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Please print or type. Form Approved.OMB No.2050-00A <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 23.MaWfest Tracking Number <br /> {Continuation Sheet) T 2 471 7 n74373FLP <br /> 74.Ge-ev.or's liar-e <br /> JR Sis-% ;ql Co. <br /> 157,17 Fi 0.vi2niia Pr" <br /> f U.S.EPA ID Number <br /> 25.Transporter E C�mpa ny Name <br /> M-vanced Ghem1cA Tinstspe2 t hc./08AACTeii r nt�n �nGan <br /> U.S.EPA ID'N66t;r <br /> 28.Transpvrier Company Name <br /> 27s. 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 Quanuty, I.WtJVo39.Waste Codes <br /> I <br /> ul <br /> z <br /> ul I <br /> 0 <br /> 32,Special Handling Instructions and Additional Information <br /> a 33.T-ansporter. Acknowledgment of Receipt of Materials <br /> rsl Printedrryped Name �- Signahre Month /Day Year <br /> Z 34.Transporter Ack=*d mens of Receipt of Materials <br /> Printed/Typed Name Signature Month Day Year <br /> r 35.Discrepancy <br /> J_ <br /> U <br /> RL ' <br /> O <br /> Q36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> g <br /> V7 <br /> W <br /> n <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR <br />