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COMPLIANCE INFO_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2200 - Hazardous Waste Program
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PR0514115
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COMPLIANCE INFO_2020
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Last modified
2/5/2021 5:19:58 PM
Creation date
5/18/2020 3:06:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0514115
PE
2248
FACILITY_ID
FA0003934
FACILITY_NAME
Lawrence Livermore National Lab - Site 300
STREET_NUMBER
15999
Direction
W
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
15999 W CORRAL HOLLOW RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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y <br /> Please Ont or type.(Form designed for use on elite(12-pitch)typewriter) Form Approved.OMB No 2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22 Page 23.Manliest Tracking Number <br /> (Continuation Sheet) X890090 .1UO2 OF 9 <br /> 24 Generators Name Lawrence Livermore Naiianai 1 aborlatoryShe 300 for NNSA F.r?. Box 803 J i.-786 Livermore CA 94551 <br /> 25 Transporter Company Name U.S.EPA ID Number <br /> 26,Transporter Company Name U.S.EPA ID Number <br /> 27a. 27b U S DOT Desaiption including Proper Shipping Name Hazard Class,ID Number, 28.Containers 29 Teial 30.Unit <br /> HM and Packing Group pi any No Type Quantity Wt1Vol. 31.Waste Codes <br /> 55. tion-f(CKA hazardous waste,solid f soil contaminated with �3 <br /> petroleum hydrocarbons)00P01.O4-1 <br /> 56. Nan-RCHA hazardous waste,solid(non-PCU czpatitorsl DopDmq- <br /> L <br /> ZZ3 <br /> 67. Nrsn-RCRA hazardous waste,liquid(water contaminated with 021 <br /> --v;atnun-4 acid and rriaiarf4na-)oopooln1 <br /> c M. Non-RCRA hazardous waste,solid(debris contaminated with nM 2675 F <br /> '—wpetroleurn hydrocarbons)our-044-1 <br /> w' "'" 223 <br /> x <br /> LU 59. Non-RC"hazardaus waste,solid%dirt contaminated with � 24a F <br /> aetralwum hydrocarbons)DOP0104--s <br /> —3 <br /> ,C.'Nat}-FCRA hazardou.waste,solid fenzpty drum lasi.c.ontamed D.M 14i <br /> I&-nlleuni hydroc arb2 i51 DOPM47-1 <br /> ri. r4on-tt_RA hazardous,waste.liquid(water eentaminated with <br /> petrol*-um hvdm!:afbonsl DOPD010-1 <br /> 137 <br /> 77- Non-tCRA hazardous waste,solid(Spent polishing bars) 9 p <br /> :)OP0044-1 <br /> 181 <br /> 73. Mon-FZCRA hazardous waste,solid(aluminum and steel cuttings.) F <br /> P0104-i <br /> 172 <br /> 74. Waste,Constsinercommodity,ORM-G faerosols)fetlG 1.711 c F 0001 Doug Dais <br /> .�GPt]lI2-i <br /> Tal X24 331 <br /> 32.Special Handling Instructions and Additional Information �^ - <br /> 33.Transporter _Acknowledgment of Receipt of Materials <br /> H PrintedrTyped Name Signature Month Day Year <br /> EY <br /> O <br /> co 34.Transporter Acbowledgment of Receipt of Materials <br /> Printedfryped Name Signature Month Day Year <br /> H <br /> 35.Discrepancy <br /> J_ <br /> a <br /> 0 <br /> rLU <br /> — 35 Hazardous Waste Re Management hletiwd Codes;i a codes for hazardous waste treatment,disposal.and recycling systems) <br /> LU <br /> EPA Form 8700-22A(Rev 3.05) Previous editions are obsolete DESIGNATED FACILITY TOrGk9ERATOR <br />
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