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.i" FamnApproyk OMB No.20SH039 <br /> •' cortype.(Fonndesigned for use an stile(12 pltda)ry ewrltec) 22 Pg7 23l(!JJ''}}anihat T";km Number <br /> 21. areal lDNugbe� .^ <br /> NIFORM RA7AR000S WASTE MANIFEST 1 <br /> '..11 <br /> (Continuation Sheet) <br /> 20.GeneaWe Neme <br /> �f U.S:FPAID umber � <br /> 25.Transporter Cam yName <br /> U.S.LPARJ Numher <br /> 26.Tansponer__ComPwy Home <br /> 27a 276.U.S.DOT DeacdDSon[mdWing PmperShiDdng Neme,Hazard Chas, 78.Contalnea 29.Total 30.Unit 31.Waste Codesas,ID Number No. Type ouengty wt./Vol.and Paclarg CROUP lgenyl) <br /> w <br /> u�l <br /> cp <br /> 1 <br /> I <br /> I <br /> I <br /> I <br /> 32,Special Handling lmWdione and A&Hdoral lnformADn <br /> I <br /> I <br /> 33. spoder4Ackn* OfReceipt of Maitad8is Monty Da�2y/ Year <br /> �rl Pd I N /, 819NMe o ftecdPlof Maladab Month Ory Year <br /> Pdnwwyped NaSigna ,_ <br /> 35.Discrepancy <br /> J <br /> LL <br /> a36,HeurdousWesle Report Management MelbdCodes Q.a.,mdesforhazerdow whale heahnenl,disposal,and rec/tlbg systema) <br /> N <br /> W <br /> O <br /> EPA Form 8700-22A(Rev.3.05)Previous editions ere obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />