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Please pnnt or : De. (Form designed for use on elite [12-4ftpewnter.) <br />Form Aporoved OMB No 2050-0039 <br />EPA norm 8700-22A (Rev. 3-05) Previous editions are obsolete. <br />GENERATOR'S INITIAL COPY <br />UNIFORM HAZARDOUS WASTE MANIFEST 21. to' ID Number <br />22. Page <br />71111111l Traaaing N,pmbar <br />(Continuation Shoot) <br />29. Generator's Na -e <br />26. Trenepetler-_ Compmy Nemo US FPA IDNumW <br />26. Transporter Company Nane U.S. EPA 10 Number <br />27a. <br />27b. U.S. DOT Description (including Proper Shiiping Name. Huard Close, ID Number, <br />28. Ca^ mars <br />29. Total <br />30. Una <br />HM <br />and Parking Group(darry)) <br />Ouentiry, <br />Wt.Nol, <br />31.Weste Codes <br />No. <br />Tyne <br />C <br />O <br />1— <br />z z <br />w <br />or <br />I <br />f <br />I <br />' <br />32 Special Handing Instructions and Additional lnlonnation <br />! I W il" r 0, 11 1I4 rG;:.adi. Ft %A P 1'-.;: •!A'TF. <br />33 Tra Ack mart of RacW a, wares <br />"Mearryoed Name Signature Month Day Year <br />O <br />d <br />W <br />34 Transporter_Acknowledgmentol Recei o!Matelias <br />Pnntedrryped Name Signature Monts Day Year <br />35. Discrepancy <br />J_ <br />ca <br />Q <br />LL <br />C <br />e36. <br />Hazardous Waste Report Management Method Codes (i.e., codes for hazardms waste rreatmeM. disposal. a•a recycling systems'. <br />Iz <br />N <br />Q <br />EPA norm 8700-22A (Rev. 3-05) Previous editions are obsolete. <br />GENERATOR'S INITIAL COPY <br />