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Pleasepnnlor . FoiTn des' ned for use onelb 12 9 w Ger. Form Approved.OM No. <br /> UNIFORM HAZARDOUS WASTE MANIFEST 2t Gerenla Number 22.Page 23.ManNeat Tncldrg NtenMr <br /> (Coohnuation Sheet) . ' 4\ U C-V-C, <br /> 24.Generatoes Name - - <br /> U S.EPA ID Nunber <br /> 25. Transporter_ Company Name \ �\ _ ' 1 ( / "1 ; j r!;^: i't <br /> J ; <br /> U.S.EPA ID Number <br /> 26.Transpw r_ Company Name <br /> 27a. 27b.U S.DDT Desu#6W IncudtN Proper SAlpping Name•Haard Class,ID Number: ..- 28.Cmtae�ers 29.w 30.Unit 31'.Waste Caca$" <br /> HM and Packing G=P(d any)) No. Type Q"" WCAbI. <br /> O .. <br /> r <br /> 32.Special HandIN IastrucbmS and Additional Infortnadon <br /> 33.T lof RODW of Materials Month Dayw PrinteMyped Name_rSgp�e <br /> Ym <br /> r— . � <br /> 34.Twsponar A&OMWVnKd M of Malonals- <br /> lowtu&Typed Name M001h Day <br /> 35 Dnaepancy <br /> J <br /> U <br /> LL <br /> 36,Hazardous Waste Repon-i�-nagemenl Method Codes(is,codes for hazardous waste beabnent,tlisposel,and recycAng systams) <br /> S2 <br /> w <br /> w <br /> W <br /> D <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR <br />