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<br /> Please pnntlolve,(Form des ned dor use on elite(12-pitch)typewriter,) Form Approved.OMB No,2050-0039
<br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 22.Page 23.fllant Tracking Number
<br /> (Continuation Sheet) CA2990090002 2 O 15 nn:; 71nnollir
<br /> 24.Generatar's Name
<br /> Lawrence Llveffnvre National LaboraTMSite 3001 for NNSA P.O. Box 808!L-796 Livetrnore CA 94551
<br /> 25.Transporter Company Name U.S.EPA ID Number
<br /> 26.Transporter __--,- Company Name U.S.EPA ID Number
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<br /> i 27a, 27USATDescription rndudingPropShoftNeme;Heard Clam;IDNumber — No. -30!Unk
<br /> _9 a�Y � Te Quantity WlVo.
<br /> 31 Waste CodestiMd ijRpackin
<br /> 5.UN35%, Waste,Mercury contained to manufactured artides,_ 1 DF 5 P nfina
<br /> (6.1) lEAG 172) DOPO071-3A
<br /> IRI
<br /> 6.MA3017, Hazardous waste,solid,mo.s.I-CU)3), 9,01 [ERE 17 L) CIM SE P )n;ir;
<br /> 00170036A-1
<br /> 5d1
<br /> 7.NA3077, Hazardous waste,solid,wo.s.(000), 9,ill [ERG 1711 0M yg norin
<br /> UOP(]D3b-1
<br /> 5.RG, NASM2, Hazardous waste,liquid,n.o.s.(l iC}06, Wli), 9, fit ur21 X7( Q-11 I MCI
<br /> (RCL D: [ERG 2.711 r►rmmu-1
<br /> LUi
<br /> 0 1 ` 9.RC, Na3082, t-!azardotis waste,liquid,ma.s.(DOI%, Doll). 9. IIf OF 57 DO 11 onni;
<br /> (ltQDull) ItAr-2 2.71) DOP003-1 4d1
<br /> 19. NA3077. Harardcus waste..olid,mo.s.(0M7. tom), 9, Ill [El4a
<br /> 20 Dt70T G007 -,CfQF
<br /> X1 7=_)GCP0104A-1
<br /> fR1
<br /> LL Rq, NA3077, hazardous waste,sola+,n.o.s.(EN�M), 9, HI [Errs? OF 44 0003
<br /> 1711 DQPrM]I&A_f
<br /> 12- MA3077.ffazardous waste,softtl n.o s.fW11) 9,til [PRG 3.71) DF 7 121011
<br /> , DCPOW&A-1 A 1
<br /> 13. NA3077. I IazardouS waste,solid,t1.o s.jDUM), 4, Oil [ERC) 171) D008
<br /> / l]QP+773FiA-i
<br /> tit i
<br /> W4 NA30i;7, t4azardeuswaste,liquid,n.o.: Imo, 0010). 9,IH 1ERG 1 DM 1-73 0
<br /> X1 172_) laOPM85-1 34�
<br /> 32.Special Handling Instnrciians and Additional Information
<br /> t$3.Transporter Ackiyaledgment of Receipt of Materials
<br /> LU Prinled7yped Name Signature Month Day Yea
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<br /> Z 34.Transporter t of Receipt of Materials
<br /> Printed/Typed Name Signature Month Day 'I",
<br /> 35 Discrepancy
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<br /> UjU
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<br /> ti 36.Hazardous Yr Report Management Method Code(le modes for hazardous waste beatmenk disposal.and mooing systems)Lu
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<br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete DESIGNATED FACILITY TO GENERATOR
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