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Pleasaprn{`Orwe: FomApplvved.OMBNo.2D5 M39 <br /> UMFORIKWIRDOUS WASTE MANIFEST 21 Generator ID Number22.P 23.Manifest Tracking Number <br /> f ` (C tun anon Sheet) W8�2 2 f 019"56321lK <br /> 24,Generauh flame <br /> Lawrence UVMW"e Notiord Lab SM 30[3 an behalf 4f US NMA P.O.SM 08!L-786 UvernWe CA 3M1 <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 Desmon(loduding Proper Shippirg Name,Hazard Class,ID Number, 28 Containers 29.Total 30,Unit <br /> HM and Paddng Group(d arty)) No. Type Quantity MAW. 3t.Waste Codes <br /> UN1791,waste'WWdftftol ,a 8'R IEN 15+4.1 DOPWLC- 8 DF 230 P D100222 <br /> rL UftiSWash hif: wy Cottdrt.d in MwwftChMw des.S 1 DF 5 P DM <br /> (6.1)[ERG 1721 00PIM71-1A <br /> 1$1 <br /> 7.UN3257, UQUK bask,awk,n.o s.,8►11(Lab 1 DF 6 P DOM <br /> Poo[ERGS 15316WM14-1 <br /> 2 <br /> o <br /> fUN326Z Writs,C&rid"900,bvdC,W*WW,nos.,8,11(Lab 1 DF 5 P <br /> [ER+;154jviz <br /> Uj141 <br /> 9.ftilR M, dOLK wust0.=Rd,MO.L(DD00.DOM,9,01[ERG 1 DM 84 P Dw <br /> 1721 DOP0036i-1 181 <br /> M Rq MUM =wnft,Imo,n.o.a(D011,WOO,9,111 2 DF 596 P D011 <br /> (RQ 0011)[ERG 2711 DM6234 <br /> S41 <br /> it R4 P1113t177,HMZrd=waw mK to a6L(0011),9,114(RQ F 1 51 P DD11 <br /> DM1)[ERS i71]Dapowe&1 DM 181 <br /> r <br /> 41 <br /> N130o31rHaiardc�a waste, .n.os.(DOM 0011},9,111 1 DM 294 P DD11 0006 <br /> W11)[ERG 1711 DOPOD13.1 <br /> s <br /> 542 <br /> 13F PA MMOZ HawdM waste,fiq cL n.m&(037.1,DUI),9,�.4 1 DF 752 P DD11 <br /> 1. x(RQ DD11)(ERG 1711 DEM013-1 <br /> 341 <br /> IN14.RQ N012M Waft ABbestM 9,111[ERG 1711 DIM131-1 1 CF ?A6 P <br /> 1 251 <br /> 32,Special Handling Instructions and Additional lolormation <br /> L7 <br /> a 33.T rA-�! <br /> a�mentofRecekFtoFMaledafs r <br /> H PrirdedfTyped Name Signature Month Day Year <br /> Z 34.Trarrypo W Ment of Reo*of Materials <br /> Nnted✓Typed Name Signature Month Day Year <br /> F— <br /> 35.Discrepancy <br /> J_ <br /> V <br /> LL <br /> G <br /> 36. s Waste %anag�ment Me�god Codes;47� <br /> s wasieIrea ntd artdrg Systems) �/ <br /> 17 <br /> 19 <br /> 7 <br /> EPA Form 87 22A(Rev.12-17) Previous edilir,(ns are obsolete. DESIGNATED FACIC TY TO GEN RATOR <br />