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Please print or type. Form Approved,OMB No.2050-0039 <br /> UNIFORM HAZARDOUS 1.Generator ID Number 2,Page 1 of 3.Emergency Response Phone 4.Manifest Tracking Number <br /> WASTE MANIFEST ^J?S 1 800-535-5053-INFOTRAC 03000499.1 MIAs <br /> 5.Generalor's Name and Mailing Address 5p 1 u ; <br />