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w'^ <br /> Please print or type (Form designed for use on elite(12-pitch)typewriter.) _ Form Approved.OMB No,2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121 Generator 10 Number22.Page 23.Manifest Tracking Number <br /> Ir'(Continuation Sheet) - 890090002 005870814 JJK <br /> 24 Generators Name <br /> Lawrence Livarmore National Laboratory Site 300 for NNSA P.O. Box 808 f L-786 Livermore CA 94551 <br /> 25 Transporter Company Name <br /> U.S.EPA ID Number <br /> 26-Transporter Company Name <br /> U.S.EPA ID Number <br /> 27a, 27b U S DOT Description including Proper Shipping Name,Hazard Class ii:)Number, 28.Containers '29.Total 30.Unit <br /> HM and Packing Group if any)) No. Type Quantity W LIVOI 31.Waste Codes <br /> 45. Mon-RCRA hazardous waste,saltd(daodonzmg absorbent) <br /> 331 <br /> 35. Non-RCKA hazardous waste.solid irags contaminated with <br /> :etroieum hydrocarbcrts)DoPOO44-1 <br /> 223 <br /> 47. Nan-KCfM hazardous waste,solid(rafts coritarrlinated wttb <br /> aetroleum hydrucarL-onsl t OPM44-7 <br /> o s8- Non-RCRA hazardous waste liquid(water contaminated myth <br /> ~ ;odium dod"- btenzenesulfonate)00P001D-1 <br /> LU +► '331 <br /> z <br /> 0 14. Non-RCRA hazardous waste,soli!(absorbent,sealant)MP017u- <br /> 331 141 <br /> 50- NArt-RCRA hazardous',waste,liquid(adhe£rve,cleaner) EiOPolID- <br /> 511 141 281 <br /> !, Non-RCRA hazardous waste said(Sealant)Dt3FOUD-1 � <br /> 331 <br /> 5 Nan-RCRA hazardous waste,hquid(Pump fluid)DOP01205.1 p <br /> 331 <br /> 5.3.(~Jon-KCRA hazardous waste.solid(w"l DOP0120-1 � P <br /> 331 <br /> n-R'rRA hazardr:us waste,liquid Iadhesnres,resint DOP0120• Q >' <br /> 331 281 141 <br /> 32 Special Handling Instructions and Additionai nfonnation <br /> L <br /> 101: 33 Transporter Acknow ment of Receipt of Matenals <br /> H PrfntedlTyped Name Signature Month Day Year <br /> a <br /> Q <br /> CL. <br /> z 34 Transporter Acknowledgment of Receipt of Materials <br /> PnntedlTyped Name Signature Month Day Year <br /> 35 Discrepancy <br /> 3 <br /> U <br /> a <br /> a <br /> a 36 Hazardous Waste Report aoagement Method Codes(i.e,codes for hazardous waste treatment.disposal,and recycling systems) <br /> f/ ' 1 1�-�i�� 1 1 /-�l y� <br /> W / f <br /> EPA Form 8700-22A(Rev 3-05) Previous editions are obsolete DESIGNATED FACILITY TO GENERATOR <br />