUIRED) <br />