Laserfiche WebLink
I` UNIFORM HAZARDOUS WASTE MANIFEST <br /> 21.Generator ID Number 22.Page 23. ,rest Tracking Number <br /> (Continuation Sheet) <br /> 24.Generator's Name T RFt?t i-i f t >,t L. !ti tlxl �,� �. <br /> A um er <br /> 25.Transporter Company Name <br /> Number <br /> 26. Transporter Company Name <br /> 28.Containers 29.Total 30.Unit 31.Waste Codes <br /> 27a, 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, No Type Quantity Wt.Nol. <br /> HM and Packing Group(if any)) <br /> 500 <br /> 0 1 fU <br /> w <br /> w <br /> cv <br /> 32.Special Handling Instructions and Additional Information <br /> Month Day Year <br /> 33.Trans orter Acknowled ment of Recei t of Mater als Signature <br /> LU Printed/Typed Name <br /> F- <br /> O Month Day Year <br /> m. <br /> Z 34.Trans orter Acknowled ment of Recei t of Materia s Signature <br /> Printed/Typed Name <br /> F- <br /> 35.Discrepancy <br /> F- <br /> J <br /> Q( <br /> LL <br /> 0 <br /> Q36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems <br /> Z <br /> c <br /> W _.. <br /> o M1 w:(:!\i.i_EW 7 7V .v .r.: <br /> EPA Form 8700-22A(Red.3-05) Previous editions are obsolete. <br />