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Please print or type Form designed for use on elite 2-pitch)typewriter.) Farm Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21,Generator ID Number 22.Page 23.Manifest Tracking Number <br /> (Continuation Sheet) CAL0013411374 2 015836817JJK <br /> 24.Generators Name <br /> SALLY 13EAUTY SUPPUES$744 <br /> 25. Transporter Company Name US EPA ID Number <br /> - <br /> TRIMSA USA,INC. <br /> U.S.EPA ID Number <br /> 26, Transpo er Company Name <br /> 270, 27b U.S.DOT Description{including Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29,Total 30.Unit 31.Waste Codes <br /> HM and Packing Group(if ary)) No. Type Quantity WtJVol. <br /> I <br /> K UN1479,WASTE CMDONG SOLID,N.O.S.(POTASSIUM r 141 D001 <br /> PERSULFATE,SODIUM PERSULFATE),5.1,PG III G <br /> O <br /> a <br /> w <br /> a <br /> w <br /> [7 <br /> I <br /> 32.Special Handling Instructions and Additional Information <br /> 5)R rili oli, 1`F-1-D'r) <br /> PRIMARY EXPORTER: TEMARRY RECYCLING INC. <br /> 33.Transporter Ackrowled ment of Receipt of Materials <br /> 1w-- PrintedlTyped Name Signature Month Day Year <br /> C4 <br /> O <br /> 4. <br /> Z 34.Trans oder Acknowledgment of Receipt of Materals <br /> PnntedfTyped Name Signature Mcnih Day Year <br /> r 35.Discrepancy <br /> t— <br /> a <br /> U <br /> a <br /> LL <br /> O <br /> W <br /> Q 36.Hazard �asteport Management Method Codes(i 0 codes for hazardous waste treatment,disposal.and recycling systems) <br /> W <br /> 0 <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />