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Please print or type. Form Approved. OMB No. 2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 2 . Generator ID Numbe� 2 Paacge� 2,t� �nifest Trac�kin� Number _ <br /> (Continuation Sheet) , 7 t IQ t <br /> 24. Generator's Name <br /> 1 NI (D . , <br /> 25, Transporter Company Name moulf j '§A) PPP Nu <br /> raro3SA9E,e , <br /> U.S. EPA ID Number <br /> 26. Transporter Company Name <br /> 27a, 27h. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 28, Containers 29, Total 30. Unit <br /> 31 . Waste Codes <br /> HM and Pacldng Group (if any)) No. Type Quantity Wt Noi. <br /> i <br /> i <br /> ! <br /> O <br /> w <br /> LIJ <br /> Z <br /> � 1 I <br /> i <br /> IE <br /> I <br /> 1 <br /> . .. . .. ___ . . . fi ._ . _ . <br /> 1 <br /> i l i <br /> 32. Special Handling Instructions and Additional Information <br /> 33, Transporter Acknowtedgm t of Receipt of Materials <br /> LU Printed Signature / Mo YeTI <br /> t— <br /> O 7j i <br /> CL m <br /> l <br /> z 34. Transporter Acknowledgment of Receipt of Maleda's / <br /> Pdnted?yped Name I Signature Month Day Year <br /> H <br /> } 35. Discrepancy <br /> J � <br /> LaL l <br /> Q36. Hazardous Waste Report Management Method Codes (Le., codes for hazardous waste treatment, disposal, and recycling systems) <br /> z <br /> (7 <br /> rn <br /> w <br /> EPA Form 8700-22A (Rev. 12-17) PreviouseditionAareobsolete, i DESIGNATED FACILIP( TO GENERATOR <br /> P{ewn Unt*wvM INos Nur x "nwrrjp** rosnap•s fow amrif iaM is ehNorsnai <br />