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Please rint or I e. Form designed for use on elite 92 'Ich typewriter.) Form Approved, OMB No, 2050.0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21. Generator ID Number 22, Page 23, Manifest Tracking Number <br /> (Continuation Sheet) G�� (� j} (} ✓� (� 00 ' 161, Q EL (� <br /> 24. GeneralVS Name <br /> CVS � <br /> 26, Transporter , _ Comp nyName U,S. EPA IDNumber <br /> 26, Transporter Company Name <br /> U S. EPA ID Number <br /> � a <br /> 2704 27b. U.S. DDT Description (including Proper Shipping Name, Hazard Class, ID Number, 28, Containers 29. Total X Unit 31 . Waste Codes <br /> HM and Packing Group (if any)) No Type Quanldy WWoi <br /> a <br /> H! <br /> z <br /> ckr <br /> CD <br /> 32. Special Handling Instructions and Additional Information <br /> w 33, Tra oder _ Acknowied menlofRecel IofMaterials ~ i <br /> V Pnntediiyped Name Signatur Month Day Year <br /> aCZ f -� <br /> Z 34 TranspoOor.AcknoyiledgmentotReoelptof Materials <br /> Pd OR padNameSgn rS19 Month Day Year � <br /> 06 16 11L" <br /> 35, Discrepancy <br /> U <br /> LL <br /> O <br /> 36, Hazardous Waslo Report Mamagomonl Molhod Codes (I e , codes for hazardous waste (reaiment, disposal, and recycling systems) <br /> x <br /> LU <br /> i <br /> EPA Form 8700.22A (Rev, 3.05) Previous editions are obsolete, DESIGNATED FACILITY 0'O DESTINATION STATE (IF REQUIRED) <br />