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Form Approved. OMB. No. 2050-0039 GENERATOR . ,. <br />UNIFORM HAZARDOUS WASTE MANIFEST: <br />-(Continuation Sheet) . <br />21. Generator ID Number <br />3/g .6 i <br />22. Page <br />c;"2"' <br />23. Man' jest <br />4 c , 4 ,2I <br />Tracking Number <br />-) 5-7 017--- <br />24. Generator's Na,mete:: j‘ pp, ..i..1 ; <br />67 <br /> <br />28 Transporter 3. Company N - . A U.S. EPA EPA ID Number <br />arn `-7-./4e Treif I \) t I C 7---1 )5 <br />jelL,e/ <br />U.S. EPA ID Number <br />26. Transporter Company NameA09 72,6, L./ c) x.,...s,,,, <br />I (1,, .r1..,'Ciel 0 75e1/7 4 0 <br />27a. 27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 28. Containers 29. Total , 30. Unit 31. Waste Codes HM and Packing Group (if any)) No: Type Quantity WLNol. <br />Special Handling Ins :.ns and Additional Information <br />/ <br />i <br />Ee <br />ILI <br />8 <br />co z g <br />Transporter. Acknowledgment of Receipt of Materials <br />Printed/Typed Name Signalv <br />So ()Iic) al 1 IR /2 I l' <br />- _ Month Day Year <br />164 I / el I A9- <br />. T Acknowledgment of Receipt of Materials 34 Transporter <br />Printed/Typed Name Signa ..._7,..... Month Day Year -.... -_:......_„---.—.._.... I DESIGNATED FACILITY I Discrepancy <br />Hazardous Waste Report Management Method Codcs (i.e., codes for hazardous waste treatment, disposal, and recycling systems) <br />I I I <br />I I I <br />EPA Form 8700-22A (Rev. 12-17) Previous editions are obsolete_ 0 FACILITY TO EPA's e-MANIFEST SYSTEM DESIGNAT