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Please print or type. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21 a ID 22.Page t T Ing Nu r <br /> (Continuation Sheet) S <br /> 24.Generators Name <br /> 0 ko� A <br /> 25. Transporter Company Nams , . ,. U.S.EPA ID Number <br /> O98fiiiilii <br /> 26. Transposer Company Name U.S.EPA ID Number <br /> Cwn b i ce arta vus� <br /> 27a. 27b.U.S.DOT Description(including Proper SNpping Name,Hazard Class,ID Number, 211.Containers 29.Total 30.Unit <br /> HM and Packing Gmup(H any)) No. Type TQ <br /> Vit./Vol. <br /> 31.Waste Codes <br /> C: <br /> O <br /> e; <br /> n. <br /> ED <br /> W <br /> C� <br /> 32.Special Handling Instructions and Additional Infornallon <br /> 1 <br /> 33.Trenspor' Aclmowl mel of Receipt of Materials <br /> LU Fnn-0lTyped N Signature Month Day Year <br /> 1e <br /> n 0 ,V N <br /> 34.Transporter Acknowledgment of Receipt of Materials <br /> ..;Printi ped Name Signatu Month <br /> Day Year <br /> po" IAA j <br /> 35.Disaepaney i <br /> :3 <br /> .i <br /> Ci <br /> Q <br /> u_ <br /> v <br /> K36.Hazardous Waste Repos Management Method Codes(I.e.,codes forhazardous waste treatment,disposal,and recycling systems) <br /> u <br /> �G F <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br /> Iywww ItwM�nw wr trw.wwnw Mfr" duw*b wrand VIM Nr WNW&ewe w 61111011ndwr <br /> s <br />