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In dos ed for use on sills(12-p(tt) er,) Form Approved,OMB No.2050-0D39 <br /> "' :+ 21.Germrawr lD Number 22.Pegs 23,Manifest Track�g Number <br /> NiFORM HAZARDOUS WASTE MAMFEST <br /> (Continuation Sheet) tJ <br /> 24,Generator's Name <br /> t <br /> I <br /> i <br /> U.S.EP ID Number <br /> 25.Transporter Company Name <br /> U.S.E A ID Number <br /> 26.Transporter ^Company Name <br /> F <br /> 27s, 27b,U.S.DOT Description(including proper Shipping Name,Hazard Class,H)N=W 28Containers 29,Total 30.UnEt 31.waste Cafes <br /> KV and Pactng Gran(ff any)) No. Type Quantity wtJvol; <br /> n <br /> 1 <br /> i <br /> I <br /> 32,Sp HaralNn9lnskuctiaisazulAddfrronal iniorrrwtion <br /> 33.7ranswer Acknowledgment of of Matelials <br /> PrintedlTyped ams Signature Month Day Year <br /> In <br /> Cx- <br /> 34.T AclnowledgrnentofRec! Met daisi <br /> Prlstodtfyped Name Signature Month pay Year <br /> I <br /> 35.Discrepancy <br /> 4 <br /> 36.Hazardous wssta Report Management Method Codes(l.e„codes for hazardous waste treatment,disposal,and racong systems) <br /> 2 <br /> VJ <br /> LU <br /> EPA Form 8700-22A(Rev.3.06) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />