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LDR NOTIFICATION FORM CONTINUATION SHEET <br /> Generator Name Lawrence Livermore National Laboratory Manifest No. 005870814.13K <br /> Pursuant to 40 CFR b268 7(a),I hcrcbX notify that this ship ment contams waste restricted under 40 CFR Pan 268 Land pis osal Restrictions(LDR) <br /> A. GENERAL WASTE NOTIFICATION <br /> Form EPA Waste Codes Waste Constituent Notification <br /> Line CH Profile No. &LDR Subcategories(if any) N�V1V �V�V Check the 'None"box or <br /> No. List codes or use Attachment 1 List Legend Constituent#or ttse Attachment i <br /> D006.D007,0008.DOI0.DOI 1 -_ 258 <br /> 7 DOP0104A-1 ❑ <br /> ❑Check if Attachment I has been used ❑None ❑Check if Attachment 2 has been used <br /> D001 LQ,D035,D007,D008,D005 <br /> 8 ® ❑ <br /> DOP0112-1 DO IS,D002 <br /> ❑Check if Attachment 1 has been used + ❑None ❑Check if Attachment 2 has been used <br /> D039,D008,D011 <br /> � pOP0113-1 ® ❑ <br /> ❑Check if Attachment 1 has been used ®None ❑Check if Attachment 2 has been used <br /> D002 <br /> 10 DOP0114-1 ® ❑ <br /> ❑Check if Attachment 1 has been used ©None ❑Check if Attachment 2 has been used <br /> D001 L UO76,U002,D035 <br /> ll DOP0116-1 © ❑ <br /> ❑Check if Attachment I has been used ®None ❑Check if Attachment 2 has been used <br /> 12 ❑ ❑ <br /> ❑Check if Attachment I has been used ❑None ❑Check if Attachment 2 has been used <br /> 13 ❑ ❑ <br /> Cl Check if Attachment I has been used ❑None ❑Check if Attachment 2 has been used <br /> 14 ❑ ❑ <br /> ❑Check if Attachment 1 has been used ❑None ❑Check if Attachment 2 has been used <br /> 15 ❑ <br /> ❑Check if Attachment 1 has been used ❑None ❑Check if Attachment 2 has been used <br /> t6 ❑ ❑ <br /> ❑Check if Attachment I has been used ❑None ❑Check if Attachment 2 has been used <br /> 17 ❑ ❑ <br /> Check-if Attachment 1 has been used 0 None El Check ifAttachment 2 has been used <br /> 18 ❑ ❑ <br /> None El Check if Attachment 2 has been used <br />