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Form Anoroved (7iMONo. 20500039 <br />Please <br />dill or type. (Form designed tot use on elite (i z-pll�rl) ry em iter.; <br />?? Page 13. Manifest Tracking Number <br />UNIFORM HAZARDOUS WASTE MANIFEST 11. Genarafpr ID NumbP, <br />(Continuation Sheet <br />24. Generalor's Name _ <br />PROFLELT. INC. - L001 <br />US EPA ID Number <br />Company Name Q 00 v (-) 7) 7 O <br />25. Transporter_ c r <br />L T (, <br />U.S. EPA ID Numher <br />25. Transporter Company Name <br />31 <br />QuantityVit Nol <br />27a. 27b. U.S. DOT Description (including Proper Shipp, mtg Nama, Hazard Class. ID Nuer 28 Containere 29. Total 30 Unit Waste CocksNn <br />type <br />HM and Packing Group (11 any)) - <br />OC <br />W <br />2 <br />W <br />(9 <br />-- <br />I <br />32 Special Handling Instructions and Additional information <br />33 Transporter AcknoMedgment of Rece' 01 MaleA <br />Month Day Year <br />a�z <br />Printed/Typed Name <br />Signature / <br />of <br />o <br />et -P s <br />r <br />a <br />34. Transporter _ AcknovA men, of ipt d Materials <br />Monih Day Year <br />PdnledtTyped Name <br />Signature <br />35 Discrepancy <br />J <br />U <br />Q <br />W <br />[I <br />36. Hazardous Waste RoporlManagement Method Codes li.e_ cods <br />for hazardous waste treatment, disposal, and recycling systems) <br />rn <br />W <br />I <br />EPA Form 8100-22A(Rev.3-05) Previous editions areobsolete i DESIGNATED FACILITYTO DE5IINA IIUN MAIC Irr n«+-^ <br />