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P19amt r�nl r. Fo m de cd la u a an e1t1e 12 !ch inwn[er. 6)1800836116-001 SC PPW 10/10!2017 Form A OM No.20S0-0D39 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21-Oenoretur 0 Nmrarcr ge wannest Trticklna Nw4w <br /> (Continuation Sheet) CAR 0 0 0 2 2 2 5 6 2 2 of 2 iGS595GFLE <br /> 24 risneragrs kvne �f <br /> EzelCloro: <br /> 25 Transporter Company Name <br /> U.S.EPA ID Nw,, r <br /> 26 Transporter_Company Name <br /> U.5-BIA 0 Number <br /> 27a 27b.U.S DOT DeaaiNon(Including Proper Shlppkq Name,Hazard pass,ID Number, 28.Containers 29.T.W 30 Unit <br /> HM and Pecking Croup(r any)) ' No. Type Quantity WUVol, 31.Waste Codes <br /> x 5.UN3266_WASTE CORROSIVE LIOUID_BASIC_INORGANIC. 02 551 <br /> N.O.S._(INERT.SODIUM HYPOCHLORITE BLEACH11.8.PG II 006 D F 01045 P p0 <br /> X <br /> G.UN179i,WASTE HYPOCHLORITE SOLUTIONS,S.PG III D002 122 <br /> 003 D F 00240 P <br /> 7.NON-RCRA HAZARDOUS WASTE,LIQUIDS,(CLEANER,SOAP) 551 <br /> 00i OF 00200 P <br /> oe <br /> 4 <br /> 57 <br /> v.S*al Hnrsanvl%5r;K4orq and lon"I ddormnbm <br /> 5.L1"_C:EIS JERCrvNl59 5X55,iX30 <br /> 6_CH1466053 EQG4154 2X.S,LX20 <br /> 7.Lc=y 1X55 <br /> 33 bans er pcknrwi oral Ruc,eipl or Ndenals <br /> n Pmh Mffd Nanw ttoplb q y YCO <br /> 0. <br /> 34 Ra mrm_ Adum4w2gmanl of 1 of MaierAH <br /> Prinled7yped f7aag a n ()my voar <br /> 35 D1screpancy <br /> J <br /> V <br /> LL <br /> O <br /> a36-Hazardous Waste Report Management Method Codes(i a.codes cur hazardous waste treabnent,disposal,and recycling systems) <br /> z 5.H14i 6.H070 7.H14i <br /> w <br /> w <br /> EPA Form 570a22A(Rev.3.05)Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br /> Clean Harbors has the aooroonate oennrts for and will aeeeot the waste the fenerator is shiuoinc <br />