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Please print or type. Form designed for use on elite 2-pitch)typewriter.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Gen razor ID Number 22 Page 23.fvlanifOest TrackingNumber <br /> (Continuation Sheet) Ll AXI 2ffz— IC <br /> 24.Generator's Name <br /> ru L" V-L*T?rV D , L <br /> 25, Transporter Company Name U.S.EPA ID Number <br /> 6 <br /> 26. Transporter Company Name U.S.EPA ID Number <br /> Alba" �-of w l 1 T L✓t I WtA'D O A 2A-2,51 <br /> 27a 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit 31 Waste Codes <br /> HM and Packing Group(if any)) <br /> No. Type Quantity WLNoI. <br /> O <br /> !Q <br /> Uj <br /> w <br /> z <br /> w <br /> c9 <br /> I <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Trans o -Acknowledgment of Receipt of Materials <br /> LLJ Printed Typed Name Signature Month Day Year <br /> O <br /> a <br /> Z 34.Trans orter_ —Acknowledgment of Receipt of Materials <br /> Printed/Typed Name Signature Month Day Year <br /> wi ♦_� f 101 /S <br /> r 35.Discrepancy <br /> J <br /> U <br /> Q <br /> LL <br /> 0 <br /> W <br /> Q 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> z <br /> c� <br /> N <br /> w <br /> o , <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />