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Please print or type. Form designed for use on elite 2-pitch)typewriter.) Form A roved.'OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WAST;MANIFEST 121,Generator ID Number 22.Page 23.Manifest Tracking Number <br /> Continuation Sheet <br /> 24.Generatoes Name <br /> '90 La 19 Y (0 . G., <br /> MZ <br /> 25. Transporter--1711 Company Name <br /> 26. Transporter Company Name US.EPA ID Number <br /> S Yr11A 9. <br /> 27a. 27b.U.S.DOT Description(induding Proper Shipping Name,Hazard Class,ID Number, 26.Containers 29.Total 30.Unit 31.Waste Codes <br /> HM and Packing Group(if any)) No. Type Quantity M.Nol. €€ <br /> E <br /> r <br /> I <br /> O <br /> �a <br /> k <br /> W <br /> Z <br /> W <br /> i <br /> I <br /> , <br /> 3 <br /> 32,Special Handling Instructions and Additional Information <br /> 33.Trans der Acknowledgment of Receipt of Materials <br /> F P yped S' to Mo Day e� <br /> O C!ti 7 O <br /> a <br /> y 34.Transporter Acknowled ment of Receipt of Matenals <br /> Printed/Typed Name Sign r Month Day Year <br /> I $I 8 117 . <br /> 35.Discrepancy <br /> U <br /> a <br /> 0 <br /> Q36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> C7 <br />_ en <br /> W <br /> D <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />