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Pleaserprintor type (Form designed for use on elite(124tch)typewriter) Form Approved OMB No 2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121.Generator ID Number 22. age 23.Manifest Tracking Num r. <br /> (Continuation Sheet) CA289OG90002 �� 005870883 J1K <br /> 24.Generator's Name Lawrence Livermore National Laboratory She 330 for NNSA <br /> C n G.... One 11 70G 1:........w..... :A 0ACCq <br /> U.S.EPA 1D Number <br /> 25 Transporter:Company Name <br /> 26 Transporter Company Name U.S.EPA ID Number <br /> 27a 27b,U.S.DOT Description('including Proper Shipping Name.Hazard Class 0 Number 28 Containers 29.Total 30.Unit <br /> 31 Waste Codes <br /> HM and Packing Group(if any)) No Type Quantity WLNol- <br /> 45. Non-RCIRA hazardous waste,solid(absorbers contaminated with DIV! 138 � <br /> Wroleurm hydrocarbonsl 00POLOA-1 <br /> GC3 <br /> :38, lion-RCRAhazardous waste,ligUid!usedStVicenn*lCt09OM6-1. 0M 2004 <br /> 3a3 <br /> cllca�u o►1 Da 'c�lL—! +�nl �{ � 134 <br /> w. 38_ Non-RCRA hazardous waste,solid(debrts contaminated uvrth 3 01M 500 P <br /> l�>:ryiltutn)IUCiPi�1-1 A&1 <br /> W <br /> LU49. Non-RCKA haiardous waste,solid(debris contaminated with CF 2132 p <br /> befylifcinl)DOPM44-1 <br /> 181 <br /> 50. Non-RCRA hazardous waste,solid labsor cot c.omaminate*d with i �� 184 <br /> petrol--Um'r dfiti latqsi DGP Q1114-1 <br /> 357. <br /> 5L waste.Consumer commodnV. DMI D(aerosols)}ERG 171, OF 31 F D001 0000 0007 <br /> l}CiPf3112-1 <br /> 741 724 331 <br /> SZ waste.cons-Imer;ommodrt-r,00A-042terosols)}ERr, 1.711 OF 37 f 0001 0CC8 G018 <br /> i'XiP?iI.s-1 <br /> 741 724 331 <br /> 53. waste,consumer cornmodrtyl_f3RPll-0 laorosols)(ER3 1711 OF DOW 0035 DDDS <br /> DGFiZ1LZ-1 <br /> 741 72d 331 <br /> 54. wastz,Consumer cornmodrty.ofitA-0(aerosols)}ERC 171' 0K 11 Ol~ri <br /> 00170112-1 <br /> 331 <br /> 32 5peaal Handling Instructions and Additional Information <br /> a 33 Transporter meat of Receipt of Materials <br /> �u Pnntedlryped Name Signature Month Day Year <br /> O <br /> a <br /> cn 34.Transporter Admawl ment of Receipt of Materials <br /> PrintedlTyped Name Signature <br /> 35 Discrepancy <br /> J_ <br /> V <br /> LL <br /> O <br /> 1W- 36.Hazardous Waste Report M mend Method Codes .e.,codes for hazardous waste treatment Wisposa and recycling systems) <br /> 41 EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR <br />