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Please print or type. (Form designed for use on elite(1' -h)typewriter.) Form Approved,OMB No.2050-0039. <br /> UNIFORM HAZARDOUS 21.Gener& s US EPA ID No. Manifest Document No. 2�-. , age Information in the shaded <br /> WASTE MANIFEST areas is not required by Federal <br /> (Continuation Sheet) CA D 9 0 3 k 0009 2- 5 2 4 5 3 2- law. <br /> 23.Generator's Name L.State Manifest Document Number <br /> EW SAY MUD 23452453 <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 I P.State Transporter's ID <br /> Q.Transporter's Phone <br /> 29.Containers 30. 31. R. <br /> 28.US DOT Description(Including Proper Shipping Name, Hazard Class, and ID Number) Total Unit Waste No. <br /> HM No. Type Quantity Wt/Vol <br /> a. KQN - 2CRA HA 2AR Do cls WASTEL LIQ JZP 331 <br /> (`A8 PAC le) 100 ( DM 10(J 2 540 P NIA <br /> b. NOAJ — RCRA 14A241000S w4STE tZQ caD 223 <br /> (s-0MP Sc.0D6F-) 0 O 1 DAt 00055 6 NIA <br /> C. t4onJ- RCRA 4424P0005 WASTE1 UQLtTDG, <br /> Z23 <br /> (ortY WATER 00 ) >A 0005,5 6 <br /> G d. <br /> E <br /> N <br /> E <br /> R <br /> A e. <br /> T <br /> O <br /> R <br /> 7- <br /> 9- <br /> h. <br /> i. <br /> S.Additional Descriptions for Materials Listed Above ��f e T.Hanling CO? f Wastes Listed Above <br /> SSA) �PZby2 -e3 0X55 PC,,-W;8 Cf 1% C <br /> 25B <br /> 33 76 0 ( ✓a/(er Spr,Ap- CA 95252 l <br /> 2a 35 Ltq q ( S <br /> 32.Special Handling Instructions and Additional Information USC 'I PPR0PKsAT(: P61MAII L PROTECT:rVE CQ()X'N(& <br /> .;4-(4R. EMERCIWCY CoA)fgCr: <br /> FOSS EtjVX/Z0NA4EAlr 5/0 ? -i3`90 Toe : Ap oat 8 Po : AP 0018-0 l <br /> T 33. Transporter Acknowledgement of Receipt of Materials Date <br /> A Printed/Typed Name Signature Month Day Year <br /> N <br /> S <br /> o 34. Transporter Acknowledgement of Receipt of Materials Date <br /> RSi nature Month Day Year <br /> T Printed/Typed Name 9 <br /> E <br /> R <br /> F 35. Discrepancy Indication Space <br /> A <br /> c <br /> I <br /> L <br /> I <br /> T <br /> Y <br /> ♦ EPA Form 8700-22A (Rev.9-88)Previous editions are ob, <br /> Style F16 tJ�BELMASTER®(800)621-5806 www.labelmaster.com <br /> ®PRINTED ON RECY N PMER <br /> USING SOYBEAN INI( sovlNK ORIGINAL- RETURN TO GENERA- <br />