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Please print or type.(Form designed for use an elite(12.pitch)typewriter.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 13.Manifest tracking Number <br /> (Continuation Sheet) CA C 0 ?1 7 1 0 6 6 2 2 4 4>P 0 1 U '! 3 7 it 9 6 J J K <br /> 24.Generators Name <br /> 25.Transporter— comU.S.EPA ID Number <br /> parryName Ern'ircan���- : _nifty$Irx', pa!A D 0 3 9 J 2 2 2 5 (l <br /> 26.Trans iter Com an Name f; U.S.EPA ID Numbe ^] <br /> Po p r leani-IarL•orsErnrirapnn ;•,Im Mom E1 0 '.t 9 3 I. 2 7 5 0 <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Heard Class,ID Number, 28.Containers 29.Total 30.Unit <br /> HM and Packing Group(if any)) No. Type Quantity W Wol. --3-1-}IWa—st—e.Codes <br /> P <br /> K <br /> ¢O <br /> W <br /> z <br /> w <br /> r, I <br /> t <br /> i <br /> I <br /> 32.Spedel Hemi)%lnsWrlGo�sxef� f 1p r .f":r, TI'fu`I' <br /> a, 33.Transporter AckrmvAedgmentof R of Materials <br /> w PrintednWed Name Signature Month Day Year <br /> a <br /> O <br /> a <br /> rn 34.TansporterAcknowledgmentaF Receipt of Materials ' <br /> Pdnad(Typed Name Signature Month Day Year <br /> F <br /> 35.Discrepancy <br /> J <br /> U <br /> LL <br /> D <br /> 4 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazatdouswastetreatment,disposal,and rocoing systems) <br /> z <br /> co <br /> rn <br /> w <br /> a <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. GENERATOR'S INITIAL COPY <br />