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ATTACHMENT H (PAGE 2) <br /> P,1eaS0 r i e. Form tl`signed for use on elite(*bftchl typawriter. - Form Approved.OMB No.2050-0039 <br /> ORM.HAZARD OUS WASTE MANIFEST 21.Generator ID Number 22,Page 23.Manlleal Traekinp Ngmher <br /> (Continuation Sheet) <br /> 24.Generator's Name Qr rl a C <br /> Oak Harbor Freight Lines, Inc. <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"DDT OescnpNon(including Proper Shipping Name,HamrE Class,ID Number, 2e.Containers - <br /> NM and Packing Group(i any) 29.Total 30.Unit 31.Waste Codu <br /> No. Type Quantity WtNol. <br /> 6. P(on-RCRA,Hazardous waste, sow(ay debris) �r'� 35 <br /> I -7 (� r <br /> 0. Non-RCRA.Hazardous waste,OgWd(labpack) <br /> 4 Q Ills P <br /> Ir , <br /> O <br /> a <br /> Z <br /> W <br /> r3 <br /> 82.5pecial Handling Instructions and Additlonal Information <br /> L?. al Px-c,f.-7.].eM S?f`.J.E< <br /> Pr,-�fi Is# 97f;183 <br /> � 33.Trans orter Acknowled ment of Recei tof Materials <br /> PrinteMypeo Name Signature Monty Day Year <br /> O <br /> - = 31.Trans prter gcknowled mint of Recei toFMateruls'• - <br /> fPtlmetl/rYPed Name - Signature Month Day Year <br /> 35.Discrepancy <br /> U <br /> 36.Hazer o a q epon Management Method C e ( e, od s for hazardous waste treatment,disposal and recycling systems) <br /> O_ 1l <br /> u� <br /> O <br /> EPA Form 8200-22A(Rev.3-05) Previous editions are obsolete. <br /> ' _ DESIGNATED FACILITY TO GENERATOR <br />