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Please print or type. Form desi ned for use on elite (12*pitchl typewriter.) Form Approved. OMB No. 2050-0039 <br /> UNIFORM HAZARbOUS WASTE MANIFEST 21 . Generalor ID Number 22. Page 23. Manifest Tracking Number <br /> (Continuation Sheat) CAL0002M14 010M 8SK$ <br /> 24, 0enerators Name <br /> /�+� U.S. EPA ID Number <br /> 25. Transporter _.,_ Company Name Co <br /> BERNOCK 11� Dig �S� MO 3 <br /> i <br /> 26. Transporter . Company Name <br /> U.S. EPA ID Number <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)) 31 . Waste Codes <br /> No. Type Quantity Wt.NOI. <br /> O <br /> wTM <br /> w <br /> t9 <br /> 32. Special Handling Instructions and Additional information <br /> a 33. Transporter cknowled ment of Receipt of Materials <br /> Print d/fyped Namenn - lure Month Day Year <br /> 1ti 91 211 18 <br /> Z 34. Transporter Acknowlad entolReceiplofMateriall <br /> Printed(fyped Name Signature Month Day Year <br /> 35. Discrepancy <br /> J <br /> V <br /> L <br /> d <br /> W <br /> 36. Hazardous Waste Report Management Method Codes (I.e., codes for hazardous waste treabnent, disposal, and recyding systems) <br /> N <br /> w <br /> EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED) <br />