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r <br /> Form roved.OMS No.205�Dp39 <br /> P{ease rint ar . Form desE tied for use at elite 12 'tch vrtiter. <br /> eldrill Number <br /> UNIFORM HAZARDOUS <br /> WASTE Sheets MANIFEST 21.Generator ID Nurr*er ��� 7Z.P 23.�fos���� <br /> 24.G�erata's Name tSV1 /V� TG-- <br /> 25,Transporter ComparryHarr�"` C!- / <br /> 501v <br /> . .EPA ID Number <br /> 28,Transporter Company Name <br /> r <br /> 21s. 27b•U.S.OOT Description(krduding Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30•Unit 31.Waste Codes <br /> HM and Paddng C—P fd am) No. Typq Quanuty VKNot. <br /> a <br /> a'r5 <br /> w <br /> x <br /> w <br /> 32.Special Handling Instructions and Additional Information <br /> OC 33.Trans r mem of Reaeltit of Materials <br /> PrintedfTypedNama Si natura Month Day Year <br /> a <br /> o. <br /> Ne 34.Traent of f1ml of Materials <br /> Pdntedlfypad Name siiinature on ay ex <br /> r <br /> 35.Dispepanry <br /> J <br /> v <br /> W ! <br /> O ! <br /> QX.Naramous YNaste Report Management Method Codes(i.e.,codes fa hazardous vraste treatment,disposal,grid meyding systems) <br /> z ; <br /> rn <br /> w <br /> EPA Form 8700.22A(Rev.3.05)Previous editions are obsolete. DESIGNATED FACIUTY TO DESTINATION STATE(IF REQUIRE[ <br />