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Please prF ff 153 12* Form Approved.OMB No.205M39 <br /> UNIFOY HAZARDOUS WASTE MANIFEST 121.Generalnr ID Number 23,Manhst Tracking Number <br /> (Continuation Shaat} W89009=2 40F6 01944502 JJK <br /> 24 Generators Hama <br /> Lawwpce tW& Pit OM Lab SKO 3W on WON of U5 NMA P.O.Banc WS/L 7$5 Ure-ft"CA 34551 <br /> 25 Transporter_.._. Company Name U.S.EPA ID Number <br /> 26 Transporter Company Name U.S EPA ID Number <br /> 27a. 27b.U.S.DOT Description(Ir dWing Proper Shipping Name,Hazard Class,ID Number, 2B.Containers 29.Total 30.Unit <br /> HM and Packing Group(d any)) 1+0, Type Quan�ly yyl, 31 Waste Codes <br /> 25.MrAIM hmfda s wOSM scud(debris corttliurlinatt d vtdth 1 DM 44 P <br /> Fit methylene diJsWaftate)DDPOO44,1 <br /> 332 <br /> 21L Non-MMA haiaftk=Ww t,WN{lobsarbont with PWdo m 1 DM 241 P <br /> hydriowbans)00PQOW1 <br /> 223 <br /> 27.Norl-F=A hwWdoo d(sbeWbo t with ptrirDEetim DM 7 G4 P <br /> hy�droc;<rhares)DOP0104-1 <br /> #` 2n <br /> c Z&Ntm-MA h=r*=Waft SON Mk==RWMNdVd with 1 DP 14 P <br /> lath+ @M mf)Dk?PMZA-1 <br /> W 352 <br /> LU Z <br /> 2&NIMACRA itarrdaUs WWW,acsk!(may CO chum)DOPOCN, 1 DM P <br /> 532 <br /> X Nttst-RCRA haafta w ,.NN(06OU cor&VdMMA with 0M 654 P <br /> Patrdwin tivikocarbCM)DOPE-1 <br /> 223 <br /> 3L!Mast-RCAA#wurda Z waste sow(UMPty dntm iist fined 1 DM 52 P <br /> d1 mrtn)DOP0047-1 <br /> 512 <br /> 3L Nort-RCRA hanft =Waft Solid 4tWfdM dad PWder) g OF 111 P <br /> 141 , <br /> A Non-FICRA h=nedaM nsinte,ilgWd(adhesive)ds 120-1 1 DF 5 P <br /> 331 <br /> 34.Nart-RCRA hnradMn Waste. (Petra seed MkMz6 oUj 1 OF 170 P <br /> DOP0120.2 <br /> 331 <br /> 32.Sper9el Handling Instructions and Additional Information <br /> 33 r Ad t of%wipt of Matedais <br /> w PrintedlTyped Name Signature Month y Year <br /> a <br /> R <br /> i X Trampnrvr l,c w ment of Receip,of Materials <br /> Printedffyped Name Signature Month Day Year <br /> w <br /> 35.Discrepancy <br /> v <br /> w <br /> g /sy� s/{ , <br /> Waste Repirt n I�tfro�t�p.e.,cod waste V�jtment,dr �sliCJ V/ <br /> LU 2L-Z/-�Z/_ <br /> EPA Form 8 22A(Rev.12.17)'Previous edilians are obsolete. / OESIGNATU F 1 ITY T GENERATOR <br />