Orange County NC Website
Browse       Search
Fann Annroved. OMB No. 2O5O-0939 <br />EPA Form 8700-22K(Rev. 3-05) Previous edlffonb are obsolete. <br />DESIGNATED FACILITY TO GENERATOR <br />-UNIF1R RDOUS WASTE MANIFEST <br />(Continuation sheaq <br />21. Generates ID Number <br />22• Page <br />M.Mantlast hacking Number <br />24. Generstoes Name <br />ORMM CIDUM DEPT. OF SMD WA97E <br />U.&WAID Number <br />25. Transporter Compaq Name <br />U.S. EPA ID Number <br />26. Trafispoiter Company Nana_ <br />278. <br />HM <br />27b. U.S. DOT Desc(oon (Including Proper Shipping Name, Hazard Class, 10 Number, - <br />and Packing Group Qfajy)) <br />28• Cort*ers <br />29, TOW <br />Quantity <br />30..Unt. <br />wuvw. <br />M. Waste Codes <br />No. <br />Type <br />PESTMIS1.80U), TOM KO.S., (VMM PE M <br />6 UQW, TOW, NA&, PAZM ft~U 6-ff <br />-,P, <br />7 LAWW, F <br />1%M4Q7 <br />­ v <br />M <br />6 "RUAPWA MAE" <br />T2.—SpglVpo! cc) sfdAddfflonalinfonna§Oh, <br />0 <br />U Thansooder AdowMedgmentof Recelptoi Materials <br />PrIntedrPiped Name bignawre Month My Year. <br />34. Tirenspoder AcknoMedg meat ot Real ptofMaterials *nth Day <br />Pdntd(TyW Nam Signature Year <br />LL. <br />35. Disarepency <br />36. Hazardous Waste Report Managementheftc Codes Q.V." codes ffif hazardous waste beafine I11, v e <br />I L It' <br />EPA Form 8700-22K(Rev. 3-05) Previous edlffonb are obsolete. <br />DESIGNATED FACILITY TO GENERATOR <br />