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Please print or type. Form Approved.OMS No.20504039 <br /> UNIFORM HAIAROOU5 WASTE MANIFEST 1 21 Generator ID Number 22 Page 23.UanifestTracking Number <br /> (Continuation Sheet) C A C a 0 3 a 2 2 8 6 0 202 J <br /> 24-Generatofs Name <br /> LnA bund VIAM InduArial,LLL' <br /> U.S.EFA ID Number <br /> 25.Transporter Company Name <br /> U.S.EPA ID Number <br /> 26.Transporter Company Name <br /> 27a. 27b.U.S.DOT Descaption(including Proper Shipping Name,Hazard Class,10 Number, 28.Containers 29.Total 30.Unit 31.Waste Codes <br /> HM and Packrrg Group(il any)) No. Type Cojantity Weyvot. <br /> 5 N,xi�-R(AA H&rarckws v*te,uqurd((Vy WA&o 221 223 <br /> DNI Ion G <br /> TP :(]a - <br /> 7 <br /> Holt-R RA Hazardous"Ste,Sold Pily DUOS) 352 <br /> CIE <br /> w <br /> LU <br /> 0 <br /> I <br /> 32 Specht Handlkng lnslruotions and Additional InformaW <br /> liar. al;L-rt'rj;yr4.al.i IM.' while hati7dUng. Weighte or volumets air; apj-,r,axl-mats_. <br /> Is Pr(> ect �13r-'1 r <br /> 27b.5) Profile r 1,3 597 271:.6) Profil o 0112 201 27b.7) Prot il.e 1151598 <br /> 33.Trans" ment of Rece pi of Matenals <br /> ji Prinfedfryped Name Signature Month Day Yea <br /> 34 Transporter Admwiedgmeni of Ramipl of MatwWs <br /> pnrdedlTyped Name Signature Month Day Yea <br /> 35 Discrepancy <br /> L <br /> 36 Hazardous Waste Report Management Method Codes(i•e.,oodes for hazardous waste healment-disposal,and recycling systems) <br /> i <br /> s --------------- <br /> A Form 8700.22A(Rev 12.17) Previous edkins are obsolete DESIGNATED FACILITY TO EPA's e-MANIFEST SYST <br />