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Please pnnt or type. Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST r Oe P 9e 2 Tracking Number <br /> (Continuation Sheet) <br /> 24.Generators Name <br /> - � U.S.EPA ID Number <br /> 25. Transporter Company Name ✓/' (a p'✓ Z��P� <br /> U.S.EPA ID Number <br /> 26. a orter C any Na <br /> �,7' 40 c„ e . I �. . . �� 2zzs o <br /> 27a. 27b,U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 26.Containers 29.Total 30.Unit <br /> 31.Waste Codes <br /> HM and Packing Group(rf any)) No. Type Quantity Wt.Nol. <br /> OQ <br /> K <br /> w <br /> z <br /> W <br /> C7 <br /> 32.Special Handling Instructions and Additional Information <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> w PrntedlTyped Na ^ Signature Month Day Year <br /> G �G <br /> a <br /> z 34.Transporter Ackrwwledgment of Receipt of Materials <br /> Signature Month Day Year <br /> Pnnted/Typed Name ` 6 /y <br /> r � , <br /> 35.Discrepancy - <br /> J <br /> U <br /> Q <br /> LL <br /> 0 <br /> W <br /> 4 36.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems <br /> z <br /> O <br /> rn I <br /> EPA Form 8700-22A(Rev.12-17) Previous editions are obsolete. DESIGNATED FACILITYTO EPA's e•MANIFEST SYSTEM <br />