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J� .- <br />ase print or type, Forrn Approvod. O!A8 No. 2050-0039 <br />UNIFORM NA7JIRDOUS WASTE MANIFEST 21. Gonorolor ID Numbor 22. Papo 23. blanlloct TrecklnD Numbor <br />(ConUnuallon Shooi) � nl `°{h?d l �r)7C, '' �' ^" "•""' ' `"' '- <br />24.GonaratorsName '"�i'I!rf �".rtr, I r r. r r ��� � ,n- �},,_;�� ',!r� ...,rt . ^��. r.ry c'rt <br />^SgStNI•InlntnArl r1 <br />Stocktnh, C a. �S^n'� <br />rP _� e enh•- <br />25, Trensporlor Company Nemo U.S.EPAIDNumber <br />26. Transporter Company Namo U.S. EPA ID Number <br />27a. 27b. U.S. DOT Doscdplion (induding Proper ShIDdnB Nama, Named Cless, ID Number, 20. ConWf�ro 29. Total 30. UrM , <br />NM and Pocklrg Group (I enY11 No. Dumr0ry WiNol. 31 Was o Codes <br />TYPO <br />fi��;�i�:,'S'u:ara,l:��;iu�r�:.:++s;(u. ,u(;u,rt.uw.rLLN.Oj.£I.UI i' �� , <br />y � OF �� i"� <br />d <br />w <br />w <br />C7 <br />32. Spocial Nandli InsBudbns ord Additional IMamation <br />33, TraroporUr rrwmi of of!daterlals <br />PreiladJTyp� Namo 5 nalum Monih Day Ye:a <br />O <br />a <br />� 34.T � oIR olMaterials <br />pdaladil'ypod Nanw Signaturo Month Day Yeu <br />sv <br />35. Usaepancy <br />J <br />V <br />W <br />38. Ropod Madmd Codas (lo., ood� for t4vnrdoua wasto WalmanL dapoaal, and recycling systems) <br />in <br />w <br />0 <br />EPA Form0700.22A(Rev. 12-17j PreaousediUonsareobsolelo. DESIGNATEb FAC11.17YT0 EPA's e�MANiFEST fiYSTFM <br />