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Please print or type. Form Approved,OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST ato ber 22.Page 23.Manifest Tracking Number/ <br /> (Continuation Sheet) �) L e— j&�S <br /> 24.Generator's Name <br /> 25. Transporter Company Name 7 '��� r—� ��, r U.S.EPA ID Number .-- <br /> �.�� �ice-/� ��-j�-�•_� �i'.���;z�'c� <br /> U.S.EPA ID Number <br /> 26, Transporter C m any Name <br /> di�oKwce•v�aC n/iccz �L b03'13 yzzSa <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 Quantity Wt./Vol. 31 Waste Codes <br /> O <br /> Q <br /> U.1 <br /> Z <br /> w <br /> CD <br /> f <br /> I <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> Lu PrintedlT pe / Signature Mo^nth� Day Year <br /> O <br /> a <br /> z <br /> 34.Transporter Acknowledgment of Receipt of Materials <br /> < PrintedlTyped Name Signature Month Day Year <br /> Y 35.Discrepancy <br /> H <br /> U <br /> Q <br /> LL <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 /> c� <br /> Cn <br /> w <br /> 0 <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITYTO EPA's e-MANIFEST SYSTEM <br />