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1111
<br />RECEIVED
<br />Pease Drint or tvDe. (Form desloned fru usa nn dila l72nNrh1 hmaurNu.I
<br />EPA Form 8700-22A (Rev 3-05) Previous editions are obsolete DESIGNATED FACILITY TO GENERATOR
<br />"
<br />UNIFORM HAZARDOUS WASTE MANIFEST
<br />21. Generator ID Nurr�r
<br />22 a
<br />ZU50.0039
<br />z3. Manihat Tracking Number
<br />(Contlnuation Sheet)
<br />CA2890090008
<br />217
<br />0051165489 JJK
<br />24 Generabes Nam L2>t mnce LlYefrnore NrVonal Laboratory Site
<br />P.O. Box 608 L -7v
<br />llvermOre CA 94S51 DEPARTMENT
<br />25. Transporter _ Company Name(/ U S EPA ID Number
<br />26 Transporter Company Name U S. EPA ID Number —
<br />27a
<br />HM
<br />27b. U S DOT Description (including Proper Shipping Name, Hazard Class, ID Number,
<br />and Paddng Group fd any))
<br />28 Containers
<br />29, Total
<br />311.
<br />30, UNt
<br />U t
<br />31 Waste Codes
<br />t,r
<br />Type
<br />Quantity'
<br />5 UN 1219, Waite, Iczoropanol rrixtt ire, 3, ii [ERG 129; (DOP0054-
<br />1)
<br />3a
<br />—
<br />!
<br />DM
<br />11
<br />P-
<br />COJ1
<br />B. UN 1992, Mste Flanrnable liquids, toxic n.o.s. (Med y E4r,i
<br />Ketone, Xyfene), 3 (BA), III [ERG 131] (DOP011&1)
<br />��z
<br />1
<br />DF
<br />313
<br />P
<br />0001
<br />7. UN 1993, Waste Flan-rrtable liquids n o s., 3, II (Lab Pad.) (ERG
<br />1281 (DOP0116-1)
<br />'7
<br />1
<br />DF
<br />47
<br />P
<br />Dot31
<br />0
<br />8. UN 2924. Waae Flarry-mble liquids, oorrorte n.o.s., 3 (8),11
<br />(Lab Pack) [ERG 1321(DOP0116-1)
<br />743
<br />--
<br />--
<br />w
<br />z
<br />1
<br />tiF
<br />117
<br />P
<br />o001
<br />9. UN 1326,1h'aste Fla-ymib►e solids orga-llc, n.o.s., 4 1 11 (Lab
<br />Pads) [ERG 133] (DOPQ117-1)
<br />331
<br />-
<br />I
<br />LRI
<br />4
<br />P
<br />Do 35
<br />+Q. UN2014, Waste, Hydrogen peroxide. aqueous solutions 5.1 (8),
<br />II [ERG 140] (DOp0121-1)
<br />14:
<br />I
<br />DF
<br />10
<br />e
<br />nool
<br />11. UN2810, Toxic, liquids, organic, n.o s, 6.1.11(Lab Pack) IERG
<br />1531 (DOP0128-1)
<br />331
<br />l
<br />1
<br />DF
<br />a
<br />P
<br />Q. UN1759, Corro5lVe solids, n.o.s., 8, II (Lab Padcj[ERQ 1.54]
<br />(DOP0114-1)
<br />1
<br />DF
<br />6
<br />e
<br />331
<br />13. UNI 759, Corrosive solids n.o.s., 8,111 (Lab Pack) [ERG 1541
<br />(DOPQ114-1)
<br />1
<br />DE
<br />7
<br />P
<br />331
<br />14. UN2794, Waste Gatteries, vw filled with add, 8,111 [ERG 1541
<br />(00P0027- 1)1
<br />DE
<br />59
<br />p
<br />Doos
<br />32 Special Handling Instructions and Add tional Infomrat&
<br />33 Transporler _ ment of Recapt of Materials
<br />uj
<br />PrintedrT NMonth Day Year
<br />O
<br />a
<br />Lf'
<br />Z
<br />34 Trar>_sporter — . _ menl of Rece pt of Maledats
<br />Pnntedrfyped Name Signature Month Day Year
<br />35 Discrepancy
<br />J
<br />V
<br />a
<br />w
<br />36 Hazanfous KAReporl Mar agement Mettwd Codes(, a codes for hazardous Hate treatment, disposal, and recyding systems)
<br />141
<br />14)
<br />U,
<br />% I `f I 11t, X 135 H i� 1 s
<br />EPA Form 8700-22A (Rev 3-05) Previous editions are obsolete DESIGNATED FACILITY TO GENERATOR
<br />
|