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Please print or type. Form designed fw use or aI,e 02-pitch)typewriter.) Form Approved,OMB No.2050-0039
<br /> ?I UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 23.Manifest Tracking Number
<br /> (Continuation Sheet)
<br /> 24.Generator's Name
<br /> 25. Transporter Company Name U.S.EPA ID Number
<br /> 26. Transporter Company Name U.S.EPA ID Number
<br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit 31.Waste Codes
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<br /> W 33.Transporter—Acknowledgment of Receipt of Materials
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<br /> z 34.Transporter Acknowledgment of Receipt of Materials
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<br /> } 35.Discrepancy
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<br /> Q 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems)
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<br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. y :�:jc��3;j� ,? ;a)j it a ��)� 7 C)R
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