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Piease.nni o•NX =o^:Ges cnee`c use on el te 112-pita,typewriter.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFE 121-C-eieato-10INumber 22.Page23,Manifest Tracking Number <br /> (Continuation Sheet) <br /> 2� G=nerlo s\a e <br /> U.S.EPA ID Number <br /> 2. <br /> U.S.EPA ID Number <br /> I <br /> �= a_, �_-ae 28.Containers 29.Tolal 3C.Unil <br /> 31.Waste Codes <br /> No Type Quantity WtrVol <br /> i <br /> i <br /> I <br /> 1 <br /> I ' <br /> O --- <br /> W <br /> i <br /> t <br /> i <br /> i I 1 <br /> i <br /> i <br /> 33.Transporter Acknowied meet e`Receipt of 6laterials <br /> H Printed/Typed Name Signature Month Day Year <br /> O <br /> a <br /> 2 34.Transporter Acknowledgment of Receipt of Materials <br /> PrintedrTyped Name Signature Month Day Year <br /> H <br /> 35.Discrepancy <br /> J <br /> U <br /> LL <br /> G <br /> LU <br /> 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> C9 <br /> W <br /> Q <br /> 4. EPA Form 870O-22A(Rev.3-05) Previousedfionsare obsdete. TRANSPORTER'S COPY <br /> 99O/9ZOP OMI SOAS ANH MRONHHH 66VCSVVLOLT YVA OZ:9T TTOZ/ZZ/80 <br />