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3 <br />RHWM WASTE DISPOSAL REQUISITION CHANGE REQUEST <br />WDR ID W243088 FROM TO <br />CID Q00089317 Container Type Size Container Type Size <br />Originator E. Thomas/ S. Brigdon <br />Date 12-02-04 Chemical Compatibility Code <br />Change Comments: ® Marked -up WDR attached? Please change the wbr%,p aicioV' t Arid ena dates from <br />09-21-04 to 09-22-042 The waste diesel was generated on Wednesday, September 22, the same day the <br />diesel tank was cleaned. <br />LWP: STP Status: ❑Added []Updated MWC: 1 Year Letter Initiated? ❑ Yes ❑ No <br />Page ' of <br />Waste Type <br />Original <br />❑ Non-Haz (N) <br />❑ RCRA Haz (H) <br />❑ CA Haz (C) <br />❑ NTS LLW (L) <br />❑ Low -Level (R) <br />❑ LLW Mixed (F) <br />❑ LLW Combined (S) <br />❑ TRU (T) <br />❑ TRU Mixed (X) <br />New <br />❑ Non-Haz (N) <br />❑ RCRA Haz (H) <br />❑ CA Haz (C) <br />❑ NTS LLW (L) <br />❑ Low-Level(R) <br />❑ LLW Mixed (F) <br />❑ LLW Combined (S) <br />❑ TRU (T) <br />❑ TRU Mixed (X) <br />Item <br />O/I <br />S/U <br />Waste <br />Form <br />AID/C <br />Item Description <br />Qty/ <br />Units <br />Chemical <br />Qty/ Units <br />Haz <br />Prop <br />Form <br />Code <br />EPA <br />DTSC <br />Radio- <br />nuclide <br />Qty <br />Units <br />Requires <br />Review/A royal Review Name Print <br />Signature Date Co Requested? <br />cc <br />❑ <br />t�� L 0 Li <br />RCA <br />❑ <br />Waste Treatment <br />❑ <br />Shipping <br />❑ <br />Legacy Waste Program <br />❑ <br />Mixed Waste Coordinator <br />❑ <br />Lab Pack Originator <br />❑ <br />Change Request Updated in database <br />by RCO? <br />Storage Operations Personnel <br />❑ <br />WGSform 00011 Rev. 6/04 CONTROLLED FORM <br />