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Please print or type . Form Approved . OMB No . 2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST rat r N , co , y st Tra king <br /> (Continuation Sheet) lJ <br /> 24 . Generators Name <br /> Wk& -- <br /> 25 . Transported Company Name U . S . <br /> 1 1 <br /> 26 . Transporter Company Name U . S . EPA ID Number <br /> 27a , 27b , U . S . DOT Description (inducting Proper Shipping Name , Hazard Class , ID Number, 28 . Containers 29 . Total 30 . Unit <br /> HM and Packing Group ( if any) ) No . Type Quantity WLNol . 31 . Waste Codes <br /> K <br /> OQ <br /> K <br /> W <br /> 2 <br /> W <br /> 32 . Special Handling Instructions and Additional Information <br /> 33 . Transporter LilAcknowledgei Ricalpt of Matenals <br /> Ulu Panted(typed signal e M <br /> 0 <br /> z 34 . Transporter Q Adcnowletl meet of Receipt of Matenals <br /> Printedlfyped Nance Signature Month Day Year <br /> H <br /> >• 35 . Discrepancy <br /> r <br /> a <br /> 0 <br /> Liu <br /> a 36 . Hazardous Waste Report Management Method Codes ( i .e . , codes for hazardous waste treatment , disposal , and recycling systems) <br /> Z <br /> O <br /> , N <br /> W <br /> L] <br /> EPA Form 8700-22A ( Rev . 12 - 17) Previous editions are obsolete . DESIGNATED FACILITY TO EPA 's e - MANIFEST SYSTEM <br />