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Plc-ase print or type.(Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050.0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21,Generator ID Number 122.Page 23.Manifest Tracking Number <br /> (Continuation Sheet) 11 XJ �� so Jo <br /> 24.Generator's Name <br /> U.S.EPA ID Number <br /> 25. Transporter__ Company a O� W Q� tR`J-, e rJ. � � 0—f�–C„OO 1 <br /> U.S.EPA ID Number <br /> 26. Transporter Company Name <br /> 271, 27b.U.S.DOT Descripfion(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29,Total 30.Unit 31,Waste Codes <br /> HMand Packing Group(if any)) No. Type Quantity VA Not. <br /> i <br /> I i <br /> i <br /> O <br /> oC <br /> w <br /> Z <br /> LU <br /> CD <br /> 32 Special Handling Instructons and Additional Information <br /> c, . 0 5a3y7 & -� <br /> Ix 33.Transporter_ Ackn&Aedgment of Receipt of 6laterials Month Day Year <br /> w Printed(ryped Name Signatur� <br /> d 7 I <br /> I <br /> a <br /> Z 34,Transporter— Acknowledgment of Receipt of Materials Month Day Year <br /> Printedrryped Name Signa e <br /> F– <br /> 35.Discrepancy <br /> J <br /> U <br /> Q <br /> LL <br /> Q36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> z <br /> LD <br /> U.11 <br /> 0 <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. <br /> DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />