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Please print or type.(Form designed for use on elite(12-Ditch)typewriter.] Form roved.OMB No.2050.0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number22.Page 23,Manifest Tracking Number <br /> (Continuation Sheet) GRL00$� 4 68 c 2 . 009.157022FLE <br /> 2d.Generator's Name <br /> ;,Ra l;l�ar°:f;gn:erai#1�593, . <br /> 25. Transporter Company Name U.S.EPA ID Number <br /> 26.Transporter Company Name I U.S.EPA ID Number <br /> I <br /> 27a. 27b.U.S.DOT Description{ndWing Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.tlnit 31.Waste Codes <br /> HM and Packing Group{f any)) No. Type Quantity WtAvol. <br /> 5.Non RCRA hazardous waste, solid (Consumer I DF 00053 P 331 <br /> -Pr oducts) <br /> 0 <br /> w <br /> z <br /> w <br /> t7 <br /> I <br /> 32.Special Handling Instructions and Additional information <br /> 5. 1.10529(Non—RCRA Solid Waste (CA Only) — Loosepack) <br /> 33.Transoorffir ienf of Receipt of Mateft <br /> U.1 PdntedfTyped Name Signature CtMonth Day year <br /> a I <br /> Z 34.Tiansponer AdmMedom nil of PecEfpl of Materials <br /> Printealyped Name Signature month pay Yew <br /> 35.Discrepancy <br /> U <br /> O <br /> W <br /> as.Mars Rexarr Manwalem Method Codes(i.e.,codes for hazardous waste treatmenk&posa),and mciafmg spm) <br /> rn <br /> W <br /> 6 1 1 I 1 <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br /> -4 AA L A I nn 4 frtrh r.4 L- <br />