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Pleaso print or type. <br /> Form Approved.OMB No.205041139 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121 GerwatorlO Nm bw1 MaNlestTracift NomLer <br /> (Contlnaation Sheetl CA2$�Z 019445635 JJK <br /> 24.Genembx%Name Lamewe Lkwnalore Na &W Lab Site 300 an bow of Us NNSA P.O.Boat WS/E-786 Lima wW U 94551 <br /> U.S.EPA ID Nwnber <br /> 25.TramporW Compaq Name <br /> U.S.EPA 10 Number <br /> 26.Transporter Company Name <br /> Va. 2M U.S.DDT oesada M(mcWN Pmpef SHppirrg Name.Hazard Cm.10 N erdter 29.Contalnea 21,Trial 30.Unit 31.Wasta Codes <br /> HM and Paddg Group{d any)) No. Type y WtlV41. <br /> 221 <br /> S.Non-KPA it zwdM waste.Bald PISED ON DOPW30-1 1 QF 14 P <br /> W <br /> Lu <br /> ca <br /> 32.Special HarWing fisb uebom ardAdd6onal Inidmation <br /> oe 33.Trareponer of f of MaOerials <br /> © Pr"wTypedKame 5"tura Mprm% Day year <br /> 0 <br /> a <br /> M Transporter of RecaO of Mauui* <br /> PMn0ed11ypedName 5iprtature Morrie Oay Ycar <br /> H <br /> w Dompamy <br /> J <br /> V <br /> O <br /> 4 36.H Waite Rgpq! MAW Codes(i a codes for MEW=waste teatment 6spoaal pori("kV systems) <br /> ru <br /> W <br /> :PA Form 8700.22A(Rev 12.17) Prevloas edition are obsolete. DESIGNATED FACILITY TO EPA'S e-MANIFEST SYSTEM <br />