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Please print or type, Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST •Generator ID Number 22,Page 23.Manifest Y c Number �{ Q <br /> (Continuation Sheet) S2S I <br /> 24,Generator's Name [� �[ <br /> :J r /" <br /> 25.Transporter��" Company Name 11,5.EP t Nu r <br /> e _ �[ <br /> 26.Transporter Company Noma r)1 /��DC <br /> 27a. 27b.U.S.DDT Desaiptlon(including Proper Shipping Name,Hazard Cfass,ID Number, T J W 28.Containers 29,Total 3o,unit Waste <br /> M and Padd Grow if ars Quanti WtivoI. 31.Waste Codas <br /> ng P( YI1 Na. Type 1Y <br /> aO ` <br /> W <br /> Z <br /> ua <br /> t7 <br /> 32,Special Handling In*udlons and Additional Information <br /> 33,Tra er ment of ReogLot of Materials <br /> FPdnte#TypsN4mw— Month Day Year <br /> oZ� <br /> a <br /> y 34,Trans er ment of Rwelpl ofMatedals <br /> PdntWffyped Name 310n u Month Day Year <br /> 35.Discrepancy <br /> V <br /> LU <br /> 36.Hazardous Waste Report Management Method Codes(i.e.,Codes for hazardous waste treatment,disposal,and recyding systems) <br /> C7 <br /> rn <br /> D <br /> EPA Form 87U0.22A(Rev,12-17) Previous ed€fionsare obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />