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Is pse prine ort Form desiq ned for use on elite 2-pitch) ewriter. Form App roved.OMB No 2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 1 21•Generator ID Number 22.Page 23.Manliest Tracking Number <br /> (Continuation Sheet) CAL N411=7 � 015886�6�1JC <br /> 24.Generator's blame <br /> SALLY I RAMY G.PPI,MVM <br /> 25. Transporter Company Name <br /> u.S EPA ID Number <br /> TRPASA Nei. <br /> 26- Transporter Company Name <br /> U.S.EPA 10 Number <br /> 27a. 27b U.S.DOT Description lincluding Proper Shipping Name,Hazard Class,Ip Number, 28-Containers 2g-Total 3t}.Unit <br /> HM and Packing Group(if anyp 31.Waste Codes <br /> No. Type Quantity Wt.fVol. <br /> x <br /> • ,wasa a sato. S.(POTASMM <br /> 141 DW1 <br /> 1130IM"ATE.300M.P1EaFA"M. <br /> S.1,PG 1p "'�[ <br /> I <br /> 32,Spaaal Handling Inst ructions and Additiona I Information <br /> sj R I to *k_2&w., <br /> PRIAAARY EXPORTER TEMAIM RECYCUNG INC. <br /> 33.Trans r ,Acknowledgment of Receipt of MatefiW <br /> H Pnntedrr ame r r! Signature Month nary Year <br /> a <br /> 34.Trans der Aamowled ment of R"i pt of Matenals <br /> 4� Printedrryped Name SignatLire mooth aay ear <br /> H <br /> 35.Discrepancy <br /> J_ <br /> V <br /> a <br /> 0 <br /> w <br /> Q 36.Hazy ous Waste Report Management Method Codas(i-e codes for hazardous waste treatment,disposal,and recycling systems) <br /> x <br /> C7 <br /> in <br /> w <br /> EPA Form 8700-22A(Rev-3.05) Previous editions are obsolete, DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />