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please print or type- Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121.G—calor ID NurDber 22-Pag ? 23.ManesTraclu Number <br /> (Continuation Sheet) <br /> 2E.Generalofs NanAL-1:4F <br /> n.erg U-F--At,4 CAM-,E %VAG-AL-tT-/ <br /> 25. Transporter Company He g \ � ,(wj(�C � U.S.EPA IDNumber � � + <br /> US.EPA ID Number <br /> 26. Transporter CompanyN. <br /> 1 • "SowlinqZq <br /> 27a. 271h.U.S.DOT Desaiption(Muting Proper SNpping Name.Hamad Class,ID umber, 28.Containers 29.Total 30.Unit <br /> 31.Waste Codes <br /> HM and Pacerg Group(il any)) No. Type Quantity <br /> i <br /> K <br /> O <br /> a <br /> w <br /> z <br /> V SpePal Handling Instructions and Additional lnfomabon <br /> 33. nspata AcknovAodgment of Receipt of Materials <br /> rw- Pdn Nam - <br /> Signatur MathDa Year <br /> K <br /> O <br /> a <br /> z 34.T poser Mkmwkdgnnenl of Receipt of Materials <br /> PnntedRyped Name Signature Month Day Year <br /> 3s. <br /> J <br /> V <br /> Q <br /> LL <br /> C3 <br /> W <br /> Q 36.Hazardous Waste Repos Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and mcydirg systems) <br /> z <br /> Q7 <br /> w <br /> 0 <br /> EPA Form 8700-22A(Rev.12i7J.previous editions are obsolete. DESIGNATED FACILITY TO e-MANIFEST SYSTEM <br />