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l 1�7/1 �'Please print w type (Form designed for use on elite(12 p toh)typewriter.) Farm Approved,OMB No 2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121 Generator ID Number 22.Pa 23.Manifest Tracking Number <br /> (ContfnuaHonSheet) CA289GO90002 Z�� �' 005870883 JJK <br /> 24.Generator's Name Lawrence Livermore Narlonal LabamiorySite 300 for NNSA <br /> R ,i QR rxna I I _ystC t o MACCi <br /> 25. Transporter . Company Name U.S EPA ID Number <br /> 26 'transporter .. Company Name U.S EPA ID Number <br /> 27a. 27b US DOT Description,'bduding Proper SNpping Name,Hazard Gass,ID Number, 20.Containers 29 Total 30 Unit <br /> HM and Packing Group(V anY); No Type Quantity Wt jW_ 31 Waste Codes <br /> 3. UN3069. Waste,metal powders,flammable,n.o.1.,4_L I Lab t DF P DW6 QG07 DOC <br /> Pad)(Etar; IM) DOP0117-I <br /> 1!S1 <br /> 6.UN1799. Waste.mydrechlanc arid.9,111(Lab pack!(ERG 157, QF DOCtZ <br /> X1 Cr'OP0114-I <br /> 791 <br /> 7.LIN32K Waste,CorrosEve liquid,basic inorganic,n.o.s..B,1i f.ub 7 P DrOr-12 <br /> U� <br /> pack)(Eltr 1.5$1 GGP01.14-; <br /> 141 172 <br /> lv X8. RE31CVE last Contained UN 1324.Sodium hydromde salutfon,a,Il DFS1P <br /> ilt (ERG L541J DGPLrn6-1 512 <br /> LU <br /> 9.UN3505. Waf.e%PAerfa y contained in manufactured ast0es.9 DF a D009 <br /> (5.1) [ERG2 1721 DOPOD71-IA <br /> 181 <br /> 10. Mt3077, hazirdaus waste,solid,n.o,s.(PC06, DOM.), 9,RI(ERG G��! MIA F 0006 DOW <br /> X1 1711 DGF0036A-1 <br /> 191 <br /> 1L NA3077. 11423rd=w sloe.soled,n.O.s.00m), 9, "1 "ERG III) 01M .141 n 01008 <br /> xi 00PID036-I <br /> 181 <br /> U NA3G32. FiazamlotisWaite.liquid,n.a.s.(DOOb, ciaw> 9,in D.M 530 P QGII 0006 <br /> 541 <br /> 13. NA30SI Hazardous waste,liquid.n.o.s.,9.111(lab pack)(ERr, S P D039 <br /> e ,1711 00F0113-1 <br /> 741 3)31 <br /> 14. NA30T7. kiazardoas wastra,s nit d.n.o_s..9.ltl flare pack; KU L1_I 5 P DNS <br /> LX1 10OPOII3-I <br /> 141. <br /> 32 Spenal Handing Instructions and Additional Infamsatlon <br /> 33 Transporter Adm eni of Receipt of Materials <br /> �i PnntedrTyped Name SIna im Month Day Yaw <br /> cc <br /> 0 <br /> a <br /> Z 34 Transporter ment of Receipt of Materials <br /> PnnledfTyped Name = Signature Month Day year <br /> 35 Discrepancy <br /> LU <br /> U <br /> G <br /> 36.Hazardous'Waste Report Management Method Codes Ii codes for hazardous waste treatment,disposal and recydi systems: � <br /> co <br /> LU <br /> limi Wit/1 OP-P <br /> EPA Form 8700-22A(Rev.3-05; Previous editions are obsolete DESIGNATED FACILITY M GENERATOR <br />