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— l <br /> Please print or type. Form Approved.OMB No.20500039 <br /> UNIFORM HAZARDOUS AN <br /> WASTE MIFEST 1.G erator f u ! p t st Track' <br /> (Continuation Sheet) <br /> 24L lildlft <br /> CL <br /> 25. Transporte Company Name U.S.EPA ID Number <br /> 26. Transporter Company Name U.S.EPA ID umber <br /> l4� rVAV,w 3 <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29,Total 30.Unit <br /> HM and Packing Group(if any)) 31.Waste Codes <br /> No. Type Quantity Wt.Noi. <br /> i <br /> d: <br /> Ct <br /> C' <br /> Q'. <br /> tsr <br /> 2: <br /> W <br /> Cr <br /> 32.Special Handling Instructions and Additiona#Information <br /> rr 33.Transporter AcknuWedg nt of Recei a€s <br /> rrJPrintedrT d Name <br /> YPs Signature Month Day Year <br /> �Z 34.Transporter kJAGlunowledgmentof Receipt of Materials <br /> F� PrintedlTyped Name d L �i! Signature Month Da Y rQ�I <br /> 35.Discrepancy <br /> F= <br /> .J <br /> La <br /> L7 <br /> Lu <br /> tt 36.Hazardous Waste Report Management Method Codes(I,e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> M <br /> t7 <br /> c0 <br /> LU <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITYTO EPA's e-MANIFEST SYSTEM <br />