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Please print_or type. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 23.Manifest TrA—cking Number <br /> (ContinudtionSheet) C .- G ti <br /> 24.Generators Name <br /> PVC <br /> e, U.S.EPA ID Number ' <br /> ?5—. Trans er - _ JCom a y Name , 7` � _ 00{f /j'�{ I �/✓!t <br /> t J! �5 /E, !-1 1 ,-'� 't 1 i �! 1 ;I _E',.,I i i .>�..I [✓ Y� I <br /> ,,}}� ' ! U.S.EPA ID Number <br /> 26. Transporter ilC <br /> ompany Name - Y <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)) ti No. Type Quantity Wt.Nol. e 31.Waste Codes <br /> i <br /> W i <br /> Z <br /> W <br /> r- <br /> I <br /> _ / I <br /> I <br /> j <br /> 32.Special Handling Instructions and Admuonal Information <br /> 33.Transporter-� Acknowledgment of Receipt of,.Materials <br /> H PrintedlTyped NameSignature Mro�{nt�h1+ (Day �Y11ea�r'J1 <br /> R . <br /> ( <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 /> LU <br /> W <br /> a 36.Hazardous Waste.Report Management Method Codes(Le.,nodes for hazardous waste treatment,disposal,and recycling systems) <br /> z <br /> c� <br /> co <br /> W <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITYTO GENERATOR <br />