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Please print or type. Form designed for use on elite 12- itch typewriter.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121.Generator ID Number 22.Page 23.Manifest Tracking Number <br /> (Continuation Sheet) s <br /> 24.Generator's Name <br /> r Akma,LA 451. <br /> 25.Transporter Company Name <br /> U.S.EPA ID Number <br /> 26.Transporter Company Name <br /> U.S.EPA ID Number <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit 31.Waste Codes <br /> HM and Packing Group(if any)) No: ' Type Quantity Wt.Noi. <br /> ggY� 3t �T� <br /> ;5,9 g�3k�£ r � Liquid, <br /> 61 UN t4324, $ a A",8 DWI <br /> oi <br /> gay .aC#x,#7P5iJv 44"Wb, *;<4 xmti H'Ortxgww <br /> w <br /> LU <br /> Z <br /> Qss �, i � �ao ,rP, rbc s. hf i.. <br /> 74 <br /> r; <br /> TL- <br /> 32.Special Handling Instructions and Additional Information <br /> t 4 <br /> �t6i. T0f <br /> -'"air :� ��c�"s�.,��"���i€ '�Ie.;:;._,�..._�..w..s,..�i ;�sa��t`�ti 'i�';r��rs�"�c.����� .i• ��;�# �.�`'���g t�� ����� . €����:� �<. <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> �u Printed/Typed Name Signature Month Day Year <br /> O <br /> d <br /> Z 34.Transporter Acknowted ment of Receipt of Materials <br /> Printed/Typed Name Signature Mon h Day Year <br /> 35.Discrepancy <br /> U <br /> Q <br /> LL <br /> C <br /> W <br /> Q 36.Hazardous Waste Report Management Method Codes(i.e..codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> CD <br /> co <br /> W <br /> Q <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. GENERATOR'S INITIAL COPY <br />