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Monti <br /> i c typewriter.) Form Approved.OMB No.2050-0039 <br /> MANIFEST 21.Generator ID Number 22.Page 23.Manifest Tracking Number <br /> jW <br /> anion Sheet) <br /> — erator's Name <br /> U.S. A ID Number <br /> 25. Transporter Company Name <br /> U.S.LPA 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(if any)) No. Type Quantity Wt.Nol. <br /> i <br /> U r. <br /> i <br /> �C7 F,,w CiF" :t i_ J ' 7:UtUi y BA a <br /> rr-lai4...iya ('/�.1k'i4: <br /> f'r�L tt <br /> ' 9 . LF Z' ' <br /> i <br /> u.i <br /> Z <br /> LLJ <br /> C7 ;'! t,, RF-114(4 11k-lZf-tRD'3US, t�1nr1.`_VE LIQUID `� '�:. <br /> ,'r!'( <br /> t.))0# IZ4 M,Z4rd4vs 4'•S4 `C-;1L.0 iG S,4'Ar ` �... <br /> I <br /> p <br /> 32.Special Handling Instructions and Additional Information <br /> �:..� '.+:�i •c. >:- ._...-..__ .... � Wit%-f <br /> °✓t2 t_t •V 12 t 7- <br /> 33. <br /> 33.Trans orter Acknowledgment of Receipt of Materials <br /> Printed/Typed Name Signature Month Day Year <br /> O <br /> CL <br /> Z 34.Transporter Acknowledgment of Receipt of Materials <br /> Printed/Typed Name Signature Month ay ear <br /> F- <br /> 35.Discrepancy <br /> J <br /> C.1 <br /> Q ' <br /> 0 LLJ <br /> tR <br /> 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z _ <br /> C-D <br /> rn <br /> LU <br /> 0 <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DEMNA T EES FACU T Y TO GENERATOR <br />