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Pie se rint or e.19:—A--:--- e on elite 12- itch)tvpewhtpr I <br /> UNIFORM H RDOUS WASTE MANIFEST --l—MIUNumber Form Aperoved.OMB No.2050-0039 <br /> (Ctontinuation Sheet) 22.Pag 23.Manifest'Takl,,g Number <br /> 24.Generators N <br /> 25. Transport. ,Company Name/ I-F—Iii,Number <br /> 26. Trani Cc y Name <br /> u-0 tvA 1U Numbe r <br /> 27a. 27b.U.S.DOT Descripition(including Proper Shpping Name, a <br /> H and Packing Group(if ani Haz rd Cass,IDNu tiier 28.Containers 29.T tal 30.Unit <br /> No. Type Quantity Wt.Nol. 31.Waste Codes <br /> 0 <br /> LLI <br /> 32.Specia Handling I <br /> Ir 33. rans qer of Materials <br /> ILLJ Pri yped N I'lle <br /> 0 Sign <br /> CX. <br /> z 44-Pans; MDni LjI year <br /> Printediryped Name Gotiviatei <br /> 35.Di epancy ay ear <br /> LU <br /> ti 36.Hazardous I&I ill� 1 rI e, .......... <br /> 11,11 C llIL S 1 RI '!:'!:IITI 1101 <br /> LU <br /> 0 <br /> .......... <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. <br /> DESIGNATED FACILITY TO DESTINA11ON STATE(IF REQUIRED) <br />