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j <br />_. .. Form Anomved. OMR No 2050-0039 <br />EPA Form 8700.22A (Rev. 3-05) Previous editions are obsolete. Ut5ILiNA l to t-Auu i y t u 6ENERA i uml <br />UNIFORM HAZARDOUS WASTE MANIFEST <br />(Continuation Sheet) <br />....._.., <br />21. Generator ID Number <br />22. Page <br />23. Manifest Tracking Number <br />h��,:'. , ,l, t,.. <br />24. Generator's Name <br />`,CSN ,:I)1IN '"Pio Ii PUIII .IC MCR <br />1910 EHST HAZE AIM AVENUE ^ ,:k 1. <br />- - U.S. EPAID Number <br />25, Tmmsporter_'r ,Company Name <br />U.S. EPA ID Number <br />26. Transporter _ Company Name , <br />27a. <br />HM- <br />27b. U.S. DOT Descdptlon (Including Proper Shipping Name, Hazard Class, ID Number, <br />and Packing Group (if any)) . - .. _ <br />112 <br />29. Total <br />Quantity <br />30. Unit <br />WtNol, <br />31. Waste Codes <br />- Ne:. <br />.. Type.. <br />K <br />K <br />w <br />w <br />t7 <br />1' <br />r' <br />r <br />32. Special Handling Instructions and Additional Information . j..Sr�t•, Qf' <br />W <br />O <br />33. Transporter Ackn0wtedgment of Receipt of Materials <br />Printediryped Name - Signature Month Day Year <br />a <br />2 <br />F <br />34.Transporter Acknowledgment of Receipt of Materials <br />Prfnted7Typed Name Signature Month Day Year <br />J <br />U <br />LL <br />35. Discrepancy - <br />i <br />uJ <br />36, Hazardbbs Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) <br />V5 <br />w <br />0 <br />EPA Form 8700.22A (Rev. 3-05) Previous editions are obsolete. Ut5ILiNA l to t-Auu i y t u 6ENERA i uml <br />