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Pfoase print or type.(Farm designed for use on elite(12-ofteh)typewriter.) 313450-3 <br /> U <br /> NIFORMRDOUS WASTE MANIFEST 21.Generator+a Number Form APPI-ed.OMB No.2050-0039 <br /> 22 Page 23,IAanlfest Tracking Number <br /> 1meORES <br /> 390 PHIL LIP RD ATTN: I1fMA ffRARU GotlRli 6H 43221L- <br /> 25. <br /> 1 25. Transporter Company Name it S.EPA lG Number <br /> 26.Transporter Company Name u-5.EPA 10 Number <br /> 27a. 21b.U-S.DOTAsscriplion(indud;rg Proper Shipping Name,Hazard Clens.Q Number. 28-Conteinam <br /> HM and Paddng GruUpcdany)1 29.Total W.Unit <br /> 3t.4Vas1e odes <br /> 5 091993 WASTE FLAt11IADLE LIQUIDS, N,6.S. (REATISFNE, DIESEL) 3 Na �Ty� i}uanti€y wlNa, <br /> PSII R0061I1=1661 j 331 DQaI D095 <br /> 1 P <br /> PRO? JLJOL <br /> X <br /> �- 8�t- <br /> LV <br /> x 3 1 <br /> pLC�unr�i ,rte=� � /1 i � �JQQ <br /> 9 331 D401 <br /> w P <br /> WSTE TOXIC, LIQUIDS, ORGANIC, R.O.S. {2,4-D) 6.1 PGII <br /> PF <br /> P 331 D6I6 <br /> T <br /> X <br /> lc--rtvei rt�a� 4��n7Ylllif 11111`Tr rnrM tnrrr n..r . <br /> V rP rrTL <br /> !PI 5 <br /> 32.Sped alHandunglnstn,d�ons&WAid;3onallntonnanan i t - E RDi2 a I F L WA FLT t --U-1 D RFUME-94 MUM PERFUnE ? <br /> ILPERQXIDE-64 - MOW HYDROGEN PEROXIDE (B) ILPCOLTRI-03 - ERG(1401 POOL1l�A. CHLORINE T (9) ILTOXIC-03 - ERG(153! TOXIC <br /> LIQUIDS LOOSEP (161 UVILEACH-04 - ER6(154) BLEPCH (11) ILHONRE61LIQ-04 - NOH-REGULATED UASTE (121 Yi1DETGRNTSOL-04 - 59LID LAJHDRY <br /> DET£RG `13; METRVTLIQ-O4 - LIQUID LAUNDRY DETER (14) 1lLNONREMt-64 - RON REGULATED <br /> 33.Trans iter cf Receipt of Materials <br /> F PdntedfTvped Name Sgnaiura Month Oay Year <br /> O <br /> a <br /> M.Tra iter Admowietlg7W of Rjaceipl of M&mts <br /> PnnlediTyped Name Mardi Ray Year <br /> 35.MV epancy <br /> U <br /> Q <br /> iL <br /> Q <br /> LU <br /> 3B.liwdous Waste Report Management MeW Codes(i.e.,codas for h sib tmatment disposal,and mcyqusoers1 <br /> N <br /> U] <br /> i6) (111 i3! (13) (141 <br /> EPA 700-22A(Rev.&05) Prpviaus editcns are obsolete. 91 910NAT1 1)Fa., 9`TG DFS T I1IAA F;O'=# (;r REQZ PE-D)) <br />