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Please print or type. <br /> Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 23.Manifest Tracking Number <br /> (Continuation Sheet) CAL000312206 3 �677i f(S <br /> 24.Generators Name I <br /> LES SCHWAB TIRE CENTER Nfi SAIAE I <br /> 25. Transporter 5 Company NameTRI STATE MOTOR TRANSIT CO. U.S.EPA ID Number <br /> 26. Transporter 6 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 31_Waste Codes <br /> HM and Packing Group(if any)) No. Type Quantity Wt.IVoi. <br /> n: <br /> Q0 <br /> WTPO <br /> Z <br /> W <br /> C7 <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter Ackm ed meat of Receipt of Materials <br /> N Printedlfyped Name Signature Mo th Da (Year <br /> Z 34.Transporter Acknowledgment of Receipt of Materials <br /> PrintedfTyped Name Signature Month Day Year <br /> F <br /> 35.Discrepancy <br /> 1 <br /> v <br /> LL <br /> 0 <br /> Q36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> z <br /> t9 <br /> LU <br /> W <br /> D <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITYTO EPA's e-MANIFEST SYSTEM. <br />