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Please piir*or'fype,(Form de ned for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050.0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 2 a um r 1 6 23.Manifest Tracking Nuin r <br /> (Continuation Sheet) f70587100911i< <br /> 24,Generator's Name Lawrence Livermore National Laboratory Site 300 4or NNSA P.0- Box SOS/I_-78b Lwermom CA 94SSI <br /> 25.Transporter Company Name U.S.EPA ID Number <br /> 26,Transporter_._- Company Name U S.EPA ID Number <br /> 27a, 27b.U.S.DOT-Desaiption(Including Proper SNpplog Name,Hazard Class,ID Number, 28,Containers 29.Total 30.Unit <br /> HM and Paddng Group(if any)) No. Type Quanffty wtNol. 31.Waste Codes <br /> 25. Non-KRA hazardous waste,solid(non+crl capacrters:00P0= 5 0 M 1621 G <br /> 26 Non-R RA hazardous waste,solid(drained oil fitter s)DOPM44-i 1 D F 27 P <br /> 27 atom-R RA hazardous waste,liquid(+linter contaminated with OF Qoq <br /> petrolei.irn hydrocarbons)CiGPMIC-i <br /> o 23, Non-Ftt iA hazardous was e.solid(non-PC13 capacr•.orsj DOPOMM , DIM 21e <br /> I _ <br /> LU 29. Non hazardous waste,liquid(sodiurn metasihcate- "` 309 F <br /> pemahydraro and water mreure)ocipoo 0-i <br /> 134 <br /> M. felon-RCRA hazardous waste.liquid f!0%ethylene glycol and iD M 22: <br /> Y,i31ff)DGP�11i3 L. <br /> 343 <br /> 31- Non-KoKA haiarclous wa-.te,liquid I2U*elm;enegrycol and JF 52E r <br /> water)DG3Pvolo-L <br /> 34. <br /> t. ,irs�rQTlii !! <br /> a71y�6tr,- g1 I:j � �� fiU11 � <br /> Q 3 !!L'+ 5 "r I r.�1 g 4/1 c. LT/Yal S •r r 1 r �`IrS#` <br /> 33. Nan-RCRA hazardous waste,solid tiburn pre ash)5j95-735.4-1 Chi 1 DF 65 "r <br /> 1S1 <br /> 31. Non-RCl[A hazardous waste,solid Crags contarninated With Ulm 367 P <br /> petrolourri hy&ocarbons1 Erclvimu-i <br /> �?9 <br /> 32-Special Handling Instructions and Additional Information <br /> t3 Transporter___.._Admowledgment of Receipt of Materials <br /> F Printeclayped Name Signature Month Day �r <br /> O <br /> ri <br /> cn 34 Transporter Acknowledgment of Receipt of Matenals <br /> Printed/Typed Name Signature Month Day V9V <br /> r <br /> 35.Discrepancy <br /> O <br /> 136 Hazardous waste Report nagement Method Codes Q e„codes for hazardous waste treatment,disposal,and recycling systems) i <br /> 0 4 1 � , �4 <br /> EPA Form 8760.22A(Rev,3-05) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR <br />