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F!i <br /> 1`l+ <br /> i f <br /> NON-HAZARDOUS WASTE MANIFEST 19.Generator ID Number t 20.Page 21.Waste Traeking Number <br /> 0 <br /> (Continuation Sheet) Now- ^,z <br /> 22.Gen�raior <br /> U.S.EPA I Number <br /> 23.TranspvAer Company Name n��l ` 1J�� y�(�D �A ,�3 0 <br /> U.S.RPA ID Number <br /> 24.Transporter Company Name <br /> 26.Contalners 27.Total 28.Unit <br /> 25,Waste Shipping Name and Description No. Type Quantity W1JvoI. <br /> I <br /> 1_ <br /> � 1 <br /> � < 1 <br /> f � <br /> 0 Y <br /> ;l } <br /> C7 4 1 <br /> h S <br /> } <br /> kl l <br /> t <br /> � 1 i <br /> � 4 L <br /> \ <br /> 4 .l: <br /> { ry; <br /> 29. Special Handling Instructions and Additional Information <br /> li a 30.Transporter AcMowledgment of Receipt of Materials <br /> Prirded(TyesddN`acm'e Signature Mo 9ih Day Year <br /> Z 31.Transporter Acknowledgment of Receipt of Materials <br /> PdnledlTyped Name Z <br /> alure Month Day Year <br /> 32.Discrepancy <br /> V <br /> uk,14S 7, <br /> LL <br /> al <br /> Q <br /> 170-BLS-C 6 10501(Rev.6106) DESIGNATED FACILITY TO GENERATOR <br />