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N Please print or type. Form Approved.OMB No.2050-0039 <br /> vti M UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number / 22.Page 11 23.Manifest Tracking Number <br /> O (Continuation Sheet) CAC(JO3�92 )lp� Z QQ335 36S TX <br /> m24.Generator's Name <br /> 10 3A-T4 moTofz FRFJ. H i <br /> 0 <br /> U.S.EPA ID Number <br /> TE <br /> K 25. Transporter Company Name ;FS 6/7-V 5'5'8:2423 cl'D-- <br /> 26.Transporter_Company Name 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 /> 31.Waste Codes <br /> HM and Packing Group(if any)) No. Type. Ouantily, WLNoI. <br /> 1✓oA/ RCR A RZAR DOUS t/.4STC� cSOL�D �' <br /> L .Q l3 Sod 13 7✓T Cit✓ N mm ER 6LEA v JIT) 2- <br /> IN/D),/ <br /> NDu R cR b.s z�R nous t✓Asrc, 1 v> p 13 <br /> �J2LniSEA7 ti HAMMF'k 6L--A W-) <br /> W � �pFr <br /> m <br /> O <br /> � w <br /> n Z <br /> w <br /> S � <br /> E <br /> 0 <br /> k <br /> iZ <br /> I' o <br /> x <br /> Q <br /> m <br /> J� <br /> 32.Special Handling Instructions and Additional Information j$ .� 9 0 i } <br /> Y�07r 22 <br /> I1/; 1,11FAR PRoP�-rz Pp 1✓ �N J�A�D`�l✓Cr <br /> 33.Transporter Acknowledgment of Receipt of Materials <br /> Prinled/Typed Name Signature Month Day Year <br /> o � <br /> O <br /> a <br /> Z 34.Transporter Acknowledgment of Receipt of Materials <br /> Printed/Typed Name Signature Month Day Year <br /> t— <br /> } 35 Discrepancy <br /> H <br /> _J <br /> U <br /> LL <br /> Q� 1 <br /> 3F Hazardous Waste Report Management Method Codes(i.e,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Z <br /> O <br /> V) <br /> LU 1 <br /> a <br /> EPA Form 8700-22A(Rev 12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />