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R ~ <br /> Please print or type.(Form designed for use on elite(12•pitch)typewriter.) - Farm Approved OMB No 205D-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121.Generator ID Number 22.Page \ 23.Manifest Tracking Number <br /> (Continuation Sheet) ZA2890090002 f` 7 OF 9, f7f35s7f3R14 11K <br /> 24 Generators Name <br /> Lawrence Livermore National Laboratory Site 300 for NNSA P.O. Box 808 j L-796 Liv snore CA 54551 <br /> 25.Transporter Company Name U.S.EPA ID Number <br /> 26,Transporter_. Company Name U.S.EPA ID Number <br /> Va. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number. 28.Containers 29 Total 30 Unit <br /> HM and Packing Group(if any)) No. Type Quantity WLNol 3t Waste Codas <br /> i5. Non-RCRA hazardous waste,solid(adheswas,grease)1301170I20-1 <br /> W Non-RC.TEA hazardous waste.liquid(adherstves,buffer soiuitan) <br /> -DOPQ3.2D-1 <br /> 3. a41 <br /> 57- Non-RCRA hazardous waste.solid(unused gauges c atammatt L P <br /> Afrth giycenne)DOp0044-1 <br /> 3 <br /> cc 58. Non-SCRA hazardous waste,solid(bum pit ash)5395-2554 <br /> LU <br /> z <br /> 59. Non-KCHA hazardous waste.solid fib,orbent and debris <br /> 0i <br /> ontanuriatetd with petroleum hydrocarbcns)DOP0044-i <br /> 223 <br /> 50. Non�iCRAhazardous waste.solid(abscrbentcontamin tedwrth <br /> JC_I f:iCt[I r I!IY if VLSI L74}tiy�l JtiJY J1 i l4'Y <br /> 35-2 <br /> Nan-ECRA hazardouswaste.solid(non-PCl3{igtr[ballast) <br /> 223 <br /> Aeon-RCRA hazardous wait*,liquid(�Aicfum carbonate and <br /> ;odium chiorida soltrtion)Wp0004-1. <br /> 13" <br /> 53 Non-RCRA harardous waste.solid(used all fthtrs)WFOW-1 <br /> 223 <br /> aiil Hon-RCRA hazardous waste.solid(debris contarranated vnth <br /> ')etrole-um hydrL-carbans)OGPOO44-1 <br /> Z73 <br /> 32 Special Handling Instructions and Additional Information <br /> 33 Transporter Acknowledgment of Receipt of Materials <br /> H PnnledTyped Name Signature Month Day Year <br /> IY <br /> O <br /> a <br /> z 34 Transporter Aclmwl ment of Receipt of Matedals <br /> PrintedrTyped Name Signature Month Day Year <br /> F- <br /> 35.Discrepancy <br /> 3 <br /> U <br /> iaL <br /> C <br /> a36 1 s Waste Report Ma/nagement Method Codes;r.e codes for hazardous waste treatment disposal,and recycling systems) l / <br /> y , <br /> EPA Form 8700.22A(Rev 3-05) Previous editions are obsolete DESIGNATED FACUTITO GENERATOR <br />