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Please print or type. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 2 or 2 Ma stT eking Number �,c\ <br /> (Continuation Sheet) <br /> 24.Generators Name <br /> U.S.EPA ID Number <br /> 25,Transposer Company Name <br /> U.S.EPA ID Number J �.• <br /> 26. sporter pany N e Cn G ti <br /> �, ` e r 0-7 q L2225 O <br /> 27a. 27b.U.S.DOTDescription(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29,Total 30.Und <br /> HM No. Type Quantity Wt.Nol. <br /> and Packing Group(s any)) 31.Waste Codes <br /> tK <br /> O <br /> W <br /> 2 <br /> W <br /> C7 <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transposer Acknowledgment of Receipt of Materials <br /> w Printed/Typed NSQaLJ Signature Month Day Year <br /> O <br /> a <br /> Z 34.TransporterAcknowledgmento Roceiplof Materials <br /> Printed/Typed Name Signature Month Day Year <br /> r 35.Discrepancy <br /> J <br /> V <br /> a <br /> cw <br /> ~Q 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> r7 <br /> N <br /> W <br /> O <br /> EPA Form 8700-22A(Rev.12-17)Previous editions are obsolete. DESIGNATED FACILITYTO EPA's e•MANIFEST SYSTEM <br />