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Please print or type. <br /> UNIFORM HA�ARW�AMANI�FEST �����^ Form Approved.OMB No.205ND39 <br /> ber 22.Page 23.Manifest Traeking Number <br /> (Continuation Sheet) S� 7f� -724.Generators a `' 7 !/ <br /> 25.TransporterG e. I U.S.EPA ID Nu mbar <br /> 77 <br /> 26.Transporter Company Name •i1LYJ� U.S.EPA ID Number <br /> 27a. 27b.U.S.D T Descnp0on(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers <br /> HM and Packing Group(Jany)) 29.Total 30.Unit 31.Waste Codes <br /> No. Type Quantity Wt.Nol. <br /> aO <br /> K <br /> W <br /> Z <br /> W <br /> C� <br /> V <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter—/2—Acknowledgment of Receipt of Materials <br /> Lu PnntedlTyped Na e <br /> Signalu M Day Year <br /> r reUIU10 zz zC <br /> = 34.Transporter Acknowl men f Receipt cf Materials <br /> Pdntedrryped N e Signature Month Day Year <br /> 35.Discrepancy <br /> J <br /> U <br /> W /r <br /> W <br /> C 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> z <br /> 0 <br /> VD <br /> w <br /> ca <br /> EPA Form 8700.22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />