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Please print or type.(Form designed for use on elite(12-pitch)tvoev:rite 0 <br /> UNIFORM NAZAAOOUS WASTE MANIFES7 t,LEItTnf ID tv"umCror Form Approved.ON16 No.2050-0039 <br /> Fans I'7 fRnnife t iraddng Hwnba: <br /> _ I OnlinualionSheeq i 'r kr f' Cl 7,-.;(� <br /> =jf r lir J <br /> 24.Generator's Name <br /> 25 aar:.parrP�--Camrarrtfigrig YGo"a ffd4�CI'?2 <br /> 26. Transporter_ t• Company Name h t 4 ! <br /> 273. 27b.U.S.Dor Description(including Proper Shipping Name,Hazard Class,ID Numhar, 28.Containers <br /> HM and Packing Group(it any) 29.Total 30.unit <br /> f No. <br /> Type Quaribly WtNol. 3t.VlasteCal¢s <br /> 4 t <br /> l i <br /> E <br /> I <br /> oUjr <br /> Z <br /> w �~ I <br /> 32.Special Handling Instructions and Additional Information l <br /> 33.TransoodO Acknnwlednmrnf nt Heceiot of Materials' <br /> tw- Prinled7ryped Name <br /> ¢ Signature 1 Month Da Year Y <br /> .iyivt ! i 4 i d 2018 <br /> Z 34.Tranmoner f,-? Ackno rledament of,ieceiol of Materials <br /> i Prioled/fypedName Signature r' Month DayY <br /> rf \ f 1 (} <br /> til 113 ,r �1.7r1(i te! i.j11.��d r. tr C 'A�lL, <br /> 35.Discrepancy <br /> � v <br /> _J <br /> C.1 <br /> LL <br /> w <br /> Q36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous,,vaste treatment,disposal and recycling systems) <br /> Cs I ( I <br /> vi <br /> w <br /> EPA Form 8700-22A'Rev3-05) Previous editions are obsolete. <br />