Laserfiche WebLink
i L please print or tvoe.(Form designed for use on elite f12 itch typewriter.) Form Approved.OMB No,2p54 pp3g <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121.Generator ID Number 22,PagTracking e 23.Manifest Number <br /> (Continuation Sheet) ALX371993 Q 0Qi8572�t74FLE <br /> 29.GaneraW6 Name <br /> Dollar General #k13357 <br /> 25.TransporterU.S.WAR)Numberer Company Name f <br /> 26.Transporter Company Name U S.EPA ID Number <br /> f <br /> 27a, 27b.U.S.DOT Description(Including Proper Shipping Name,Hazard Class,10 Number, 28.Containers 29.Total 3g.Unit 31.Waste Codes <br /> HM and Packing Group of any)) No. Type Quanbly WL/vol. <br /> .►.Nun nt,nA !1a2;Rrd6u5 was e, lxquaa kLOTISumer 1 00114 P 331 <br /> Products), <br /> .Non RCRQ hazardous waste, solid (Consumer 1 DF 100263 p 331 <br /> Products), <br /> 7.Universal Waste Fluorescent Lamps 1 CF 0001101 P <br /> x <br /> 0 <br /> Z <br /> w <br /> I - <br /> r <br /> 32.SpeclalHandnglnstmcBonsandAddiBonallnforrna8on!5. 1101524(Non—RCRA Liquid Waste SCA Only) — Loosepack) 6. <br /> 110529(Non—RCRA Solid Waste (CA Only) — Loosepack) 7. 110521(Fluorescent Lamps. UW -- Misc. <br /> Shapes) <br /> 33 Transporter AdmoWzd morrtofReceiptorMatedals <br /> rl:t Pdnted/Typed Name Stgnature Month Day Year <br /> 34.Transoodor _Arlcnpaf ofReolotofMalerials <br /> Prin(edfrypedlVama signature Month Day Year <br /> 35,t7tscrepancy <br /> r 39.Haxsrd s <br /> We Report Management Method Codes fA,cedes for hazardous waste treatment,disI, nd recycNng Systems) <br /> 00 <br /> �► f t <br /> Q EPA Form 670D-22A( 3.05) Prevtgus edttimis are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />