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30. Unit <br />VVINol 31. Waste Codes <br />343 <br />331 <br />331 <br />Please print or type. <br />UNIFORM HAZARDOUS WASTE MANIFEST 21. Generator ID Number <br />(Continuation Sheet) CAR000245092 <br />24. Generators Name <br />AMAZON. COM SERVICES IC MAK4 ) <br />22. Page <br />--' of <br />23. Manifest Tracking Number <br />015097176FLE <br />Form Approved. OMB No. 2050-0039 <br />Transporter Company Name U.S. EPA ID Number <br />Transporter Company Name U.S. EPA ID Number <br />27a <br />HM <br />27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, <br />and Packing Group (if any)) <br />5.UN2903. Waste Pesticides, liquid, toxic, <br />flammable, n.o.s. (Aromatic Hydrocarbon. <br />Parmpt-hrsi n E, I ( Tti) GG I T . ERG* -2.1 <br />6.UN1993, Waste Flammable liquids. n.o.s. <br />(Petroleum Distillates, Alcohol), 3, PG II, <br />ERG#128 <br />7.UN2811, Waste Toxic solids, organic, n.o.s. <br />(Chromium, Selenium). 6.1, PG II. (D007), <br />FRP41F14 <br />No <br />28 Containers <br />Type <br />29. Total <br />Quantity <br />DF 00365 331 D001 <br />1 OF 00163 214 D001 <br />OF 00220 311 D007 D010 GENERATOR 8.UN3267, Waste Corrosive liquid, basic, <br />organic, n.o.s. (Sodium Hydroxide. Potassium <br />Hydr'nxidel, DS II, EPG#13 <br />9.UN1362, Waste Carbon, activated (Carbon, <br />Activated), 4.2, PG III, ERG#133 <br />1 DF 00026 P <br />1 DF 00087 141 D001 D003 <br />122 D002 <br />10.UN2811, Waste Toxic solids, organic, n.o.s. <br />(Chromium, Selenium). 6.1. PG II, (0007), <br />FRP24154 <br />11.Non RCRA hazardous waste, liquid (Unused <br />Oil), <br />2.Non—Hazardous, Non—Requlated Solids <br />13.Non RCRA hazardous waste, liquid—Antifreeze <br />CF <br />OF <br />DF <br />OF <br />0(1890 <br />00926 <br />00169 <br />00220 ' <br />311 D007 D010 TRANSPORTER Special Handling Instructions and Additional Information 5.109787(Pesticide Liquids Loosepack) 6.109741(Waste Flammable <br />Liquid) 7.109775(CA Solid Pharmaceuticals) 8.109732(Basic / Corrosive / Organic <br />Loosepack) 9.111585(Natural Mesa Bamboo Charcoal) 10.109775(CA Solid Pharmaceuticals) <br /> <br />11.109758(Used Oil & Misc.) 1P-1Aq7S7(MinPrAl nil/ rannla nil Arm wAv) <br />Transporter Acknowledgment of Receipt of Materials <br />Printed/Typed Name Signature <br />Transporter Acknowledgment of Receipt of Materials <br /> <br />Printed/Typed Name <br /> <br />Signature Month Day Year <br />Discrepancy <br />Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) <br />I I //-) 141 I <br />Month Day Year <br />/ <br />EFA Form 8700-22A (Rev. 12-17) Previous editions are obsolete. <br />oo I 14 / `/-1 I <br /> <br />ILit/ <br />DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />r f-t 27FiqP 4 q 4 1 1711 F.f704 fl4 I4â7T M Qniczmora