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Please print or type. Form designed for use on elite(12-pitch) rater. Form Approved OMB No 2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21 Ge"erator ID Number 22.Page 23.Manifest Tracking Number <br /> (Continuation Sheet) CAL 0 0 0 4 12 0 6 0 2 0 1 5 8 8 6 9 8 3 J J K <br /> 24.Generators Name <br /> SALLY BEAUTY SUPPLIES#10229 <br /> US EPA I D Number <br /> 25. Transporter 3 Company Name TRIMSA LISA INC. CAR 0 0 016 3 8 2 4 <br /> Number <br /> 26 Transporter Company Name <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number. 28 Containers 29 Total 30.Unit 31 Waste Codes <br /> HM and Packing Group(it any)) No. Type Quantity Wt.Nol. <br /> O <br /> P <br /> O a' <br /> O <br /> w <br /> Z 124 <br /> C7 <br /> U] <br /> 32 Special Handling Instructions and Additional Iniormation <br /> 33.Trans ner n* o1 Receipt 0 Materals <br /> Signature l� Month Day Year <br /> Lu Printedfryped Name <br /> a <br /> Z 34 Transporter Ackn ment of Reoei t of Materials <br /> PnrntedfTyped Name gnature on Year <br /> Day <br /> F <br /> 35-Discrepancy <br /> J <br /> U <br /> 0 <br /> W <br /> a 36.Hazardous Waste Report Management Method Codes(re.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> C7 <br /> Ulu <br /> v <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />