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Pleasg;n or".(Form designed for use on elite(12-pitch)4Tewriler.) Form Approved.OMB No.2050.0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator 16 Number 22.2& 6 23.Manifest Tracking Number <br /> (Continuation Sheet) G42$90090GU2 6 ti!! 00587100'.9JJK <br /> 24 Generator's Name Lawrance Livermore Nation1if r.13tloratorySite 300 for NNSA F 4 Bvx 809/i.-786 Livermore CA 94551 <br /> 25.Transporter Company Name U.S EPA ID Number <br /> 26.Transporter_ _ Company Name <br /> US EPA ID Number <br /> 279. 27b,U.S.DDT tion(including Proper Ship*Name,Hazard Class,iD Number, 29.Containers <br /> �P f g � �� 24.Total 311.Unit 31.Waste Codes <br /> HM and Packing Group(0 any)) No. Type Quantity WLML <br /> 4s. hien-SCRA hazardous waste,liquid(water t�arttamtnated with 1 DIM 397 P <br /> petroleurin hydrocarbons)GGPOCI.0-1 <br /> 45, Non-RCRA.hazardous waste solid(non-PPE caparArim)DOP0029 DF <br /> 22:, <br /> 47. pion-RCM hazardous waste,liquid(unused hydrault_oil) DM 297 P <br /> •.� 2B <br /> Q 43. gran-9013A hazardous waste,liquid iunus,> oil)[}OpuaSt15!-1 DM 391 a <br /> � 4stt�lc.�1i ?23 <br /> Uj 49. Nun-RCRA hazardous visite,liquid 4unused machine oil) � DM 59" P <br /> 723 <br /> 50. Non-RIBA hazardous waste i-lid(silicone lubncant)DOP01-27-1 r OF 5 <br /> 331 <br /> x5,L Waste.Consumer camrnedIny tAerosols) 0100-0(ERG 1711 DF or"01 D005 D01l. <br /> 04017-0112-1. 724 773 741 <br /> 5-Z-W31tirVaitstsrnLrtOrnmedityjAerr.:+-tsORM-0-tERG Itl}My- <br /> 'ClF" ,• Z» F DOtJ1 DG05 D007 <br /> IX7f301i.i-� <br /> 724 723 741 <br /> 32 Special Handling Instructions and Additional Information <br /> w *3 Trio t'I'�sNorter AckiyWedgment of Receipt of Materials <br /> �t PrmtedTiyped Name Signature Month Day Year <br /> a <br /> i 34 Transporter <br /> AckrHyMedgment of Receipt of Materials <br /> PnntedTryped Name Signature Monih Day Year <br /> 1-- <br /> 35 Discrepancy <br /> J <br /> LL <br /> U <br /> O " <br /> 36.Hazardous Waste Report anagement Method s Le.,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 TO GENERATOR <br />