Laserfiche WebLink
Please print or type. Farm Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22 Page 23.Manifest Tracking Number <br /> (Continuation Sheet) A 1 D U G+ ' <br /> 24 Generator's Name t"ED EX MCA-t.Ji <br /> 25. Transporter Company Name U.S.EPA ID Number <br /> 26. Transporter Company Name US EPA ID Number <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28 containers 29.Total 30 Unit <br /> HM and Packing Group{if any)) No. Type Quantity WtNot31,Waste Codes <br /> E..1Nj-V,& h1 Sh ErC' <br /> 1?� <br /> i?k"A .n uuil,(K 1YTXr AL;`L'?,TMSPM-*Ki <br /> AM).t P <br /> MM,WAS'.tk.eUXt1i. <br /> iJ1t�id!B.A')tM'MM X%AM,Ulf VAM,.1. <br /> UN 1111111411„Wl PRS ACID WTDI N[rr u9s i THAN <br /> 10%AM tESS THAN ACM BY Id1ASq.k <br /> 9 ?.2 <br /> Z <br /> LLI �M-"WASH WAD,(I)M Ona <br /> -7TI <br /> 32.Special Handling Instructions and Additional Information G <br /> Sj E�154 W.7 sir'1L:A7LQ,'JCPM 151 Mt:164 <br /> l-"V71501 A:AZF7FJ%,V 1.A M i132 W.-71501 AtAUF' ► 9] :1 7421 AJ 1�[3SL�7 <br /> 33-Transporter Acknowledgment of Receipt of Materials <br /> FPrinledlTyped Name Signature Month Day Year <br /> ix <br /> O <br /> a <br /> Z34,Transporter Acknowledgment of Receipt of Materials <br /> Printed/Typed Name Signature Month Day Year <br /> H <br /> 35.Discrepancy <br /> V <br /> a <br /> ca <br /> Q36.Hazardous Waste Report Management Method Codes ii.e.,codes for hazardous waste treatment,disposal.and recycling systems) <br /> Z <br /> C7 <br /> W <br /> 0 <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. GENERATOR'S INITIAL COPY <br />