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4 <br /> r. <br /> Please printor type. Foran designed for use on elite .12- itch typewriter.) Form Approved.OMS No.2050.0'039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121.Generator ID Number 22.Page 23.Manifesl Iracking Nuinhff <br /> (Continuation Sheet) Ai_WO 207 46 <br /> 24,Generator's Name <br /> V&ST lik"M <br /> U.S.EPA Io Number <br /> 25, Transporter Company Name <br /> 26 Transporter Company Name U.S.EPA ID Number <br /> 27a 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit <br /> HM and Packing Group(if any)) No. Type <br /> Ouan)ity Wt.Nol. <br /> P WDy X31+.Waste Codes <br /> h:i'oi�ltii;-�Fa►aesi. S tW1'Pi� o_Bt+C, l=t t}!, i3�.r�E'I��� �Q i16' ti'Y I 0M �.IY�Ci71 <br /> I <br /> a l <br /> MI. <br /> 0 <br /> 32•S Cfa)Na ing n�tFNfctblls�tltl:AdAltfeflal�rtfdEmetCOrf"M Xs?rry!AVS V$Q.W rod.,dpi <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> H PrinledfTyped Name Slgnature Monlh Day Year <br /> O <br /> IL <br /> Z34•Transporter Acknowledgment of Receipt of Materials <br /> Printed(ryped Name SIgnaturo Manih Day ear <br /> } 35.Discrepancy <br /> J <br /> U <br /> a <br /> LL <br /> O <br /> a36. ardo�11alojReport Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systemsl <br /> Z <br /> O <br /> LU <br /> W <br /> D <br /> EPA Form 8700-22A(Rev.3-05),Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR <br />