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Please print or type. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 23.Manifest Tracking Number <br /> (Continuation Sheet) <br /> 24.Generator's Name <br /> }lirtllti�'�&t <br /> Rr110 IP.01,sstrial Dnvf. <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(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit <br /> HM and Packing Group(if any)) 31.Waste Codes <br /> No. Type Quantity Wt./Vol. <br /> 1st�a., ., § <br /> 4 i""A4,f �,?1�) ;;rka;.1,itrv;i.Ci.t3.S.(Sudbuar"i tictliuiiw <br /> t`18tltl}IBrttf a ,PGM <br /> I 1 <br /> LlF7t 153.V4'�sW Carrot�ive�suisda�,n.a s,�F�,+ric C4ZInli�is). <br /> • `.::114 <br /> 1111 so- S,-idiunl 41uorosificate,6.1 ,PGHI i <br /> o }JM 7 59.COrrusi'm Aolids.nu.s.(ScAum hydroxide, <br /> A g GU; <br /> w a <br /> z <br /> 0 ON21921.Mesta C{)rrosivrr KQWds,bxk n.o.s (Hydwhloric <br /> ..:d,Chromium),8(61),+r GRI <br /> 32.Special Handling Instructions and Additional Information <br /> •c`,�.r7t '.4, r:)i it x.1495 3e,%" b154, `i70-12'742,+-191% V14t..J- i` 7 i E.F4,G#154; <br /> ....,_ 8)ER(;0"54, 11f)�?74"r- ERCA1 <br /> r .............. <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> H Printed/Typed Name Signature Month Day Year <br /> O <br /> n <br /> z <br /> 34.Transporter Acknowledgment of Receipt of Materials <br /> Printed/Typed Name Signature Month Day Year <br /> 35.Discrepancy <br /> J <br /> U <br /> a <br /> 0 <br /> w <br /> Q 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> O <br /> N <br /> w <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. GENERATOR'S INITIAL COPY <br />