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<br />EPA Form 8700.22A (Rev, 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)
<br />UNIFORM HAZARDOUS WASTE MANIFEST
<br />21. Generator ID Number
<br />22. Page
<br />• rr�
<br />23. Manlfest Tracking Number
<br />(Continuation Sheet)
<br />CA2890090002
<br />2
<br />005810331
<br />JJK
<br />24. Generatoes Name Lawrence llvermore National Laboratory Site 300 for NNSA
<br />P.O. Box 8-* / L-796
<br />Uvemsore CA 94551
<br />g k ..
<br />V
<br />25. Transporter Company Name
<br />U.S. EPA ID Number
<br />28. Transporter Company Name
<br />EPA ID Number F
<br />U.S. 1`lVI1=i0N
<br />1 DEFPk RTMI
<br />27a.
<br />HM
<br />2Tb. U.S. DOT Description (Including Proper Shipping Name, Hazard Class, ID Number,
<br />and Paddng Gawp (d any))
<br />28. Containers
<br />29. Total
<br />Quantity
<br />30. Unit
<br />Wt.Nol.
<br />31, Waste Codes
<br />No.
<br />Type
<br />5. UN2206, Isocyanates, toxic, n.o.s., 6. 1, II (lab pack) (ERG 155]
<br />(DOP0128-1)
<br />i
<br />DF
<br />13
<br />P
<br />331
<br />B. RESIDUE Last Contained: UN2790, Acetic acid solution, 8, II
<br />[FRG 1531 (DOP0048-1)
<br />i
<br />DF
<br />25
<br />P
<br />s12
<br />7. RQ, UN 1824, Waste, Sodium hydroxide solution, 8.11
<br />(RQ=0002) [ERG 154] (DOP0015-1)
<br />4
<br />Dpi
<br />2662
<br />P
<br />i 22
<br />B0000 2
<br />x
<br />OX'
<br />RG, WN2899, 1435W, MeRldiFy _
<br />i Ir
<br />ii'5�
<br />c2
<br />9. RQ, UN2967, Waste, Sultamic acid solution, 8, III (RQ=D002)
<br />[ERG 154] (DOP0001-1)
<br />5
<br />BM
<br />2798
<br />P
<br />791
<br />D002
<br />10. UN2790, Waste, Acetic acid solution, 8, II (lab pack) [ERG 153]
<br />(DOP0114-1)
<br />1
<br />DE
<br />28
<br />P
<br />791
<br />D002
<br />11. UN2790, Waste, Acetic acid solution, 8, II (ERG 153]
<br />(DOP0008-1)
<br />1
<br />rpt
<br />319
<br />P
<br />791
<br />D002
<br />12. UN2809, Waste, Mercury, 8 (B. 1), III (lab pack) [ERG 172]
<br />(DOP0119-1)
<br />1
<br />DF
<br />7
<br />P
<br />lal
<br />�sl
<br />13. UN3262, Corrosive solid, basic, inorganic, n.o.s. (calcium
<br />o::ide), 8, II [EP0 154] (DOP0114-1)
<br />3
<br />DM
<br />638
<br />P
<br />141
<br />14. UN3268, Waste, Corrosive liquid, basic, inorganic, n.o.s., 8, II
<br />(lab packs [ERG 1541 (OOP 011A -i)
<br />1
<br />DF
<br />75
<br />P
<br />sal
<br />0002
<br />32. Special Handling Instructions and Additional Informa@on
<br />33. Transporter AcMoWed menl of Recal i of Materfals
<br />LLl
<br />F�
<br />Pdntedfryped Name Signature
<br />Month
<br />Day Year
<br />0,
<br />rn
<br />34. Transporter AcknorAed ment of Recel t of Materials
<br />PdntedfTyped Name Signature
<br />Month
<br />Day Year
<br />F—
<br />35. Discrepancy
<br />U
<br />LL
<br />0
<br />Q36.
<br />Hazardous Waste Report Management Metlwd Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems)
<br />Vi
<br />W
<br />0
<br />EPA Form 8700.22A (Rev, 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)
<br />
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