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• Form Approved.OMB No.2050-0039 <br /> Please print or type. 23.Manifest Tracking Number <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number <br /> (Continuation Sheet) ( A 37 S!�(� Z e969 Z S <br /> 24.Generator's Name <br /> _ U.S.,EPA IDNumber 7 c f� <br /> 25. Transporter Company Name /v/ f��� �c, 7/Ot 4�� /�P �� r � �!�7 �v <br /> / / U.S.EPA ID Number <br /> 26. Transporter79�Company Name } "L5—� fk O 3 Z Z <br /> r 2t1.Containers 29.Total 30.Unit 31.Waste Codes <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, No Type Quantity Wt.lV01. <br /> HM and Packing Group(if any)) <br /> a <br /> 0 <br /> w <br /> z <br /> w <br /> t9 <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter Acknowledgment of Receipt of Materials Month Day Year <br /> FPrinted/Typed Name/ Signature <br /> 0 <br /> a <br /> Z 34.Transporter Acknowledgment of Reoeipt of Materials Month Day Year <br /> Printedfryped Naite Signature <br /> F f <br /> 35.Discrepancy <br /> J_ <br /> a <br /> LL <br /> O <br /> Q36,Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> W <br /> D <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITYTO EPA's e-MANIFEST SYSTEM <br />