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Please print or pe. form oved.OMB No.2050.0038 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 2 Re Irl <br /> N 2 . b— <br /> (Continuation <br /> Sheet) <br /> 'M -1 <br /> 24.Generator's Name <br /> U.S.EPAID Number <br /> 25.Transports Company Name 19 t� ( r'�t� <br /> 2C Transporter Co n Name T� U.S.EPA Ib Number Q �J <br /> a/s ✓ /o "�� dlrrr rales IMA 07!.q3 z za$"n <br /> 27a. 27b.U.S.DOT Description(induding ProperShipping Name,Hazard Class,ID Number. 28.Containers 29.Toial 30.Unit 31.Waste Codas <br /> HM and PackingGroup if a n W(IVoI. <br /> } Quantity A( �') No. Type N <br /> O <br /> C9 <br /> f <br />{ <br /> f <br /> I <br /> I <br /> f <br /> i <br /> i <br />{ <br /> 32.Special HandIN Inslructsans and Additional Womw1lon <br /> E <br /> f <br /> 33.Trans AdmoWled ant of Receipt of Matedals <br /> kLU— PdntedfTyp Signature Month Day Year <br /> 34.Trans rter Hdut merit of Recel t of Materials <br /> I Pdatedlt'yped Name I Slgnature Month Day Year <br /> at1(F <br /> 35,Discrepancy <br /> W <br /> 12d <br /> 36.Hazardous Waste Report Maaagemers Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> r o <br /> EPA Form 87OD-22A(Rev.12-17) Previous edltions are obsolete, DESIGNATED FAC{LITYTO EPA`s e-MANIFEST SYSTEM <br />