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Please print or type. (Form designed for use on elite (12 -pitch) typewriter.) <br />Form Approved. OMB No. 2050-0039 <br />EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete, 11 GENERATOR'S INITIAL COPY <br />UNIFORM HAZARDOUS WASTE MANIFEST <br />23. Manifest Tracking Number <br />(Continuation Sheet) <br />121.GorematorlDINumber <br />"[22.Pap <br />24. GemoraWs Name <br />25. Transport% Company Name U.S.EPAIDNimi <br />26. Transporter— Company Name .1 .I'::. UAEPAIDNuob er�_ ,,l <br />27a. <br />27b. U.S. DOT Desiarliption, (Including Prope4pjilng Name. Harand Class, IDNuiolasn't%, <br />Camerem <br />29. Total <br />30. Unit <br />31, Waste Codes <br />No. <br />HIM <br />and Packing Oroyg#Rn4) ) 1 <br />alantly: <br />WuVol. <br />Kit <br />co t <br />o <br />t, Q01i I)IISK lAw"U"S. INA\,�-. <br />Ni V <br />"'Oh <br />!00,; <br />ro <br />V9911. <br />llt1 0 <br />i 1l -4314k, U61*411fl, BC(. 'Niff"VeIC <br />K; f twlli t, ill 1 11 r10 <br />Sy <br />ti <br />ti <br />fi <br />a -A <br />Q A <br />3 JII� <br />n, <br />32. Spacial Harding Instructions and Addillonal III rt 1 <br />. "i <br />V. I 1 1, lif� J, I I I <br />mt-no In sit 'oft" ott, Ie I N tj ?zxlb.is A <br />33. Trans porter—AcknaModgmentof Receipt of Materials <br />w <br />1 <br />PrIntsoirlyped Nam SIgnatum Month• Day Year <br />0: <br />0 <br />;1 ."; r, , . I <br />XTransporier AdtamdedgmentolfRewliptofMatemls <br />Pratedryped Name Signature Month Day Year <br />35. Discrepancy <br />LL <br />36. Hazardous Waste Report Management Method Codes (I.e., odes for hazardous waste treatment, disposal, and recycling systems) <br />0 <br />EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete, 11 GENERATOR'S INITIAL COPY <br />