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Please odnt or Tyne. Form designed for use on elite 12-itchtypewriter. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST UM6�_-Lwt?--b ber 22.Page 23.Manifes_t Tracking Humber <br /> (Continuation Sheet) <br /> 24.Generators Name <br /> D CWS <br /> U.S.EPA ED Number (� <br /> 25.Transporter Company Name / � 'Mzty b Q9S—d 9 94 <br /> J ,1C L U.S.EPA IID Number <br /> 26.Transporter Company Name <br /> -------------------------------------- <br /> 27a, 27h.LLS,DOT Description(including Proper Shipping Name.Hazard Class,ID Number, 28,Containers 29.Total 30.Unit 31.Waste Codes <br /> HM and Packing Group(b any)) No. Type QuantiTy Wt.Nol. <br /> FT <br /> K <br /> QO <br /> K <br /> w <br /> z <br /> w <br /> c7 _� <br /> 9 <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter Acknowled ment of Receipt of Materials <br /> H Pnntedrryped Na � �G Signa Month Day Year <br /> 0 61 G Y7C �l' Q O� / <br /> CL <br /> i 34.7rans rter Acknowled mentof Recei taf Matedals <br /> Printedliypetl NameSignature Month Day ear <br /> 35.Discrepancy <br /> J <br /> U <br /> Q <br /> LL <br /> 0 <br /> LU <br /> 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous wastetfeatment,disposal,and recycling systems) <br /> z <br /> O <br /> rn <br /> w <br /> 0 <br /> EPA Form 8700-22A(Rev.3.05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED( <br />