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"k <br /> Please prilift or type, Form designed for use on elite 12itch ewriter. Form A roved.OMB No.2050 0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 123.Manifest Tracking Number <br /> (Continuation Sheet) � � 3N / �. 0914 l—Y-2, , --5 ZS k, <br /> 24.Generators Name <br /> C.J�►.fCLe-kdCj �� ✓&11 /gam 'i,7 elf/`i SClI1 C�'� <br /> as�3 C2&6 CtLfa <br /> 25.Transporter,,„Company Name U.SEPA id Number <br /> 26.Transporter Company Name U.S.EPA IDN.. er <br /> ltbr e <br /> 2Ta. 27b.U.S.DOT DescdpVon(Including Proper Shipping Name,Hazard Class;ID Number, 28.Containers 29.Total 30.Unit <br /> HM and Packing Group(ii e") No. Type OuanUty WtNal. 31.Waste Codes <br /> f <br /> Q <br /> 32.Special Handling Instructions and AddlVonal Information <br /> cc 33.Transporter Acknowledgment of Recq I of Materials <br /> F Prtrdemyped Na Signature Month Day Year <br /> 0 '�-.rte- D <br /> 3r <br /> t <br /> Z 34.Trans o Ackmwl ment of Rene 1 of Materials <br /> Print ed/f Name Si M n Day Y r <br /> Z. tA <br /> 35.Dlscrep ncy <br /> V <br /> w <br /> O <br /> a36.Hazardous Waste Report Management Method Codes(1-A.codes for hazardous waste healmen4 dlsposal and recycling systems) <br /> W <br /> ° I 1 <br /> EPA Form 8700-22A(Rev 3.05) Previous editions are obsolete. — - <br /> DESIGNATED FACILITYTO'EPA'se-MANIFESTSYSTEM f <br />