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At or (Form designed for use on elite(12• pewiter. Form AppmVsd.flM9 Na,2050-0039 <br /> UNIFORIM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22,Pace 23,tdanihuit Tirr*In�Numbur <br /> (Continuation Sheet) <br /> CARQO02b62A7 2 a� 2 <br /> 24,Ganara6ors Nano TESD X110110UND <br /> 25. Trensponer Company Name U.S,EPA ID Number <br /> 28.Trarrspoita: CompenyNorm U,S.EPAID Number <br /> f <br /> 27a 2Tb.U.S.DDT Dasaiptbn(hrdedhg Proper Shipping Nemo,Hazard Class,ID Humber, 28.Contalnars 2g,Total 3a.Etn13 <br /> v HM and Paddng Group{Many)) No. Tm Quaritlty WiNol, 31.Waste Curies <br /> S.LWIV,WAtTit1R WXWd O'JNTAfr?OW K,pLWABL9 <br /> Z DF 120 P I)00 <br /> S.U11102K WASZ'inCOMROGM Ir UXXD,AMDr, <br /> x0AW .Actm, C91txI1tcA� D002 <br /> i �'� l CF 49 P <br /> 7.%63K WASPS CORROGN61 i,� � <br /> gl . <br /> X x. 1� 2IRP <br /> i c 7S P <br /> 122 <br /> O X a�W� � U122 <br /> l DF 64 P 1 <br /> LU <br /> 32.Spedai Handing IrW-cilons and AdMonal Idw wdm <br /> 5)ER0-*t30IWA9DV4 QKW.154W.?150A.AT.L*dlAKA <br /> 7)9RG.154W:?l5WA:AZLWKlB i)0tGA?1 W,?j-#AnA:AZtwan <br /> 33.Tia —AcknowladVmtot ofMatartals <br /> Pd Nsme store f+lon(h Day yew <br /> a <br /> a <br /> 34.T of"ptolM8WIals <br /> PrlrrbCly*Nana Slgir re Maitlo Day Year <br /> 35.Diea"n y <br /> U <br /> 38.H ate Report Management MePIe„oades for twmdous weaW I,and re"ng system) <br /> 0 <br /> 4 <br /> EPA Form 8700.22A(Rev.3-05) Previous edlOws are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REOUIRED) <br />