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UNITED STATES ENVIRONMENTAL PROTECTION AGENCY <br />SUPERFUND INNOVATIVE TECHNOLOGY EVALUATION (SITE) PROGRAM <br />DEMONSTRATION OF PEROXIDATION SYSTEMS, INC.'S UV/OXIDATION TREATMENT <br />AT LAWRENCE LIVERMORE NATIONAL LABORATORY, SITE 300 <br />SEPTEMBER 23, 1992, 10:00 A.M. or 6:30 P.M. <br />REGISTRATION INFORMATION FOR SITE DEMONSTRATION <br />Please complete this form and the LLNL Group Visitor Badging Data Form for each registrant. No one <br />will be permitted on site who has not completely filled out these forms and returned them before <br />September 11, 1992. All non -U.S. citizens must complete the form specifically designed for non -U.S. <br />citizens in addition to the other two forms. LLNL reserves the right to deny access to any registrant for <br />security purposes. <br />Attendee Name: <br />Title: <br />Social Security Number: <br />Passport Number and Country if non -U.S. citizen: <br />Vehicle Make, Model, License Number: (if known) <br />Organization: <br />Address: <br />City: <br />State, Zip Code: <br />Telephone Number: <br />FAX Number: <br />Planning to attend which session (circle one) 10:00 a.m. 6:30 p.m. <br />