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or kpe. Form Apved.OMB No.2Wx0039 <br /> UNIFORit HAZARDANI <br /> HAZARDOUS WASTE MFEST 2t.Generator ID Number 22,Page 2s.ManRnt Trecklq Number <br /> (ContfnuaHon Shoot) C A 1 0 0 0 Z 4 6 2 47 3 of 3 00178587OVES <br /> 24.Generator's Name PME11GROUND <br /> 25. Tmnaponer Company Name u,S.EPA tD Number <br /> 26.Transporter Company Name U.S.EPA ID Number <br /> 27a. 27b,U.S.DOT Dasoripllon ffnaodirrg proper Shipping Name,Hazard Class,ID Nurnha, 28.Contafnars 2B.Toial 3n,Unil <br /> HM and Packing Group(If any)) No. iiPe 2D,Toy 30,Un. M.Waste Codas <br /> x a .0 ���c Dna <br /> F RTP0cwMR=&111 DP 1 S 7 P 122 <br /> &Nf$T4I=A11AZARD=WAz=Lj�,i�'Iq 0WACr Wl' <br /> WiA'1>gR>I <br /> WMP. UNO" 331 <br /> 1 DF 3S P <br /> a <br /> o - <br /> o <br /> ur <br /> . z <br /> u� <br /> c� <br /> w <br /> ' 7 <br /> 32.SPaUaI Handing Instrucgons andAddfBerfal lof"matlon 3)KMJS4 V.715N A:AZan= 6)W 71303 A:,AZu"V <br /> 33.Tran f of Recei of Maio" <br /> Printedf"Name 84natum Month Day Year <br /> C <br /> EL <br /> 34,Tra r AdmovAodgment of R!0t t o<Materiala <br /> printedffyped Name 31gna1ure Month Day Year <br /> 36.blagmparwy <br /> 3e,H r0 18 Report Menegamsnt Me { codes forhazardous wash treatment,dfeposef.and racy n9 Sysierme) <br /> loty <br /> ILlu <br /> D <br /> EPA Form 870D.22A(Roy.12-17) Previous edttions are obsolete. DESIGNATED FACILITY TO EPA's O-MANIFEST SYSTEM <br />