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273871-18 3257350 <br /> Please print or type.(Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Gene ralor ID Number 22.Paget 23.Manifest Tracking Number <br /> (Continuation Sheet) <br /> of 1 77 <br /> 24.Generators Name <br /> XPO Logistics Freight, Inc. <br /> 25.Transporter Company Name U.S.EPA ID Number <br /> 26.Transporter Company Name U.S.EPA ID Number <br /> 27a. 27b.U.S.DOT Description(nciuding Proper StNpping Name,Hazard pass,ID Number, 28.Containers 29.Total 30.Unit <br /> HM and Packing Group(f any)) No. Type Quantity WUVoL 31.Wasle Codes <br /> 5 NON-RCRA HAZARDOUS WASTE LIQUIDS (WATERARSED PRODUCTS) 331 <br /> DIh P <br /> 6 NON-RCRA HAZARDOUS WASTE LIQUIDS (EATER-BASED PRODUCTS) 331 <br /> DMU� P <br /> 7 NON-RCRA HAZARDOUS WASTE LIQUIDS (NATER-BASED PRODUCTS) <br /> F 331 <br /> ` DM (� CoP <br /> o B NON-RCRA HAZARDOUS WASTE LIQUIDS (WATER-BASED PRODUCTS) 1 331 <br /> � ` DM (�t P <br /> z <br /> 9 MATERIAL NOT REGULATED BY D.D.T OF 222 <br /> 10 MATERIAL NOT REGULATED BY D.O.T 222 <br /> 11 MATERIAL NOT REGULATED BY D.O.T l 222 <br /> 12 MATERIAL NOT REGULATED BY D.O.T ' CF 222 <br /> ` P <br /> I <br /> 13 i1ATERIAL NOT REGULATED BY D.O.T 222 <br /> 14 NON-RCRA HAZARDOUS WASTE LIQUIDS (WATER-BASED PRODUCTS) q 331 <br /> DI`I <br /> 32.Special HandlingInstructions and AdrbtionalInformation (5) CWFNRILI-03 - 043163/757737180 NON 1(6) CUFNRILI-03 - 043154/767737180 NON (7) ' <br /> CWFNRBLI-03 - 043165/7577371BO NON (8) CWFNRILI-03 - 043156/767737100 NON (9) CONURYOUS-07 - 040960/0IL WATER SEP (10) <br /> CON9AYO9S-07 - 040961 OIL WATER SEP (11) CONURYOUS-07 - 040952 OIL WATER SEP (12) CONURYOUS-07 - 040963 OIL PATER 5E (13) <br /> CDN9AYOWS-07 - 040964 OIL WATER SEP 110 CW NRBLI-03 - 042671/792707903 NON <br /> 33.Transporter Ad nowledgmerd of Receipt of Materials <br /> III I-- <br /> Printedrryped Name Signature' Morgh Day Year <br /> O <br /> a <br /> Z 34.Transporter Admowle igmenl of Receipt of Materials <br /> Printedffyped Name Stgnabre MoO Day Year <br /> 35.Discrepancy <br /> v I <br /> O � <br /> Q36.Hazardous Waste Report Management Mettad Codes(Le., for hazardous waste keatment,disposal,and recydug systems) <br /> 5) (6) �� 1) (B) <br /> 10) l�, 111) 4�1"l 12) (13) ~w►� (14) '"4 <br /> EPA Form 8700-22A(Rev.3-q Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) i <br />