Laserfiche WebLink
m desi ned for use on elite 12- itch t ewriter. <br /> t1NIFORM HAZARDOUS WASTE MAn11F"ESTT Form A roved.ONIB No.2050-0039 21.Generator ID Number 22.pace 23.Manifest Tracking Number <br /> (Continuation Sheet) <br /> 24.Generator's Name <br /> 25. Transporter Company Name U.S.EPA ID Number <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 <br /> HM and Packing Group(if any)) 29.Total 30.Unit 31.Waste Codes <br /> No. Type Quantity Wt.Nol. <br /> i <br /> O <br /> w <br /> Z <br /> w <br /> c7 <br /> .......... I <br /> j I <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter_ Acknowledgment of Receipt of Materials <br /> Printed Typed Name Signature Month Day Year <br /> O <br /> a <br /> Z 34.Trans orter Acknowled ment of Recei t of Materials <br /> Printed/Typed Name Signature Month Day Year <br /> 35.Discrepancy <br /> H <br /> J <br /> U <br /> Q <br /> LL <br /> LU <br /> W <br /> Q 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> (.9 <br /> w <br /> 0 <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete, <br /> CES0j,4T't7 yCU770 uEI$ M <br />