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Please pnnt or type. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21 Ge�x ID Number '2 Page 23.ManifW Tracking Humber <br /> (Continuation Sheet) , 5A,5 <br /> 24 Genemlor's Name <br /> 25 Transporter_ Company Name U S.EPA ID Number <br /> S.EPA Iv Ntnnber <br /> 26. Transporter_ — Company Name <br /> 27a. 27b.U-S-D07 Dmrnpfion(mduding Proper Stopping Name,Hazard Class,ID Number, 28Conlatners 25.Total 317.llnd <br /> HM and Packing Group✓;ir an# 31 Waste Codes <br /> Ha Type auaaCty ti4t."Jfll <br /> �u <br /> s <br /> [W? <br /> I <br /> I <br /> 32 Special Handlrng InsWr ons and Additional Iniormat{on <br /> 33 Trarkaponer mens or Receo of M&W6's <br /> wPrince!Typed Name Signalurs Month Day Year <br /> C S ,�L I ZI <br /> 34-Transported— - mewl of or Malenais <br /> PrviedJyped Name Srgnawre Monet Day Year <br /> F <br /> 35 Dwepancy <br /> J <br /> U <br /> a <br /> ,z <br /> 0 <br /> a36 Haaank us waste Report Management Mediad codes(re,codes Ior hazardous ate trealrrent.d spoSa1.and �yarn9 Systems} <br /> x <br /> .a <br /> LU <br /> LU <br /> c <br /> EPA Form 8700-22A(Rev.12.17) Previousedton s are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />