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�Nani or type. j Farm roved.OMB No.20MM39 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.GeneratorID Number 2a Page 13. _hllie<CTruldng Number <br /> (Contfnuadon Sheet) ICA31100926 6 2 4 ? 2 4f g jf. <br /> 24,GeneralWa Name FM g i <br /> 25.Transporter—(,3— Company Name U.S.EPA Ib Number <br /> 26.Transporter. y Cam n�;Nemo U.S.EPA ID Number t <br /> 27a. 27b.U.S.DOT DowAptlon(Inctuding Proper Shoft Name,Hazard Gass,ID Number, 26.Gontafnera 29,Total 30.Unh <br /> HM and Pecking Group(€f any)) No. Quark yytim, 31.Waste Codes <br /> �1.L1020,WA9T8COM09M U4=HA$MC, <br /> X OROAI[ 1 DP Go H <br /> If.MT-F4 a eti RVAM"WMTB.MM,(OLY nu®90 <br /> 0 <br /> ru <br /> z <br /> i <br /> 32.Special Handling Instrud mB and Addlgonal Inlo(matlon <br /> 3)EtOM W!film AAS 6)W!1MM AAMBMMMM <br /> 33.T—Wer -7-A&wxkdgnwtjtofMeterWs 1 <br /> LU Prfaledfryped Name nor re Month Day <br /> - Year 1 <br /> O A✓ Af <br /> 34.Trans --�J_ montof Rena of Materials <br /> Pdnted/ryped Name Signature Month Day Year <br /> �- <br /> 35.Discrepancy <br /> I <br /> a � <br /> a <br /> 36.Ha 1 l�teport Management Method Q.e, a hazerdoue waste treatment disposal,and ragding systema) <br /> S2 1L <br /> 3. <br /> EPA Form 87O0.22A(Rev.12.17) Prevlous adtilons are obaolelo, DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM } <br />