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a <br /> Please pribor type. F Form Approved.OMB No,2050-0039 <br /> UNIFOV HAZARDOUS WASTE MANIFEST 121-GeneralorlDN—ber [SPISF fi 23. nifest Tracking Number <br /> (Continuation Sheet) CA28�2 01944602IJK <br /> 24 Generator's Name La1IYr1'ence Uvert orp NaUmW Lab ate 300 on bell of LI S N NSA P.O.Box WS f L 786 LhlBtmwe CA M51 <br /> 25 Transporter Company Name U.S.EPA ID Number <br /> 26.Transporter-_ ._. Company Name U.S EPA ID Number <br /> 24 27b.U.S DOT Description(including Proper Shong Name,Hazard Class,ID Number, 2B.Containers 29.Total 30 Unil <br /> HM and Packing Group(if any)) No. Type Quantily WUVol. 31 Waste Codes <br /> 35.Pkxm4 MA hK=rd0U5 vjlft!ham(agt s M sesbW4 DOPOM, 1 DM go P <br /> 1 <br /> 331 281 <br /> 36.Nbn-VZRA ha=kno w9ft U WkM raft))DOPM20.1 1 DF 18 P <br /> 331 <br /> 37.f+ RCM h8cmdom war.mod 4 DOPM2&1 1 DF 5 P <br /> 331 <br /> 3L mri--!M humil us%mm mAd W"fi"Mrdimw.m tty) 1 DF so P <br /> DOP0130-LU 331 <br /> z <br /> DOPM20 1 DM 115 P <br /> i <br /> 331 <br /> 44.Nborr~RIMA h9NOOM WWft scftd Wfiftend WdWl DC] MI 1 DF 5 P <br /> 331 <br /> 41,N a 1 DF P <br /> pshokimi 1W&cmbm a) 1 <br /> 223 <br /> 41.Na�RCPAhnwt txn r fft$d(edyene&Need)DDPOON&1 Z D 350 P <br /> 3431 <br /> 43 N onA A;tM=d=w0 tx,tad(KKI-ptt h tW1dt0r4 DIDPOMS 1 DF 75 P <br /> i <br /> 223 <br /> NOW-RC RA hamdaus v aste,mM(rtp txmtambmftd with 3 DM 405 P <br /> pdmlft um�)00F0044.1 <br /> Z79 <br /> 32 Special Handling Instructions and Additional Information <br /> W, 33 Trarcpor'er merd of ReMipt of Materials <br /> F PrinkKVTyped Name Signature Month Day Year <br /> Z 34 T r mart of of Materials <br /> Printedlfyped Name Sgnatum Month Day Year <br /> r- <br /> 35.Discrepancy <br /> rs <br /> LU <br /> 36, <br /> a <br /> Hazard us Weste Me I MethodZes�(rl.e5;rwaste e 1.d gib, yslems) � /�/ <br /> -ZZZ <br /> FA <br /> LU <br /> 30 /y 3� �� �y /�� 33• / � f <br /> EPAFo 7D0.22A(Rey.12-17) Pmyio,is ed&ftsareobsolete. DESIGNATE F ILITYTOGENERATOR <br />