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Please princ or Form designed for use onelite 12- itch rater. Form Approved pMB No-2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121 Generator ID Number 22 Page 23,Manifest Tracking Number <br /> (Continuation Sheet) C A L 0 0 0 4 1 1 3 2 7 2 0 1 5 8 8 6 9 8 6 J J K <br /> 24.Generator's Name <br /> SALLY BEAUTY SUPPLIES#752 <br /> um <br /> 25 Transporter 3 Company Name r <br /> TRIMSA USA INC. CAR000163824 <br /> Number <br /> 26. Transporter Company Name <br /> 27a. 27b.U.S.DOT Description(including ftper Shipping Name,Hazard Class,Ip Numbe{. 28,Containers 29.Total 30.Unit 31 Waste Codes <br /> HM and Packing Group(if any)) No Type Quantity WtNoi- <br /> Z <br /> H <br /> 0 <br /> 0 <br /> w <br /> o <br /> W w <br /> Cn <br /> H <br /> 32.Special Handling Instructions and Additional Information <br /> 33.TramVort&r Acknov&edgrnent of Receipt of Matenals <br /> LU PrintedlTyped Signatu Month Day Year <br /> a - <br /> Z 34,Transporter Acknowledgmert of Recei t of Materials <br /> Prinledfryped Name Signature Month Daily Year <br /> 35.Discrepancy <br /> J <br /> U <br /> IaL <br /> d <br /> a36 Hazardous Waste Report Management Method C06PS(i.e.,codes for hazardous waste treatment,disposal,and nacycling systems) <br /> Z <br /> 0 <br /> w <br /> LU <br /> a <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />