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4179313 <br /> Please print or type. Form Approver.OMB No.20540039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page. 23.Manifest Tracking Number " <br /> (Continuation Sheet) TT�?C ' 2�pot.�t,� <br /> 24.Genemlon's Name <br /> CA A^JtA N A r.Ls <br /> 25. Transporter Company Name , U.SEPA ID Number <br /> . <br /> LATRANS CFlR000216770 <br /> 26. Transporter_ Company Name U.S.EPAID Number <br /> 27a. 27b.U.S.DOT Description including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit <br /> HM and Packing Group(dany)) No. Type Ouanety Wl Nol. 31.Waste Codes <br /> 7 <br /> C <br /> QO <br /> K <br /> w <br /> z <br /> w <br /> r, <br /> t <br /> n <br /> 32.Special Handling InstncUons and Additional Information <br /> K 33.Transponer Acknowledgmeil of Receipt of Materials <br /> r Pnnted(fyped Name Signature Monty Day Year <br /> a <br /> z x.Transporter_A mow eagmem of Receipt of Materws <br /> Printed/Typed Name Morrill Day Year <br /> t— <br /> } 35.Discrepancy <br /> r <br /> J <br /> U <br /> LL <br /> W <br /> 36.Hazardous Waste Report Management MeawO Codes(i.e.,codes for fnazardous waste treatment,disposal,and recyclirg systems) <br /> 2 <br /> O <br /> VI <br /> W <br /> EPA Form 87002Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITYTO EPA's e-MANFEST SYSTEM <br />