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Please print or type. <br /> Form Approved.OMB No.2450 0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST � erator 22.Page_ 23, aniFest Tracking mbar <br /> (Continuation Sheet) 1 J� �j-- <br /> 24.Generators Name <br /> 0 � 1 <br /> 25. Transporter—.e Company Name"^. U.S.EPA ID Number <br /> 266 r sporter mpany fume U.S.EPA ID Number <br /> OrY� E C .tc 22.ZS0 <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28.Containers <br /> HM and Packing Group(if any)) 29.Total 30.Unit 31.Waste Codes <br /> No. Type Quantity wuvol. <br /> rY <br /> O <br /> w <br /> Z <br /> t <br /> 32.Special Handling Instructions and Additfonaf Information <br /> a 33.Transporter Acknowledgment of Receipt of Materials <br /> ILLI PrintedlTyped Na r Signature Month Day Year <br /> Ix <br /> Z 34.Transporter Acknowledgment of Receipt of Materials <br /> PrintedlTyped N <br /> F t Signature Month Day Year <br /> T 35.Discrepancy <br /> J_ <br /> U <br /> a <br /> 0 <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 /> C1 <br /> rn <br /> LU <br /> D <br /> EPA Form 8744-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITYTO EPA's e-MANIFEST SYSTEM <br />