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Please print or type.(Form designed for use on elite(12-pitch)typewriter.) Form Approved,OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST F271 Gewatw ID Number 22.Page 23.Manifest Tracking Number <br /> (Continuation Sheet) CAL000411327 2 Q1589311 sm <br /> 24.Generators Name <br /> SALLY t3EAUTY SUPPLIES 0752 <br /> 25. Transporter Company NameTRy�Sq LISA INC U.S.EPA ID Number <br /> CAR000163824 <br /> 26.Transporter Company Name <br /> U.S.EPA ID Number <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29•Total 30.Unit <br /> KM and Paeking Group(if any)] 31.waste Codes <br /> No. Type Quantity WtJVoI, <br /> x UN 1419,WASTE O3QDI21I+IG SOLD,N.O.S.(POTASSIUM 141 DOD <br /> PERSULFATE,SODIUM PERSULFATE),5.1,PG III <br /> cc <br /> D <br /> a� <br /> W <br /> W <br /> L7 <br /> 32.Special Handling InWuotions and Additional Information <br /> 5) R M-Si I C$ (m) <br /> PRIMARY ExPORTER. TFMARRY RECYCLING INC. <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> W PrintedfTyped Name Signature Month Day Year <br /> lr <br /> D <br /> ? 34.Transporter Acknow"ment of Receipt of Mater als <br /> Printedfiyped Name Signature Month Day Year <br /> H <br /> 35.Discrepancy <br /> J <br /> U <br /> W <br /> W <br /> F;- 36.Haxa ou Waste Report Management Method Codes(i.e.,codes for hazardws waste treatment,disposal,and recyding systems) <br /> C7 <br /> LU <br /> W <br /> r7 <br /> EPA Form 8700-22A(Rey,3.05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />