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SC MA PPW 12/4/201$orrnLnjed.OMB No.2050-0039 <br /> Plea se print or e. Form deal ned for use on eliL= 12- 'lch ewnle� g2 pogo 23.Manifest Tracking Number JC � <br /> NumberUNIFORM FIAZARDOUS WASTE MANIFES2of2(Continuation Sheet)24.Generators Name &z=d .Ca-ar'� / PAIDNumber25. Transporter •— Company Name26.Transporter_ Company Name28.Containers 29.'total 30.Unit 27a. 27b.D$.DDT Descdplun(inrAuding Prober Shipping Name,Hazard Class,ID Number, — No TypeQuantity Wt N01HM and packing Group(if any)) <br /> I _ <br /> r <br /> o \ — <br /> a <br /> w <br /> 'z w <br /> co <br /> I <br /> I <br /> 32.Special Handling Instructions and Addsiom I Information <br /> 33 Trans derAckrmxle menl of Recepl o+Ma2rials Sl�gfna't�J,J� Day Year <br /> oPnnt�ped Name <br /> a — <br /> z 34.Trans oder Acknowledgment of Eec Lt fMaterials ignaNre ---� n° �— a� Year <br /> G Primed/Typed Nam <br /> k„��`a-�E n rE—e <br /> 35.Discrepancy <br /> r <br /> J I <br /> a <br /> LL -- <br /> sal,and recycling systems) c n n +? <br /> 36.Hazardous Waste Report Management NleNod Codes(re.,codes for hazardous waste treatment disposal, 9 Y 4` i e i <br /> C7 <br /> rn <br /> w _ <br /> p -- <br /> • •`—•;1@�o. ., ;T✓DiS?iN"TION`.iTATE;IF REQOIF. <br /> EPAFoon8700-22A(Rev.3-05) Previous editions are obsolete. <br />