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Please print or type. (Form desioned for use on elite (17-nitchl tvnpwritpr ) <br />EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITYTO'DESTINATION STATE (IF REQUIRED) <br />i. nPplvvuu. —ju iv U. LUJV-VUJ� <br />UNIFORM HAZARDOUS WASTE MANIFEST 21. Generator ID Number 22 Page 23. Manifest Tracking Number <br />(Continuation Sheet) CFi£SQQgfl002 af' <br />005Ge04 iJ.iK <br />24. Generator's Name Laaurence Uverrilere Piatlonal Laboratory Fate-54)P;y( #PIS741 <br />P.Q. Box. 8135 / L-785 <br />LNerrnore Ce.94551 <br />25. Transporter Company Name L h <br />U S. EPA ID Number <br />26, Transporter Company NameI- �Eq� <br />US EPA ID Number <br />1CRONMENTg <br />27aw., <br />Cr,. <br />27band U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, ._ <br />28'C n ain. <br />29. Total <br />30. Unit <br />H'.! <br />and Packing Group (if any)) <br />Quantity <br />Wt,N01. <br />37. Waste Codes <br />No <br />Tyne <br />15. NA3077, Hazardous waste, solid, n.o.s (D"ut 1), 9, 11! (E 3 <br />_ <br />(DOP0038-1)_— <br />---- <br />L+311 <br />_--- <br />1 <br />17. N.A307 7 , Hazardous o4aste, solid. n.o.s. (F002), 9,111 [EPG ;711 <br />(DOPG032-1) <br />Lli <br />isz 71 <br />P <br />0 <br />18, NA3082, Hazardous 4 --este. !iqutd, n.o.s. 1F002), 9 111 (ERG 1-7 i_j <br />a <br />(DOP0077-1) <br />,y <br />— i -- <br />- - <br />— -- <br />1 <br />DF <br />48 <br />P <br />L`302 <br />Lu <br />ujz <br />19. N.A3032, Hazardousl.raste, liquid, n.c.s. (F002). 9,111 [ERG 171; <br />(DOP0077-1 ) <br />341 <br />E`302 <br />�--- <br />1 <br />L711 <br />423 <br />F <br />20. NA3082, Hazardous wasite, liquid, n.o.s. (F002), 9, III [ERG 1711 <br />(DOP0077-1 ) CC�Z�� �"�%'� �Ib� <br />2 <br />D11 <br />756 <br />P <br />341 <br />F302 <br />----�- <br />21. R',, NA3082, Hazardousw3ste, liquid, n.o.s. (D011). 9. III (P.--: <br />X <br />D011) [ERG 1711 (DOP0013-1) (CA 2 Ao0Itr-,j <br />1 <br />Di1 <br />227 <br />r <br />----- <br />- — <br />x,711— <br />:on-RCRA hazardouswaste. Ilquili (USED OIL.) (GuP003�- <br />^:1 <br />1D) <br />12 <br />ij <br />i <br />- <br />23. Non-RCR.A hazardousvvaste, liquid (USED OIL) (DOP0080- <br />`2l <br />2 <br />D;: <br />580 <br />P <br />24. Bion-RCRN hazardousvvaste, liquid 1.USED OIL) (D:OP0080- <br />1 <br />_ <br />D53 <br />177 <br />r <br />32 Special Handling Instructions and Additional Information <br />33. Transporter Acknowledgment of Receipt of Materials <br />Printed/TypedName Sgnafure <br />F.'omLi Dar Yee <br />tY <br />O <br />a <br />z <br />34 Transpo e: Acknowledgment of Receipt of Materials <br />PrintedrTyped Name S gnaiure <br />L1c❑th Day Year <br />35. Discrepancy <br />_3 <br />U <br />Q <br />O <br />w <br />a <br />30. Hazardous Waste Report Management Method Codes (i.e , codes for hazardous waste treatment, disposal, and recyding systems) <br />Z <br />c� <br />w <br />0 <br />EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITYTO'DESTINATION STATE (IF REQUIRED) <br />