|
` V2CA �
<br /> Please pnntlolve,(Form des ned for use on elite(12-pitch)typewriter,) Form Approved.OMB No,2050-0039
<br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 23.fllan t Tracking Number
<br /> (Continuation Sheet) CA2990090002 2 OF 15 nn:; 71nnollitr
<br /> 24.Generatar's Name
<br /> Lawrence Liveffnvre National LaboraTMSite 300 for NNSA P.O. Box 908!L-736 Livetrnore CA 94551
<br /> 25.Transporter Company Name U.S,EPA ID Number
<br /> 26.Transporter __--,- Company Name U.S.EPA ID Number
<br /> a i 27a, 27USAT Description CndudingPropShoftNeme;Heard Clam;IDNumber — No. -30!Unk
<br /> _9 a�Y � Te ' Quantity WlVo.
<br /> 31 Waste CodestiMd ijRpackin 5.UN35%, Waste,Mercury contained to manufactured artides,_ 1 DF 5 P nfina
<br /> (6.1) lEAG L72) DOP0071-EA
<br /> rRI
<br /> 6-MA3017, Hazardous waste,solid,mo.s.I-CUM), 9,01 [ERE 17 L] 1IM SE P )n;ir;
<br /> 00170036A-1
<br /> 5d1
<br /> 7.NA3077, Hazardous waste,solid,wo.s.(00M), 9,ill [ERG 1711 0M yg norin
<br /> UOP(]D3b-1
<br /> 5.RG, NASM2, Hazardous waste,liquid,n.o.s.(I iC}06, Wli), 9, fit ur2I :7(
<br /> (FiCL1D711) [ERG 2.711 r►rmmu-1
<br /> LU
<br /> 0 1 ` 9.RC, Na3082, t-!azardotis waste,liquid,ma.s.(DOI%, Doll). 9. IIf OF 57 DO 11 onni;
<br /> (ltQDull) ItAr-2 2.71) DOP003-1 4d1
<br /> 19. NA3077. Hazardous waste.iolftl,mo.s.(DM7. tom), 9, Ill [El4a 20 Dt70T G007 -,CfQF
<br /> X1 7=_)GCP0104A-1
<br /> fR1
<br /> IL Rq, NA3077, hazardous waste,solid+,n.o.s.(EN�M), 9, HI [tact DF 44 0003
<br /> 1711 DQPrM]I&A-j
<br /> 12- MA3077.fazardous waste,softtl n.o s.fW11) 9,Ill [ERG 171) DF 7 121011
<br /> , DCPOW&A-1 A 1
<br /> 1.3. NA3077. I IazardouS waste,solid,t1.o s.jDUM), 4, Oil [ERC5 171) D008
<br /> / i}QP+7�FiA-i
<br /> t it i
<br /> W4 NA3M7, t4azardeuswaste,liquid,n.o.: Imo, 0010). 9,Ili 1ERG 1 DM 1-7 j 0
<br /> X1 17l) laOPM85-1 34�
<br /> 32.Special Handling Instnrciians and Additional Information
<br /> 1$3.Transporter Ackiyaledgment of Receipt of Materials
<br /> LU Prinled7yped Name Signature Month Day Yea
<br /> a
<br /> c.
<br /> x 34.Transporter t of Receipt of Materials
<br /> Printed/Typed Name Signature Month Day 'I",
<br /> 35 Discrepancy
<br /> Uj
<br /> U
<br /> G -
<br /> ti 36.Hazardous Yr Report Management Method Code(le modes for hazardous waste beatmenk disposal.and mooing systems)Lu
<br /> 0
<br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete DESIGNATED FACILITY TO GENERATOR
<br />
|