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Please print or type. Form Approved.OMB No.20540039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST Ge rotor ID m r 2,1V 23.Manifest Tracking Numher <br /> (Continuation Sheet) <br /> 24.Generators Name <br /> ELL <br /> 25. Tmnsponer Company Name �/ Aj� U.S.EPA ID Number <br /> T-cr 6Ti /' m i`��f, -� ern o ��✓o�P� <br /> 26 s�°her <br /> Gf/s V U.S.EPA ID Number <br /> mpaname <br /> 0� ✓• /'^ G . 72-:22-9 <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 Gmup if any)) No. Type Quantity Wt.Nol. 31.Waste Codes <br /> K <br /> QO <br /> K <br /> w <br /> z <br /> w <br /> 0 <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter �Ackrrowkd menrt of Receipt of Materials <br /> O PnntedlTyped ' /� Signature Month �y �r <br /> le- <br /> i 34.Transporter k' cknowledgme/1n�,t o{f^Receipt of Materials`/(/(,, 9 <br /> Pnnted7Typed Name Signature Month Day Year <br /> 14V <br /> 35.Discrepancy <br /> J <br /> U <br /> 6 <br /> LL <br /> 0 <br /> Q36.Hazardous Waste Report Management Method Codes(i e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> z <br /> i y <br /> W <br /> D <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFESTSYSTEPI <br />