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Please rint or tvpe. Form desilqned for use on elite(12-pitchl t ewriter, Form A Ved,OMB No.2[150.0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generalor ID Number 22,Page 23.Manitasi Tracking Nam6er / <br /> (Continuation Sheet) �� <br /> 24.Generator's Name <br /> /"1C4W ri'1FZ,--6/ Sc(j C- 07 7,� <br /> 25. Transporter Company Name U.S.EPA ID Number <br /> 26. Transporter Company Name U.S.EPA 110 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.Nol. <br /> llitl l y 9 G' 7 S)L UE.4` �(- P ,r ,Sal <br /> l DF a7 0 �r <br /> ��GtJ 67�d X1®1 L��•!r OGLQ� AUC "5 <br /> a � <br /> 20UjUj <br /> (T <br /> ar C.I <br /> � �5 <br /> �'�z.racQlfld►1 <br /> 20 014 3?62.1 CoA+t a,l"rrZ goc 1,0yj �KjC� <br /> �aAC <<1 .cr-J fir,IZ(Ab,A4IAA,94 /44®ao)egD�) �l <br /> •m,►tCo,�u1C�,ye�� �, gCl�`fovoCt�Era.►tC <br /> zZS ,'!c� lam-. Iba7 SS <br /> 0R rC///ofr PrrCCrl A1C c4� bF 67 <br /> !>e<I 3 2(0(0 &'4S7t 6/L4,eD,f tee- z4ot QST ft, <br /> racC-fwl C, &/03. 1r �aQr�iw A DJOaxi <br /> V AJ 09 (.v 57 f��,t t �c,i7deU �� SS I <br /> 1 . <br /> 32.Spa 'ai Handling lnsiructions andAd E naE ormal'on <br /> ►5a�1��r.u1� ,L�� _�y /ern)/g C�►ua.Sr.oc.f� S�Ar� 1xS ZZ ++t.k. k�b .,( c ��zl <br /> AO <br /> 1b DXr 7a,c►e.C-/d .�`L-�S(/x S� b CoH...�c.�� (� C'ZX) L3 Ca-n 69s( c//� 34-2z C/ /S <br /> 17 _1_�,c,L 4-1.4, CIXS) <br /> LC-/ SC-17I n Z �0AoLLl�tp,+�t1C/p jL�D�KST�Y.5'0401UM/�.00C +j9,ifL_1XL"���� <br /> 33.Trans er Arnowl enl of ROept of Materials <br /> �u Prinledlryped Name SiValure <br /> 0 Month Day Year <br /> a <br /> Z 34.Transporter AcknoWed9uni of Rempt of Materials <br /> Prinledlryped Name <br /> lotus anlh ay ear <br /> 35.Discrepancy <br /> 'U <br /> a <br /> a <br /> Q36,Hazardous Waste Repor!Mairagement Meftd Codes(l.e.,codes for hazardous waste treatmenl,dispoaal,and recycling systems) <br /> z <br /> is <br /> N <br /> E!1 <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />