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.,k' •''.•�_fes <br /> rr(or I . Form deslpned for use on 6b(12 lkch) Form Approved,OMB No.2064-0039 <br /> UNIFORM HAWCOUS WASTE MAHIRST 21. ter Number 22.Pape 23 Mar" <br /> Traddap Number <br /> 7 rk <br /> (Candnuattorr slwetl <br /> ICAR0002 6 6 2 4 7 2 2 00179342OVES <br /> 24.Generawa Name P!� <br /> 25.TmriWrtsr Company Name U.S.EPA En Number <br /> 26.Transpoder Cempany Name U-S.EPA ID Number <br /> 27a. 27b.U.S.OOT DeoWpUm"udinp proper Shoff Name,Hazard C1ass,Jl 30.Uryt neer, 28.CoMelrrara 29.Total <br /> HM and PwWrq Gmup{ll any)) No. Qasntlly x Ur 31.Waste Codes <br /> 1711N,wAt�lB Ik LCD003 D002X Acm�c"tl� BT <br /> 1 CF 19 P D001 331 <br /> k3.U1+I'1791,WAS=HYPOCHL Um mi LU'now,F,� nAOz <br /> I CF 46 P 1 <br /> 22Q <br /> to <br /> 2 <br /> iL} <br /> i <br /> 32.Spada!Handlnp Inahuttlaurand Addfdarcef In(anretton <br /> 3)1fi W;140 W:71303 AAZMi l 63Mt1:I34 W,?1303 A'1#ZURpM <br /> 33.T M Ma4arl6 <br /> 12 PdMtedlWyped Name re Nknlh nay Yew <br /> oC <br /> 34.Transporter nwnl Of of Materials <br /> Printedllyped Name S€gaab+re Monl6 pay Year <br /> r— <br /> 35,Olecrepa3wy <br /> v <br /> L <br /> A <br /> 36 H Repo!6den4enra[rt Me for hmwdDus WSW Ueehrwd,dlaposal,and recydw systems) <br /> Ll <br /> SPA Form 87M2A(Rev.34)5) Previous edrdons are obsolete, DESIGNATED FACILITY.TO DESTINATION STATE(IF REQUIRED) <br /> t <br />