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Please print or type. Form designed for use on elite J12-pil typewriter.) Form Approved.OMB No.2050-0039 <br /> UI*FOR{M HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22 Page 23.Mu test Tracking Plumber <br /> (Continuation Sheet) <br /> 24,Generator's Name <br /> U.S.EPA ID Number <br /> 25. Transporter Company Name <br /> 26- Transporter Ccmpany Name U.S.EPA ID Number <br /> 27a.1276b.U S.DDT Description(including Proper5hipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit 31.Waste Codes <br /> HManPacking Group(it any) No. Type Quantity Wt.Nol. <br /> O <br /> a <br /> ru <br /> Z <br /> W <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> F Printed/Typed Name Signature c Month Day Year <br /> cc i <br /> a <br /> a <br /> 34.Transporter Acknowledgment of Receipt of Materials <br /> 4 Printetl/Typetl Name <br /> Signature Month Day Year <br /> r 35,Discrepancy <br /> J <br /> U <br /> a <br /> u.. <br /> a36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment.disposal and recycling systems) <br /> Z <br /> CAIW <br /> ❑ <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. <br /> GETIERA'iOFi'S INi'i't141.DOPY <br />