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Plevse orint or tvoe <br /> Form Approved. OMB No. 2050-0039 <br />cc 0 1—a cr: Lu <br />UNIFORM HAZARDOUS WASTE MANIFEST <br />(Continuation Sheet) <br />21. Generator ID Number <br />CiP\t CC'S ---1 SS3 <br />22. Page 23. Manifest Tracking Number <br />c7o3'5.31 '4 IS 6,---, eF <br />24. Generators Name <br />Fell-DEUS-3 ;., Me,ch.onts Q3cinl< <br />25 Transporter _ 'ID Company Name efw\ruiyu,n,A-A Mcinct.cp,Mn-i- 'Tech nolog <br />U.S. EPA ID Number <br />iies cw 00 ‘ 8-35-iq <br />U.S. EPA ID Number <br />26. Transporter Company Name <br />I <br />27a. 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 any)) No. Type Quantity VVt.Nol. ( GENI ___. ... <br />—.- <br />Special Handling Instructions and Additional Information TRANSPORTER I Transporter "2, Acknowledgment of Receipt of Materials <br />Printed/Typed Name <br />CI \I Pc coM. olY9w2-+ <br />Signature Month Day Year <br />I Ccac,(J:1-0 cc_ I I <br />TranspoWer Acknowledgment of Receipt of Materials <br />Printed/Typed Name Signature Month Day Year <br />I I I I <br />r_ n 0 < L. 0 <br />1— < z <br />0 <br />Fr, ui CZI <br />Discrepancy <br />Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recyding systems) <br />I I I I <br />I I I I <br />EPA Form 8700-22A (Rev. 12-17) Previous editions are obsolete. s e-