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-Pl <br /> ease pnn or pe. <br /> --------- - — - - _ <br /> proved.OMB No.2050 0039 <br /> -UNIFORM HIMO-OUS WASTE MANIFEST <br /> .Generator r Form 2 a e <br /> (Continuation Sheet) est Trac in <br /> 24.Generator's Name <br /> I <br /> 25. Transporter_ Company Name <br /> . . _ s - U.S.EPA ID Number <br /> a l—� zf <br /> 26. Transporter Company Name� � b6f <br /> so <br /> U. .EPA ID Number <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard 3 Class,ID Number, 2Z2S� <br /> HM and Packing Group(if any)) 28.Containers 29 Total 30.Unit <br /> No. Type Quantity Wt./Vol. 31 Waste Codes <br /> O <br /> W <br /> Z <br /> W <br /> C7 <br /> 32.Special Handling Inst actions and Additional Information <br /> 33.Trans rte_ Acknowledgment of Receipt of Materials <br /> LU Printed <br /> 0 <br /> Signal <br /> a y <br /> Month Da Year <br /> �iS <br /> Z 34.Transporter Acknowledgment of Receipt of Materials <br /> Printed/Typed Name <br /> ►— Signature <br /> �(�� � Month Day Year <br /> >- 35.Discrepancy q <br /> U <br /> Q <br /> 0 <br /> W <br /> Q 36.Hazardous Waste Repot Management Method Codes(i.e.,coo__hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> 9 <br /> co <br /> W <br /> 0 <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. <br /> DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />