Laserfiche WebLink
Farm Approved,OMB No,2050-0039 <br /> Please print or type. ,P e 23.Manifest Tracking Number <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Ge erator ID Number V V 742 U C � <br /> (Continuation Sheet) <br /> 24.Generator's Name <br /> U.S.EPA ID Number <br /> 25.Transporter Company Nama t C �' (4 S� ren s <br /> U.S,JPAtONumber <br /> _ <br /> 26, Transport Company Neme �1J <br /> 28.Containers 29.Total 30.Unit 31,Waste Codes <br /> 27a. 27b.U.S.DOT Descripgon(induding Proper Shipping Name,Hazard Class,ID Number, No —.Type <br /> Quantity Wt.IVol. <br /> HM and Packing Group Gf any)} <br /> O <br /> Z <br /> uj <br /> ch <br /> V <br /> Eli <br /> 32,Special Handling Instructions andAdd&nal Information <br /> 33 Trans iter AcknawledgmentafRecei tofMalerlals Signature month Day- Yyr <br /> re Pdnted{Typed Name 7L�V[ f <br /> 0 <br /> Z 34.Trans AcknoMadgmenlof Racai t of Materials 3lgnafure Month Day Year <br /> 40� Priatedflyped <br /> 35,Dlscrepanay <br /> V <br /> v <br /> 36,Hazardous Waste Report Management Method Codes p,e.,aades for hazardous waste treatment,disposal,and recycling systemsIL <br /> C7 <br /> to <br /> ru <br /> Q <br /> DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br /> EPA Form 8700-22A(Rev,12.17) Previous editlans are obsolete. <br />