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r. <br /> ERGENCY CONTACT TELEPHONE NUV Z <br /> UNIFORM HAZARDOUS 21.Generator's US EPA ID No. Manifest 22. Page Information in the shaded areas is not <br /> WASTE MANIFEST /� /� )� C' ? p , C-1137.3 <br /> Document N-7o. � required by Federal law. <br /> (Continuation Sheet) c-l f✓ C1 a ` ~ � 37 3 [ 7/ <br /> .3.Generator's Name L. State Manifest Document Number <br /> 23s 3 77 <br /> M.State Generator's ID <br /> 24.Transporter 3 Company Name 25.US EPA ID Number N.State Transporter's <br /> SLT M MAY,INC- T R 0 0 0 0 0 7 7 0 8 N800)627-- <br /> 0.Transporter's Phon <br /> 26.Transporter Company Name 27. US EPA ID Number P.State Transporter's ID <br /> Q.Transporter's Phone <br /> Z 28.U$ OT DOSCfIptlOn(Including Proper 29.Containers 30. 31. <br /> Shipping Name,Hazard Class,and Total Unit R <br /> n4 HM No Type Quantity Wt/V01 Waste No. <br /> a. <br /> X TRAMS ONLY X <br /> " b. <br /> i <br /> C. <br /> X TRANS ONLY X <br /> E <br /> G d. <br /> E <br /> N ra, <br /> E <br /> R <br /> A e• <br /> T <br /> O <br /> R <br /> 9. <br /> h. <br /> f i ra <br /> S. Additional Descriptions for Materials Listed AboveT. Handling Codes for Wastes L sled Above <br /> • <br /> 32. Special Handling Instructions and Additional Information <br /> i7. <br /> a <br /> I <br /> T 33.Transporter Acknowledgement of Receipt of Materials Date <br /> R <br /> A rin Wed Name Signature Mo Date Year <br /> F y ; <br /> 1. Transporter Acknowledge ant of Receip f Materials Date <br /> Printed/Typed Name Signature Month Date Year <br /> R of. <br /> F i <br /> A 35. Discrepancy Indication Space <br /> C <br /> y <br /> e ORIGINAL-RETURN TO GENERATOR ' <br />