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Please Drint or Woe. Form designed for use on elite t2 itch ter. Form Approved.OMB No,2650-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121.Generatflr ID Number 22-Page 23.Manifest Tracking Number <br /> {Continuation Sheat) CAL 0 0 0 4 1 2 1 7 8 2/2 0 17 3 6 7 3 5 9 J J K <br /> 24.Generator's Name <br /> COShROPf20F BEAUTY$9331 <br /> 25. Transporter 3 Company Name TRIMSA USA INC. u <br /> CAR000163824 <br /> Number <br /> 26, Transporter Company Name <br /> 27a- 27b.U.S.DOT Description fncludmg Proper Shipping Name,Hazard Class,ID Numbw, 28.Containers 29.Total 30.Unit 31 Waste Codes <br /> HM and Packing Group(it any)) No Type Quantity WLNof. <br /> Z <br /> 0 <br /> H <br /> 0 <br /> 0 <br /> 0 <br /> Lu w <br /> H <br /> 32.Special Handling instructions and Additional Information <br /> tr 33 7ransporlor 3 Ackno t of Receipt of Materials <br /> F Printedfryped Name Signature Month Day Year <br /> o ARMANDO RIVERA1 ii 101 13.7 <br /> a <br /> 34 Trans Acknowled mentofRecei tot Materials <br /> PrintedlTyped Name 8tgnature Monthay Yew <br /> F <br /> 35 Discrepancy <br /> U <br /> LL <br /> r3 <br /> C36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste beatmenl,disposal,and recycling systems) <br /> Z <br /> t9 <br /> LU <br /> LU <br /> v <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />