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Please print or type. (Form designed for use one -pitch)typewriter.) Form Approved.OMB No.2050-0039. <br /> UNIFORM HAZARDOUS 21.Generator's US EPA ID No. Manifest Document No. 22.Page Information in the shaded <br /> WASTE MANIFEST ct� oo L:73-2- 0 areas is not required by Federal <br /> (Continuation law. <br /> 23.Generator's Name - L.State Manifest Document Number <br /> 1 H L hi3 i RUr�T-70 1 <br /> 49 41 IA lei:R LfrJ P11:1_ M.State Generator's ID <br /> Cr_ 95215 <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 /> 29.Containers 30. 31. R. <br /> 28.US DOT Description(Including Proper Shipping Name,Hazard Class,and ID Number) No. Type Quantity Wt it Waste No. <br /> HM <br /> Ivo <br /> a. <br /> P`:'. tTaate 1_orrcai^e tic wi3a, n_=_^.f 8; T-mi7-60r r�� <br /> LiAcid) (L100�) in n a i-19 SSS <br /> b. _ D002 <br /> 7!;;zte 'Ccrrosire liq­4A, Laaicr morgan ic -- - <br /> 3 L�3 '6 <br /> ' 7, IT. (urethan, amines) (DO _ <br /> et i r, 20 3 <br /> C. D002 <br /> ;:aete Corrosi7e '.iqui }�aaic, organ+c, <br /> 8F 7.JNS21ff7, II (::retha::r araiz.e - t1. <br /> G d <br /> E i , or _'; 2't-'= D1102 <br /> N d:,Faate CfrroaiFe =.�117.CI; a�tC'r +�anz. <br /> E =, 1l;3:�467, II (ure~:hane;a*nine_) _ 33 <br /> ;, r, F 0 0 2C <br /> R <br /> A e. non—rarzt <br /> T Lire°-hare with MDI <br /> o tiO?1-Rt_:'tA HA?AizLO733 tA3 t'E LI�LtID _ � <br /> f. non-rcca <br /> €:t.aterBase Paints, G?ues S Concrete Cures <br /> rtOPt-RCPA HAS-ARTDOU3 'vdA37-EE LI UIn <br /> fa i fi f O O P �� <br /> 9. non-rarn <br /> ;%kt•eL Sase Primera <br /> hlrltt-F'"_PA. HmARooln wA-sTE <br /> h. <br /> i. <br /> S.Additional Descriptions for Materials Listed Above T.Handling Codes for Wastes Listed Above <br /> a) Drm#6, Pro#R8100 b) Drm#7,Pro#R8100,ERG#153 c) <br /> Drm#8,Pro#R8100,ERG#153 i3) Drm#9,Pro#R8100,ERG#153 e) <br /> Drm#10, Pro #88100 f) Box #11,12,13,14, Pro#R8097 g) <br /> 3�P- VpHarRffi;r:rR91RMiions and Additional Information <br /> APPROPRIATE pp <br /> CFTEL-pps,H; C1--tY7,Hlf'at= <br /> f'aIERGENCY C.Dti"ACT: tFjgCo -74.1-9 <br /> T 33. Transporter Acknowledgement of Receipt of Materials Date <br /> R Month Da Year <br /> A Printed/Typed Name Signature y <br /> N <br /> S <br /> 0 34. Transporter Acknowledgement of Receipt of Materials Date <br /> R Si nature onth Day Year <br /> Printed/Typed Name 9 <br /> A 35. Discrepancy Indication Space <br /> C <br /> I <br /> L <br /> t <br /> T <br /> Y <br /> Style F16,LABELI$IASTERO(800)621-5808 www.labelmaster.com EPA Form 8700-22A(Rev.9-88)Previous editions are obsolete. <br /> G)II1 GNSOVBEMlMK�ER TEINK ORIGINAL-RETURN TO GENERATOR <br />