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Plezee�'ri for type (FOrm tlesgnetl.for use on aNX-pitch)typewriter.) 'Form APpvv OMB Na 205&0039. <br /> UN FORM HAZARDOUS. 01 Generator's USEPAQD No. Manifest Document No 22.Page Information in shaded <br /> 'WASTE MANIFEST 2 areas is not required by Federal <br /> (Continuaflon Sheet) law. <br /> 23.Generators Name L-.State Manifest Document Number - <br /> HOME DEPOT IRD5576 HOME DEPOT 0l0 39 C09PAUY <br /> 701 DrARCY PARKWAY 1905 ASTOR AVENUE 3:00 M.StateGenerarorslo <br /> TATHO(P .c a+a q-1-9116 <br /> 2.Transporter Company Name 25. S EPA ID Number N.State Transporters ID <br /> [ ✓ II"'IF d,Ii ii-f'r i��. � . i� i, 1, 7.� ? Ili 7L�� O:Transporters Phone - �� <br /> 28.Transporter_Company Name - 27.US EPA ID Number P.State Transporters ID - <br /> Q.Transporters:Phone - <br /> 29. ontainers 30. 31. - �R. <br /> 28.-US DOT Description(Including Proper Shipping Name,Hazard Class,arrdJD Number) Total Unit Waste No. <br /> girl No. T e Quantic Wt/Vol - <br /> a. <br /> 0 16 411%199% A0111 <br /> =1111i 8 "S2811 Mf MIMI! <br /> b• X MASE PAINT RELATED HATERIAL 3 UN1263 PGII 'MARINE POLLU?ANT° Cr331 D1/1 0135 <br /> IFLASHPOIN?R23.00C) ERGI1 oil RQ 001 Ett- 60.� -P ' <br /> a p <br /> c WASTE PAIR? RELATED MATERIAL 3 UK1263 PGII (FLASHPOINT-215.000i {_ 331 D111 U135 <br /> ERg{i281 9Z-1 <br /> 001 po 5 69- P <br /> Qz too I <br /> E d. <br /> 001 ON 00128 P D001 <br /> a 3 VIJtZG3 R = of <br /> a. <br /> d <br /> A <br /> h. <br /> i.: <br /> _ S:Adddionet'Descriplions for Materials Listed Above - - -- T.Handling Codea for Wastes Listed Above <br /> ) bl E0111E3=11 - FLAMMABLE al III `'01 11 <br /> L005EPiiel AFIIIINCIt 161 cl,NOME3-11 -.[LAMMM9 L00 EPAC[ AF16 <br /> o. l:� oL1 � <br /> 32.Special Handling Instructions and Additional Information <br /> CCUSIC WD, 90Xt- A) V01AZ— 5i S <br /> T 33.•Transporter Acknowledgement of Receipt of Materials Date <br /> w Printed/Typed Name Signature - Month Day Year <br /> N <br /> S <br /> 0 34. Transporter_ Acknowledgement of Receipt of Materials " . Date <br /> R <br /> E PrintedlTyped Name Signature Month Day Year <br /> R <br /> A 35.Discrepancy Indication Space <br /> O <br /> -- <br /> SrutACF18 wr.ecMnaslrnzm@ - - � - EPA Form 8700-22A(Re¢-9.88)Nwwus ecrtionsare oeoeie <br /> ' '+n aunn�nrrn uan <br />