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Pleasg print or type. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 2 erator r t /1 22.Pa test ra kin um er <br /> (Continuation Sheet) <br /> 24.Generator's Name <br /> 25. Transporter Company Name.— U.S,EPA ID Number <br /> el .S� 410 7r4&v •1 7 <br /> 26. Transporter Al Company Name U.S.EPA ID Number <br /> rriarfdSG�/�c�sMc/G d3 Y 3 7-49-0 <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit <br /> HM and Pang Group(if any)) 31.Waste Codes <br /> No. Type Quantity Wt./Vol. <br /> ------------- <br /> O <br /> w <br /> z <br /> w <br /> cn <br /> 32.S pecial Handling Instructions and Additional Information <br /> 33,Transports Acknowledgment of Receipt of Materials <br /> LU PnntedlT p Signat Month Day Year <br /> o g- / <br /> CL <br /> tO 34.Transporter Acknowledgment of Receipt of Materials <br /> Printed/Typed IN nature Month Day Year <br /> 35.Discrepancy <br /> J <br /> U <br /> a <br /> 0 <br /> LU <br /> a 36.Hazardous Waste Report Management Method Codes(i.e.,codes for haz irdaus waste treatment,disposal,and recycling systems) <br /> Z <br /> O <br /> LU <br /> LU <br /> 0 <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />