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k. <br /> Please 'afar . Form de81%-fa.usa on egYe 12 itch - venter. Foran roved.OMB No.20500039 <br /> UNIFORMHAZARDOUSWASTE MANIFEST 21.Genemta ID Number 22.Page 23:ManXM Tracking Number <br /> / <br /> c . . . . . (Cpntinuation Sheet) <br /> 24.GeneraWs Name . . <br /> U.S.EPA ID Number <br /> 25. Transpota_ Company Name <br /> U.S.EPA Number <br /> 26.Transporter_ Company Name <br /> 27a. 2M U.S.DOT Desmpbor,i dudbg Proper S'tipprg Name;Hazard Dass,ID Number, _ _ 28.Containers 29.Told 30.Unit 31:Waste Codes" <br /> HM and Paddrg Group IN any)) Na. Typo "n* WINd. <br /> " QO <br /> K <br /> z <br /> W <br /> 32,Spedal Handing b tanxtons and Addbonal Information <br /> 33.Transporter of Racwt of Malw" <br /> PrinWITyped Name Signature Mat Day Year <br /> O <br /> LL <br /> 2 34.Transporler AcluwMaVwn of RacW of Mauls <br /> PmmdRyped Name wen ear <br /> H- <br /> 35 Drsaepacy <br /> J y <br /> U <br /> a <br /> LL i <br /> 36.Hazallous Waste Repw Management Metwd CoEes(i e.,codes fa hazardous waste aeob t.dispmel,and recycikV systems) <br /> rn <br /> w <br /> 0 <br /> EPA Form 6700-22A(Rev.3-05) Previous editions are obsolete. GENERATOR'S INITIAL COPY <br />