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. :273871-18 3257350 <br /> Please print or type.(Farm designed for use on efite(12-ptich)typowri(er.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121.Generator ID Number 22.Page3 23.Manifest Tracking Number <br /> (continuation Sheet) CAL000078500 lof 3 1 000227198DAT <br /> 24.Generator's Name <br /> XPO Logistics Freight, Inc. <br /> t —060903-8205- <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(mduding Proper Shipping Name,Hazard Class,rD Number, 28.Containers <br /> a Total 30.Unit <br /> HM and Packing Group(if any)) No. Type (ken6ty WLNol. 31.Waste Codes <br /> 15 NON-RCRA HAZARDOUS WASTE LIQUIDS (WATER-BASED PRODUCTS) 331 <br /> DN 207 P <br /> 16 NON-RCRA HAZARDOUS WASTE LIQUIDS (WATER-BASED PRODUCTS) 331 <br /> D19 P <br /> 17 <br /> 0 18 <br /> W <br /> z <br /> � 19 <br /> 20 <br /> 21 <br /> 22 <br /> 23 <br /> 24 <br /> 32 special Handing lnstnrdionsand Additional lnformalim (15) CUFNRILI-03 - 042742/792787903 NON (15) CUFNRBLI-03 - 042744/792707903 NON <br /> 33.Transporter Aduwwledgmenf of Receipt of Materials <br /> LLJ Prude0yped Name Signature Month Day Year <br /> a <br /> 0 <br /> a- <br /> m <br /> z 34.Transporter tedais <br /> t of Receipt of Ma <br /> Pdnteff ped Name Signature MMM Day Year <br /> f— <br /> 35.Discrepancy <br /> J <br /> U <br /> Lal.. <br /> O <br /> Q36.Hazardous Waste Report Management MAW Codes(i e.,codes for hazardous waste treatment,disposal,and recydrg systems) <br /> S2 (� �( <br /> co <br /> W <br /> 0 <br /> EPA Form 8700-22A(Rev.3.0.5) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />