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Please print or typo, Form Approved,OMB No.2050.0039 <br /> UNIFORM!MZARDOUS WASTE MANIFEST 2t.Generstor 10 Number 22,Page 23.Manlfast'fracking Number <br /> (continuatlon Sheat) CAA 0 0 0 2 6 6 2 4 7 2 of 001801456VES <br /> 24.Generator's Name m Ex amw <br /> 25.Transporter Company Name U.S.EPA ID Number <br /> 28.TransporterCompany Name U.S.EPA ID Number <br /> 27a. 27b,U.S.OCT Deacdptlon Qnt;Wding Proper Shipping Name,Hazard Class,ID Number, 28,Conlalnera 29,total 30Unit <br /> HM and Perking Goeup V any)) No. type Quantity wuvd. 31.waste Codes <br /> 15.UN3266 WASUCORROSM ID,191 D002 <br /> I Cit so P 141 <br /> c� <br /> 0 <br /> ur <br /> cti <br /> 32.spedal Handling tnstn,dianrr and Additional fi►ormalion <br /> w 33.Transpodar Adun0adgmerd of t of Meledaia <br /> UJ Nam— <br /> re PslntrdRyped Name Slgnalure Month pay Year <br /> R <br /> 34.T __Ad;n%v1odgrwnto1RweiptojMaWWj <br /> Pdniedlfyped Name Signature Month Day Year <br /> 35,Discrepancy <br /> Q <br /> D <br /> z38, to Report Managemanl Method Codes(I-e.,Wes for hMr&ua waste hatment,dtaposal,and ngding ayatams) <br /> 2 5. <br /> W <br /> n <br /> EPA Farm 8700.22A(Rev.12-17) Previous editsons are obsolete. DESIGNATED FACILITY T4 EPA's e-MANIFEST SYSTEM <br />