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t 31?8039 <br /> Please p(Mor omi deigned for use on elite(42-pitch} .I Farm Approved.OMB No.26.5641089 <br /> UNWOM HIIZARDOftS WASTE NAHIFEST 21,Generator ID Number 22.Page 2 23-dEanifesl Fracktng Number <br /> (Contirtuabw ShwQ 3 <br /> 24.eena*oN Name <br /> .n A : INS FERM E I?5 .13229 (614)210-7798 <br /> U.S.EPAID Nurnbar <br /> 26:Tran poser Company Name <br /> U.S.EPA ID Number <br /> Commy Name <br /> glggS.DOTDesp#h_(hduding Proper Shipping Name,HazardOzss,ID tdumW, 28.Containers 29.Total 39.U d <br /> GrouQ(it am J? No. <br /> Type Quantity tNtlVuJ. 31.Wade Codes <br /> LIQUIDS, . . . tE ; �93 TE 00111 00es <br /> �'z 1-- �00EtI=1011 <br /> 1I = <br /> W_ CO 12118 <br /> Tj <br /> pc <br /> MAN <br /> ® , . . . <br /> t <br /> t <br /> 6 OFl2IN VASTE TOXIC, LI11 IS, OR C, N.O.S. t2,1-01 6.1 PFII � � � 331 JO16 <br /> FS <br /> 10 MPH <br /> 1 <br /> WASTE <br /> 6-11 H <br /> pe<�f Handl ng lns6�rcTia+>s and Additional lrffotrnatblt <br /> %L"F-1-Al ILTOM-03 MR-1153) TOXIC <br /> L14DIN LOW I <br /> �-Trar�ter Acf7mvAedgrnerrtaFftecettrfhlaterla� <br /> Rintedlfyped Name <br /> Si+glahrra Month Day Year <br /> 34.7rarrsporfer _ArJm. rnent of I pt of 6Aahar" <br /> PrintedtTyped Name $i�rtelir2 <br /> Morlh Day Year <br /> 35.Discrepancy <br /> ra <br /> 38 Haze s <br /> +t 'fa9ement MeffM Codes M.,cades Por hazardous uasfe fmahent,disposal.and ne rj,g systems <br /> £P,4 Form 8700 22A(Rev.3-05) Previous yT.ur 031 5# t�iAT it FACILITY TO L3ESTiNATION STATE(IF REQUIRED) <br /> 71 <br />