Laserfiche WebLink
Please pent or type. SC MA PM 8/1/2020 Form Approved,OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21. n for I N r22.Page 23.M nicest TrackingNumber <br /> (Continuation Sheet) LL <br /> I <br /> 24.Generators Name <br /> vjr��w to <br /> r <br /> U.S.EPA ID Number <br /> 25. Transporter company Name 1115tDtr MoEo1 Tlalplt MOD 0 9 5 0 3 8 9 9 8 <br /> 26. Transporter Company Name <br /> U.S.EPA ID Number <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.Nol. 31.Waste Codes <br /> K <br /> aO <br /> K <br /> W <br /> z <br /> W <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> r Pnntedrryped me S' not Month Day Year <br /> i 12-6 <br /> Z 34.Transporter cknowfedgment of Receipt of Materials <br /> PnmtedlTypetl Name Signature Month Day Year <br /> H <br /> 35.Discrepancy <br /> J <br /> U <br /> Q <br /> LL <br /> D <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 /> fJ <br /> N <br /> W <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br /> IYwww YwMw�Ar ahw wl wrwaM all w w Mw ruwN•I MI IawwwNwr r.oil lwl <br />