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• III I • <br /> Please print or type, Form Approved,OMB No.2050-0039 <br /> ® UNIFORM HAZARDOUS WASTE MANIFEST 27,Generator ID Number 22.Page 23,Manifest Tracking Number li <br /> (Continuation Sheet) <br /> 24.Generator's Name <br /> • <br /> U.S.EPAID Number <br /> • 26.Transpoder_Company Name I • <br /> U.S.EPAID Number <br /> 26,Transporter_Company Name <br /> • 27a. 27b.U.S.DOT Description Prefer Name,Hazard Class,to Number, 26.Contalnere 29.Tolel 34 Unit • <br /> P P 31.Waste Codes <br /> HM and Packing Group(if anyd No. Type Quantity vvt.(Va. <br /> K <br /> E" <br /> • _ • <br /> A <br /> �x <br /> 32 Special Handling Instructions and Atltlitlonel Information <br /> • 33,Trans rter_Acknowledgmentof Recei tof Matedals • <br /> tr Month Da Year <br /> �u 33 e rsid tlNeme SlgnaWre Y <br /> 0 <br /> n <br /> • i 34.Transpoder_AG;novAetlgment ofRecelptof Materials • <br /> PmadFryped Name Signature Month Day Year <br /> h <br /> ® 35,Discrepancy 'li • <br /> J <br /> Q <br /> LL <br /> • • <br /> 36,Hazardous Waste Repot Management McNotl Codes(i,e.,codes for hazardous waste Geatmen6 disposal,and recycling systems) <br /> Z <br /> • I w • <br /> EPA Form 0700-22A(Rev,12-17) Previous editions are obsolete, DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br /> ® 82 of"980 <br />