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Please print or type. Form designed for use on elite 12- itchtypewriter.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 2 Generator N ber 22.Page 23.Manif st Tr c 'ng Number <br /> (Continuation Sheet) <br /> 24.Generators Name <br /> V& 1 S <br /> 25. Transposer Company Name I YYlT <br /> 26. Transposer Company Name J' 1 ,. U.S.EPA IIID Number <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit 31.Waste Codes <br /> HM and Packing Group(if any)) No. Type Quantity Wt.Nol. <br /> I <br /> t <br /> s j <br /> K <br /> O <br /> W <br /> Z <br /> W <br /> { <br /> 32.Special Handling Instructions and Additional Information <br /> K 33.Trans n r Acknowledgment of Recei tof Materials <br /> F P' rryped me Signature Month Day Year <br /> ( Ak6 Ith5 f <br /> Z 34.Transporter Acknowled men of Recei t f Materials <br /> PrintedlTyped Name Signature Month Da—y---7e—ar <br /> r <br /> 35.Discrepancy <br /> J <br /> U <br /> a <br /> LL <br /> W <br /> Q 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> 2 <br /> (D <br /> rn <br /> w <br /> 0 <br /> EPA Farm 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />