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<br />EPA Farm 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)
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<br />UNIFORM HAZARDOUS WASTE MANIFEST
<br />21. Generator ID Number22.
<br />Page
<br />r.Nr,v V. LV JVVVJJ
<br />23. Manifest Tracking Number
<br />(Continuation Sheet)
<br />CA2890090002
<br />2
<br />005870--13
<br />24. Generators Name Lawrence Livermore National L31:ioratM Slte 300 for NNSA
<br />P.O. Box Is08 / L-795
<br />UVermore CA 94551 JAN 14 2016
<br />25. Transporter Company Name U.S. EPA ID Number
<br />ENVIRONMENTA
<br />tHl
<br />U.S. EPA ID Number EAL C '
<br />26, Transporter Company Name 11
<br />27a.
<br />2Tb. U.S. DOT Descripton (indud:ng Proper Shipping Name, Hazard Class, ID Number,
<br />28. Contalners
<br />29. Total
<br />30. Unit
<br />HM
<br />and Paddng Group ( f any))
<br />Quantity
<br />Wt.Nd.
<br />31. Waste Codes
<br />No.
<br />Type
<br />5. UN2206, Isocyanates, toxic, n.a.s., 6.1, II (lab pack) (ERG 1551
<br />(DOP0128-1)
<br />331
<br />1
<br />DF
<br />13
<br />P
<br />$. RESIDUE Last Contained: UN2790, Acetic add solution, 8. II
<br />[ERG 1531 (DOP0045-1)
<br />$it
<br />1
<br />DF
<br />25
<br />P
<br />7. RQ, UNI 824, Waste, Sodium hydroxide solutian, 8, II
<br />(RQ=0002)[ERG 154](DOP00i5-1)
<br />4
<br />DH
<br />2662
<br />P
<br />122
<br />0002
<br />R:
<br />X'
<br />9. RG, WN2899, M510, PAeF,3'dPf %RtOiAed iR FRaRbifeeWFed
<br />W
<br />/ iC�//�
<br />/X%
<br />✓r
<br />z
<br />9_ RQ, UN2967, Waste, Sulfamic add solution, 8,111 (RQ=0002)
<br />[ERG 1 554 (DOP0001-1)
<br />791
<br />5
<br />DM
<br />2798
<br />P
<br />D002
<br />i0. UN2790, Waste, Acetic acid solution, 8,11 (lab pack) [ERG 153]
<br />(DOP0114-1)
<br />791
<br />Doo2
<br />1
<br />DF
<br />28
<br />P
<br />11. UN2790, Waste, Acetic add solution, 8,11 (ERG 153]
<br />(DOP0006-1)
<br />1
<br />Digi
<br />319
<br />P
<br />791
<br />0002
<br />12. UN2809, Waste, Mercury, 8 (6.1), III (lab pack) [ERG 172]
<br />(DOP0119-1)
<br />i
<br />DF
<br />7
<br />P
<br />lel
<br />v151
<br />13. UN3262, Corrosive solid, basic, inorganic, n.o.s. (calcium
<br />o.'dde), S. II [ERG 1541 (DOP0114-1)
<br />3
<br />DM
<br />638
<br />P
<br />lel
<br />14. UN3266, Waste, Corrosive liquid, basic, inorganic, n.o.5., 8, II
<br />flab pack) [ERG 1541(DOPC114-1)
<br />1
<br />DF
<br />75
<br />P
<br />sal
<br />Doo2
<br />32. Special Handling Instructions and Additional Infonnabon
<br />33. Transporter Aclut ed ment of Recd t of Materials
<br />�u
<br />Prtn!ed/Typed Name Signature Month Day Year
<br />K
<br />O
<br />CL
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<br />34. TransKrter AcknoWed ment of Recai t of Materials
<br />Printed/Typed Nane Signature Month Day Year
<br />F—
<br />35. Disaepancy
<br />U
<br />Q
<br />LL
<br />W
<br />Q
<br />36. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems)
<br />O
<br />rn
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<br />EPA Farm 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)
<br />qT
<br />
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