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Please print or W. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTMANIFEST rat r N , y IT r It ,N , <br /> Continuation Sheet) fit/1't <br /> 24,Generators Name <br /> 25.Transported Company Name A <br /> J <br /> 26.Transporter Company Name U.S.EPA ID Number <br /> 27a. 27bU.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29.Total 30.Unit <br /> 31.Waste Codes <br /> HM and Packing Group('rf any)) No. Type Quantity WGNoI. <br /> E <br /> O <br /> z <br /> w <br /> 32.Special Handling Instructions and Additional Information <br /> a 33.Transporter Acknowledgmen of R cel of Matenals <br /> F PrintedRyped Signet e M <br /> CIL <br /> rn 34.Transporter Adcnowled ment of Receipt of Materials <br /> Z <br /> Printed/Typed Name Signature Month Day Year <br /> F <br /> 35.Discrepancy <br /> J_ <br /> (,a <br /> Q <br /> LL <br /> O <br /> W <br /> a 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> C7 <br /> N <br /> W <br /> O <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITYTO EPA's e-MANIFEST SYSTEM <br /> OR14472_WT_006687010SKS 598 <br />