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P ease rin or type. Form designed for use on elite 12- ltch 'ter. ..w. Form Approved.OMB No.2050-W39 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121 Generator I Num "'" `"' 22 Page 23.Manifest Tracking Number <br /> (Continuation Sheen �R ID 18;2���► �� �DFY: D/7/ <br /> 24.Generator's Nairn ���, t�S� TG]���4ti' / rLafl �G�}��(• <br /> PH WCS t 66- y 23,4� <br /> 25 Transports ,_ Company Name p US EPA ID Number <br /> l it1 ��rlrt/y�+Grt�� �✓ r s Cil 7-1; ,i6 �i�z f <br /> A Transporter_ � Company Name US EPA ID Number <br /> 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,In Number, 28.Containers n Total 36 Unit <br /> HM and Packing Group(if any)) No ' Type Quantity Wtjvo! 31 Waste Codes��p <br /> ! la nl3o� �4r)RS L` i-n?dr F1M ►�f�91 L y r q 7�iF-��Qou% <br /> ,$e.r.$s7�•f�n-1� st�L.�b,!►�•a,S.,�3.�*��t�F4,srLv�) � `F 5 P <br /> all <br /> Pool 3o8.2, 7 6645 c -'AS �C.tC,Lrrc�c��rarQrS,, c +.t <br /> ��B+y+�F_dtic41 �+l•4{t`�,a, IJcfr.6,+rh,dF <br /> - <br /> �C�4es,IV,�+c sot��;z,,..f, �-��;rV:) r �.w 5 <br /> w I <br /> Z <br /> LU r+,nJ -Fd," kht 7kie 1:VV 5 wAS-F fLtL� 3 <br /> �PoF+9sS,r....+.•r r' GoNA , 1 C. 800 tF I <br /> -�- <br /> �o,� 7A-Qju 5 WAS+-,- SvU <br /> r_&06 ow"C E oft:J'_, "4,j tnA Nora 5 S".0 F'}it� I DF S <br /> 1 <br /> AJOAI Xplf 7,4,e wAS t-Lax,.�, l <br /> i D <br /> 32.S I Handling Instructions and Additional Information ( (�a <br /> �YPF. cr TM s �r�r cPFie�r3-rxsGAL ��Ss 1 o s- <br /> Ido Pre,F;Lr.� �-rr �� PsR-1oo`l-Ix fG <br /> PCbrLE L ;�I�/ LPl.V�r7-aa)-lusfiRt tr - G"i�r F�=dor? spy-rxs� <br /> P 11�F"i� * K�.#� / �PTN•cry_ I XS ifC s�8���2a�+Lc a £*�'G,*'/�/ <P T dW_jH c5d; <br /> �• lx? r <br /> 33.7iranspotter AcknowledgmentofReceiptolMatefials <br /> H PrinledITyped Name S'gnatuT,, <br /> { Month fDay Year <br /> a l <br /> Z 34.Transporter "owledgment of R of Materials <br /> PrinledrfypedName 59nature Month Day Year <br /> F <br /> 35.Discrepancy <br /> 3 <br /> U <br /> Lal <br /> C <br /> IL] <br /> 36.Hazardous W Ste Repo Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> _ ��f ��rrl f � All q1 <br /> co <br /> I" <br /> I All V/ <br /> EPA Form 8700.22A(Rev.3.05) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR <br />