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Please print or type. Form Approved.OMB No.2050-0039 <br /> Generator ID Number 22.Page 23.Manifest Tracking Number <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21. <br /> (Continuation Sheet) <br /> 24.Generator's Name V <br /> BOSS <br /> 25.Transporter 2 SC pan Name U S.EPA ID Number <br /> MK` O 1101 <br /> 26.Transporter Company Name <br /> U.S.EPA ID Number <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit <br /> HM and Packing Group(If any)) 31.Waste Codes <br /> No. Type Quantity Wt.Nol. <br /> aO <br /> W <br /> z <br /> W <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> H PrintedlTyped Na Signature Month Day Year <br /> O <br /> a <br /> Z 34.Transporter Acknowledgment of Receipt of Materials <br /> Printed/Typed Name Signature Month Day Year <br /> f— <br /> 35.Discrepancy <br /> J_ <br /> V <br /> LL <br /> 0 <br /> Q36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> c9 <br /> LUW <br /> D <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />