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rm Azoroved. OMB No. 2050-0030 rnease <br />A <br />print or type. tr VIII Uebilpillu iui us ull mac <br />UNIFORM HAZARDOUS WASTE MANIFEST <br />(Continuation Sheet) <br />.4-1JIllol I/ typeryln.r.i <br />21. Generator ID Number <br />(1-PirelOn 7\ in' er 141/1- <br />22. Page <br />2_ <br />23, Manifest Tracking Number <br />ot q .--)001)., 1-1-P- <br />Senerators Name <br />I.ltit \c/L k- 't(),( th-- Le 4,07ta <br />Pixy -rya- eti <br />U.S. EPA ID Number <br />Transporter 3 company.. Lin Cdt\-0 a Cl-teA 6 iq )\)exttori , c 1 , U.S. EPA ID Number <br />Transporter Company Name <br />278. 27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 26, Containers 29. Total 30. Unit 31. Waste Cedes <br />HM and Packing Group (If any)) No. Type Quantity VYt.Nol. <br />re 0 .5c1— <br />Luz 0 <br />32. Special Handling InstrucTons and Additional Information TRANSPORTER I • 33.1er Acknowledgment of Reosipt of Materials Month _ <br />Printed/Typed Neon ___-..- Signature 4 i Day Year <br />/4 ----• <br />Transporter Aclssowtedqrnent of Receipt of Mat is Year <br />Printed/Typed Name Signature g -,,,,,LCEIN YIL, it_i Month Day <br />I I I I <br />L5 <br />< u. <br />Discrepancy MAR1 0 20, , 11 <br />' 5 '11 <br />ii, 1- a m <br />0 <br />Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) RTN1,i <br />I 1 1 1 <br />(7) Lu <br />c3 <br />I I I I <br />1,,rtima wr,r, rA,Il ITV Tri ne cTikl AVM! CTATP lir prniiirtgn <br />EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete