Laserfiche WebLink
Please print or type, Form designed for use on elite 12- itch typewriter.) Form Ap roved.OMB ND.2050-0039 <br /> UNIFOR41 HAZARDOUS WASTE MANIFEST C.GeneratorlD Number 22.Page 23.1 anifestTracking Number <br /> (Continuation Sheet) AR000231712 of 2 008570609FLE <br /> 247 Gonerator's Name <br /> CVS##09830 <br /> U.S.EPA ID Number <br /> 25.Transporter Company Name <br /> U.S.EPA ID Number <br /> 26,Transporter Company Name <br /> 27a, 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit 31.Waste Codes <br /> }{M and Packing Group(if any)) No. Type QuanGly WtNol. <br /> X 5.UN2810, Waste Toxic, liquids, organic, n. o. 1 CF 00025 P 311• D024 D009 - <br /> s. OA—Cresol, Thimerosal), 6. 14 PG II, ERG## <br /> 7 2 I o <br /> X 6.UN19501, Waste Aerosols 2. 1, ERG#126 1 CF 00015 P 214 13001 <br /> X 7.UN2811, Waste Toxic solids, organic, n. o. s. 1 CF 00001 P 331 D007 010 <br /> (Selenium, Pyrethoids), 6. 1, PG Il, ERG#154 <br /> o X 8.UN1993, Waste, Flammable Iiquids, n.o. s. 2.. _ DF 00+356 P 214 D001 002 <br /> (Alcohols, Acetone), 3, PG II, ERG##128 <br /> 9.Batteries, dry, sealed 1 GF 00001 P 181 <br /> 10.0onsumer Electronics for Recycling i DF 00044 P 181 <br /> 11.Non RCRA hazardous waste, liquid 1 DF 00145 P 331 <br /> 32,Special HandGnglnslwOonsandAd;tlonallnformaVon S. 103445(CA Liquid Pharmaceuticals) 6. 1002011(Aerosols, <br /> Flammable) 7. 100800(Toxic Solids) 6. 100198(Flammable Liquids) 9< 102982(Univer{al <br /> Alkaline & NiCad Batteries) 10. 100312(Consumer Electronics > 11. 102979(State Regulated <br /> I <br /> • - AcknovAed ment of Reeei of Matedas <br /> LU PnntedfTyped Name Signature Month Day Year <br /> 0 <br /> n. <br /> z 34.Trans rter Acknowfed merit of Receipt of Materials <br /> PdntedlTypad Name Skgnature IVOn Uay ear <br /> r <br /> 35.Discrepancy <br /> v <br /> a <br /> rL <br /> 0 <br /> cu <br /> 36.Hazardau s(o Report Management Method Codes .e.,code,for hazardous wasto treatment,disposal,and recyeing systems) I <br /> 40 m <br /> � � l <br /> M EPA Form 8700-22A(Rev.3.05) Previous editions are obsolete. DESIGNATED FACILITYTO,DESTINATION STATE(IF REQUIRED) <br /> 4 <br />