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PIPACP (IrlYlt!(Ir`/1/I1P lFllr d C !14/ rM olirn /A p_nn.3 ni1c.1 <br />P— Annrmmd MAP KIn 9n9h_nnlo <br />W rnb awwN�u •^ �• .Jz • . - <br />.UNIFORM HAZARDOUS WASTE MANIF ST <br />(Continuation Sheet) <br />21 Gene ..r ID Number (' <br />- ' ©Q'Q'T-. <br />22. PA <br />23. est Tracking Number - <br />24. Generators Name <br />Cx TJ 4?G N <br />25. Transporter many Name t U.S. EPA ID Number <br />?gjj V YS fUIC 5 <br />28. Transporter Company Name U.S. EPA ID Number <br />27a. <br />HM <br />27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, <br />and Packing Group (if any)) <br />28. Containers <br />29. Total <br />Quantity <br />30. Unit <br />Wt.NG. <br />31. Waste Codes <br />No. <br />Type <br />l <br />tY <br />K <br />W <br />1! <br />- <br />Z <br />W <br />(7 <br />dl' <br />-7Z- <br />3 . Special Handlilre InshuGions and Additional Information <br />33. Trans iter Ackn wled ment of Romi l of Matedals f <br />�u <br />'Printe ypad Name A f gnatur <br />Mone []�y Year <br />Zmentof,.Recet <br />a <br />34.4gosporter_. —Acknowurd lof Materials <br />Prited/Typed Name!. Signature Month Day Yeiir-' <br />11. Discrepancy - - <br />4 <br />(7 <br />emeitMetheiTcods–,!'M&S forti.ardous waste treatment, and36:recycmgsyslems) <br />FPA P-atnn_oon lPo,:'in5l P—i'-,.aril:nne nAcnlPra <br />W rnb awwN�u •^ �• .Jz • . - <br />