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i <br />_Ir <br />print or type. Form Approved. OMB No. 2050-0039 <br />UNIFORM HAZARDOUS WASTE MANIFEST <br />(Continuation Sheet) <br />121. Generator iD Number <br />V% 53q d 7 i <br />22. Page <br />L <br />23. M& -&A Traci* Number <br />d� is�e % 4Q W,=& <br />24. Generators Name -T LD -2 r <br />25. Transporter Company NameU.S. EPA ID Number <br />veVi jA,0y ✓�������'Bcrs 31 3C-1 <br />26. Transporter Company Name U.S. EPA ID Number <br />278, <br />HM <br />27b. U.S. DOT Desaipton (Including Proper Shipping Name, Hazard Class, iD Number, <br />and Paddng Group (d -Y)) <br />28, Containers <br />29. Total <br />Qua * <br />30. Unit <br />wtivd, <br />31. waste Codes <br />No. <br />Type <br />oC <br />aO <br />OC <br />W <br />W <br />fy <br />"Illy <br />yj <br />R <br />w <br />F- <br />32. $pedal Handling Instructions and Additional Information <br />33. Trans i mem of d Mates <br />SigtAarhth Day Year <br />Pdrr08dITYAed Ns � � ,O ! f <br />L r <br />34. Transporter of ReoeV of Metarfals <br />PnintedfTyped Name 5lgnatu>a Month Day Year <br />r 35• Discrepancy <br />J <br />V <br />4 <br />k <br />d <br />a36, Hazardous waste Report Management Method Codes (1.e., codes for hazarurs wears trament, aisrposal, and necydlne systems) <br />Z <br />52 <br />rA <br />w <br />v <br />EPA Form 8700-22A (Itev.12 17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e -MANIFEST SYSTEM <br />