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Please print or type. `4 a Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST WGeneror j61_NV robber 2 Page 23.Vife t ra king Number <br /> Continuation Sheet �l// i <br /> 24.Generator's Name 71G.i' <br /> i <br /> 25. Transporter Company Name U.S.EPA ID Number <br /> IV' r ' Olin OL C/� c%r �I ' <br /> 26. Transporter Company Name U.S.EPA ID Number <br /> 1 <br /> e <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29,Total 30.Unit <br /> 31.Waste Codes <br /> HM and Packing Group(if any)) <br /> No. Type Quantity Wt:/Vol. <br /> i <br /> i <br /> I <br /> 0 <br /> �a <br /> w . <br /> z . <br /> W <br /> 2V <br /> 32.Special Handling Instructions and Additional Information <br /> W 33.Transporter Acknowledgment of Receipt of Materials <br /> W P, ted/Ty Nae Signature Month bay <br /> A ' w . <br /> Z 34.Transporter Acknowledgment of Receipt of Materials <br /> Printed[Typed Name Signature Month Day Year <br /> F— <br /> 35.Discrepancy <br /> F <br /> J <br /> U <br /> Q <br /> W <br /> Q36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> (7 <br /> N <br /> W <br /> O <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR <br />