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Pir;�so rin r" Formtiesi ned'tarusoon!elllei 12, itch ewnier, <br /> UNIT RM HAXARbQU5 WASTE MANINEST 21.Genomlor ID Numbar FormAoprovad.OMB No,2050.DU39 <br /> (Continua tIon'Sheet) ?2.Page 23,Manifest Tradking Number. <br /> 24,Generator's Name <br /> SAME <br /> s , t+ 'fl r• _ <br /> 25, Transporter ` Company Name t ;h,t 1r c r U.S.EP ID Number <br /> yi <br /> �:.c3i : }tri#'(tiifa3 #t1,�f >; <br /> 28. Transporter Company Name t <br /> b'r y U.5.EpA ID Number <br /> �f til27aA ii � rt,K vr aj 7 <br /> HM and27bU.S.COT Dp.(If ny)on(includingPrope}Shl ping Name,Hazard Class,ID Number, ! <br /> hltvl and Packng Group.(If any)) 28,Conlolners 29.Tolal 30,Unit <br /> No. . .Type-< -Quan6!YW6Nol 31,Waste Codes <br /> - <br /> LU <br /> I <br /> t' <br /> 1' <br /> Z I tYl, <br /> i <br /> I <br /> i <br /> C <br /> 32 Special Handling Instructions and Addigonal Intorma ion <br /> 33.Trans orter_b .Acknowled rnentofRecei tof menials <br /> Printedlryped Name ` <br /> O f+ Signal Month Day <br /> { :#1 ,.7�3ta.+?>#P,,l� , " year <br /> CL <br /> Zd 34.Trans oder. Acii 1011iledgmenioPRecai rofMalon Is 1 i" .y <br /> rY PrinteVyped Name <br /> r r; gnalure <br /> oblh Day ear <br /> 35,Discrepancy <br /> f <br /> { <br /> I <br /> 36.Hazardous 4Vasie Roport ManagemenCMethod Codes(i.e.,codes for fiazatdous waste bealmenl,disposal,and recycling systems) <br /> z <br /> U <br /> U) <br /> t <br /> :PA Form 870MM(Rev,3.05) Previous edilions are o sol le. <br /> /±CAICD AYAnio uur,a, nnd,., '',. <br />