Laserfiche WebLink
Please mint of face. (Form designed forum on elite (12-Ditcin tvoewlter.1 Form Aotaroved. OMB No. 2050-0039 <br />EPA Form 87002P7W3-05) Previous editions are obsolete. <br />I <br />DESIGNATED FACILITY TO GENERATOR <br />UNIFORM HAZARDOUS WASTE MANIFEST <br />(Continuation Sheet) <br />• Generator ID Number - <br />AR111001649i <br />22. Pigs <br />23. Manifest Tracking Number <br />24. Generator's Name <br />.nr� � �� �,ti� Cup r ►� 1.�c Nlu�r�-s �Pn�T ,.aT <br />25. Transporter Company Name U.S. EPA ID Number <br />13�,1IgoN --fPJN LNVIVONMk MInL WNV ou-A <br />U.S. EPA ID Number <br />25, Transporter Company Name <br />278. <br />HM <br />27b. U.S. DDT Descriplion (including Proper Shipping Name, Hazard Class, ID Number,? .. ,. <br />and Packing Group (if any)) <br />25. Gontelnaw <br />" 29. Total <br />Quantity <br />30. Unit <br />WI N0 1. <br />31. Waste Codes <br />No. <br />type <br />K <br />aO <br />K <br />w <br />z <br />w <br />c7 <br />32. Special Handling Instructions and Additional Information <br />a, <br />w <br />a <br />33.Tran rtar :!5 Acknome1graerloittecelptofMalartals <br />p)IntedRyped Name Signature Month Day Year <br />'`� ,'ped Yl s (` p V\ V--" t� 10 1 I-- <br />i <br />r— <br />34. Tranepdr[er - Ac ant of Receipt of Materials <br />PrintedlTyped ` '': Signature Month Day Year <br />sr <br />J <br />U <br />LL <br />35. Discrepancy <br />Ii <br />aw <br />O <br />36. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems) <br />W <br />EPA Form 87002P7W3-05) Previous editions are obsolete. <br />I <br />DESIGNATED FACILITY TO GENERATOR <br />