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use on elitE, pitch)typewriter.) Form Approved,OMB No.2050-0039. <br /> �c7US 21.Generator's UL1D.NcaM <br /> anifest Document No. 22.Page Information in the shaded <br /> .rIFEST areas is not required by Federal <br /> ,.nation Sheet) C A D98 5 2 7 1 4 2 law. <br /> „aerator's Name <br /> L.State Manifest Document Number <br /> E4s7' 64Y tno� 21152710 <br /> M.State Generator's ID <br /> 24.Transporter_Company Name 25.US EPA ID Number N.State Transporter's ID <br /> O.Transporter's Phone <br /> 26. transporter Company Name 27.US EPA ID Number P.State Transporter's ID <br /> Q.Transporter's Phone <br /> 28. US DOT Description(Including Proper Shipping Name, Hazard Class,and ID Number 29.Containers 30, 31. R. <br /> 3 HM No. Type QuanTotdt Wt/Vol Unit Waste No. <br /> a. 140/1) /ZC/Z/1 N�jf�21700j v��STt� L2QUTD 223 <br /> (So/yip s4o?CK) 006 VM 00 33 0 4/a <br /> b' <br /> 14ON- I2t2q H,9?192Doos WASTE SOUP 352 <br /> (oIL FsETE1Z5) 1001 ' DM OO 050 F tiIA <br /> GC. <br /> E d. <br /> E <br /> N <br /> E <br /> R <br /> A e. <br /> T <br /> O <br /> R <br /> f. <br /> 9. <br /> h. <br /> i. <br /> S.Additional Descriptions for Materials Listed Above Si to T.Handling Codes for Wastes Listed Above <br /> 26A) 337do (.6x55 E <br /> . ripp ,� <br /> 7SOPgrdee Gtr <br /> 3335`1 (i xto� b", "1 <br /> Valley 5v,, l C/ 152-5Z <br /> 32.Special Handling Instructions and Additional Information c)SE 4'P"1Z0 'ZZ4TE PC_1Z50AJ4L bFIZOTECTIVE COOM7MEAJ7 <br /> 2N-HR. En1ER4CAjCy COAITf}CT <br /> 14RC CAJVZ20AJ1AQVr t_ 5/a - l3ga o$ : AF 0018 Ro k N'40016-01 <br /> T 33. Transporter Acknowledgement of Receipt of Materials Date <br /> a Printed/Typed Name <br /> N Signature Month Day Year <br /> S <br /> P <br /> 0 34. Transporter Acknowledgement of Receipt of MaterialsDate <br /> T Printed/Typed Name <br /> E Signature-----T- Month Day Year <br /> R <br /> A 35. Discrepancy Indication Space <br /> C <br /> I <br /> T <br /> Y <br /> Style F16 LABEdMA ER®(800)621-5808 www.labelmaster.com EPA Form 8700-22A (Rev.9-88)Previous editions are obsolete. <br /> PRWTED ON RECYCLED PIPER <br />