|
40
<br /> :). ' •,..A • . [ .
<br /> W"^•••-4:4 . e:
<br /> Please print orArpr,(Form designed for use onellte(12-pitch)typewriter.) .. Form Approved.OMB No 2050-0039
<br /> -
<br /> A, UNIF9#14AZARDOUS WASTE MANIFEST 21.Glnerab'r ID Number 2.2.Page 23.Montreal Tracking Number
<br /> ' /A • (Continuation p heel) I
<br /> • t.01,406037.(k1 ..
<br /> 2
<br /> 24.Generator's Name • ( .
<br /> . .
<br /> • ORANGE(X,ItfillY 4EPT.OF SOLO WAS'it A/ . . •
<br /> .
<br /> . .
<br /> . .
<br /> . ...
<br /> 2.5.Trensporter ' - Company Name , . U.S:E.,PAID Numbar -. •
<br /> . - ' I . . ' . . ....
<br /> . . .
<br /> . .
<br /> ' ' -' 4 U S EPA ID Numbar .
<br /> 26,Traliap.orter : Company Name .„. , . •
<br /> . 1
<br /> • . • .,
<br /> , .
<br /> • 27a. 2ib.U.S.DQT DessdpVen(including Proper Shipping Name,Hazard Class,ID Number,- 2B.C°Mainers . 29.Total 30.Vett, • 31.wasii,Codas ' 1'
<br /> 'HM and Pecking Group(If soy)) - ,
<br /> +- Type Quantity WI Vol. ■
<br /> :1
<br /> ,
<br /> . P1411LIDES,„SUM,70)60,14,0S.,(ViWOUS PESTIMES AND
<br /> rieRsomo,e,i,wen,II,E$101154 F /9
<br /> e,-,76,/ p . k9z,tf.,,
<br /> lwitiv4r2o ,
<br /> 6 Pt:SWIMS,Liam),umc,N.0.6„(DAMON,rh.ttORDANE),Ci,
<br /> . Limn it ER00161 00/ 6F •cza-xo /4' ,- .-
<br /> ' I 151411P1429 .
<br /> • f 7 LATEXPMIT +4.. •.:.. v__,..::.,.. _ii-:,.... ...1,. ..;, . ',' , :i ,.- , :3
<br /> ' 6,219 V i)pft ‘ e67e•-) -v ..
<br /> - , • 19}{1,11M7 . - .
<br /> ix • 4 Nal twAnuous-mxffirtiP-1
<br /> .
<br /> 's tqc .00666 - -,
<br /> - . .
<br /> r - .
<br /> . . ,.
<br /> F - . - • . .
<br /> • . . . . ..
<br /> . . .
<br /> . . .
<br /> . . .
<br /> . . .
<br /> ... • .
<br /> . .
<br /> . • • ..
<br /> . . • .•.: • i
<br /> . .
<br /> . • :'
<br /> . .
<br /> • • . . . . . . . .
<br /> . . .
<br /> . .
<br /> . • .
<br /> • . - .,,
<br /> . .. , •
<br /> . .
<br /> .. . .
<br /> . . ,
<br /> • .. .
<br /> . . ,
<br /> . .
<br /> . . .
<br /> . . . . • . . ... .
<br /> . ; , •
<br /> . -
<br /> . .
<br /> . . . .
<br /> •
<br /> • • .. .
<br /> . • • ,
<br /> . . . .
<br /> . , ' • •
<br /> . . ..
<br /> , .
<br /> . .
<br /> !
<br /> '
<br /> . . . ...
<br /> 22.aSprillekSgMlO3sindAdriltIortal Informe kit' ' • ' e 143.26.2na .j-; ' •%• •
<br /> •
<br /> 7 )60.7.M hr) . 04awat„SF
<br /> . . . • . f
<br /> . .
<br /> . . .
<br /> •
<br /> ig 33pri.Tirensppoert6erti am 0 Acknowledgmonfet Receipt of Materials ,t. . .
<br /> - Signature • ' Month Day Year.
<br /> . 0 ' I I I I
<br /> o... . .
<br /> (•A 34.Transpo der,. Aoknowiedgment of Receipt of Materials • . - • • '
<br /> g
<br /> Printed/Typed Name SIgnature . Month Day Year
<br /> .,-- J I . I I
<br /> , 35.Dlacrepancy
<br /> F-; •
<br /> Ca ' •
<br /> 4 .
<br /> u.. '
<br /> ' - -
<br /> 1,7 38,Hazardous Waste Report Management.Mothod Codes 0 e.;cOrfeir far hazardous waste Ireattnentfilsposel,end reWelliitfaysteme). 1• : 2 ' ' • + '
<br /> 2
<br /> 0 '..../..,te...1, 1 I 1.-1 v. k-• •
<br /> W .
<br /> • I ' .
<br /> . . I I
<br /> EPA Form 8700-22A(Rev.3-05) Previous edition are obsolete. • DESIGNATED FACILITY TO GENERATOR
<br />
|