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PI se pnnt or type.(Form designed for use an elite(12-pitch)typewriter.) Form Approved.OMB No,2050.0039 <br /> 21.Generator ID Number 22 Page 23.Manifest Tracking Number ! <br /> UNIFORM HAZARDOUS WASTE MANIFEST CALOOD412060 2 012766754JJ( <br /> {Continuation Sheet} <br /> 24.Generwoes Name <br /> SALLY 191<AUTY SUP PUES#10229 <br /> U.S.EPA lQ Number <br /> 25. Transporter Company Name TRIMSA USA,INC. CAR000163824 <br /> U.S.EPA ID Number <br /> 26. Transporter Company Name <br /> _ <br /> 270. 276.U.S.DOT Description 28.Containers 29.Total 30.Unit 31 Waste Codes{rnduding Proper Shipping Name,Hazard Class,IQ Number, Na Type Quantity Wt.+Vol. <br /> HM and Packing Graup(if any)) <br /> M -+*t— Doe <br /> PER ULEA� <br /> C] <br /> Cr <br /> u� <br /> [9 <br /> 32.S cial Handling Instruction`and Additional Infflrmation <br /> 55PRIMARY EXPORTER: TENIARRY RECYCLING INC. <br /> 33 Transporter Acknowled mens of Receipt of Materials Month Day Year <br /> ce ce Prin d '1 Signature <br /> o <br /> CL <br /> W 34•Trensportar Acknowledgrnent of Receipt of Materials Month Day Year <br /> Pnnte&Typed Name Signature <br /> 35.Discrepancy <br /> LL <br /> O <br /> LU 36.Hazardous Waste Report Management Method Codes(i.e.•codes for hazardous waste treatment,disposal,and recyding systems) <br /> t:7 <br /> us <br /> ur <br /> v <br /> EPA Form 8700-22A(Rev.3-05) Previous aditions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />