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a <br /> P ease print or type. Approved.OMB No.20500039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 1 21.Generator ID Number 22, 23.Mar , <br /> (Continuation Sheet) � b d-1 t C",�Q C, Sks <br /> [� <br /> 29.Generator's Name <br /> 25,Transporter3— Company A U.S.EPA ID Number <br /> 26. Transporter !` Company Name m U.S.EPA I Number <br /> C6Lfii_*xys <br /> 27a, 27b,U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28•Containers 29.Total 30.Unit <br /> HM and Packing Group(if any)) No. Type 4uantily Wt.Nol. 31.Waste Codes <br /> fdC'. <br /> C <br /> d <br /> lY <br /> ua <br /> ur <br /> 32.Special Handling instructions and Additional Information <br /> .i <br /> 3 rans er Acknowfed ment of Receipt of Materials <br /> ri Name �q E <br /> Month Day Year <br /> s� 34.Transporter nowledgment of Receipt of Materials <br /> ,S Printedfryped Na Sig re Month Day Year <br /> 35.Discrepancy <br /> �f <br /> TI <br /> G <br /> LLr <br /> s—; 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and <br /> .a, recycling systems) <br /> a <br /> fix! <br /> (4 <br /> LLI <br /> C5 <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATE€?FACILITYTO EPA's e-MANIFEST SYSTEM <br /> ! . rlw>rr.> w +w+R�dw�r wwsw nr*W fwd WMA met-ore Ma rwafte. <br />