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Pleaserprintor type (Form designed for use on elite(124tch)typewriter) Form Approved OMB No 2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 121.Generator ID Number 22. age 23.Manifest Tracking Numtier�. <br /> (Continuation Sheet) CA289OG90002 �� 005870883 J1K <br /> 24.Generator's Name Lawrence Livermore National Laboratory She 300 for NNSA <br /> C n G.... One 11 70G 1:........w..... :A 0ACCq <br /> U.S.EPA ID Number <br /> 25 Transporter:Company Name <br /> 26 Transporter Company Name U.S.EPA ID Number <br /> 27a 27b,U.S.DOT Description('including Proper Shipping Name.Hazard Class 0 Number 28 Containers 29.Total 30.Unit <br /> 31 Waste Codes <br /> HM and Packing Group(if any)) No Type Quantity WLNol- <br /> 45. Non-RCIRA hazardous waste,solid(absorbers contaminated with DIV! 138 � <br /> Wroleurm hydrocarbonsl 00POLOA-1 <br /> GC3 <br /> :38, lion-RCRAhazardous waste,liquid!usedStVicenn*lCt09OM6-1. 0M 2004 <br /> 3a3 <br /> r�4s��� t(>t�t��t tia�i��, cllca�u o►1 Da 'c�lc —! DIM �f r 134 <br /> w. 38- Non-RCRA hazardous waste,solid(debrts contaminated uvrth 3 01M 500 P <br /> l�>:ryiltutn)IUCiPi�1-1 181 <br /> W <br /> LU45. Non-RCKA haiardous waste,solid(debris contaminated with CF 2132 p <br /> befylifcinl)DOPM44-1 <br /> 181 <br /> 50. Non-RCRA hazardous waste,solid labsor cot c.omarninate*d with i �� 184 <br /> petrol--Um'r dfiti latqsi <br /> 357. <br /> 5L waste.ConsumercommodnV. DMI D(aerosols)[ERG 171, D� 31 F 11MI 110115 D007 <br /> l}CiPf31i�-1 <br /> 741 724 331 <br /> 52- waste.cons-Imer;ommodrt-y.00A-0 iaerosols)(ERG 1.711 OF 34 f 0001 occa 0018 <br /> i'XiP?iI.s-1 <br /> 741 724 331 <br /> 53. waste,consumer cornmodwo-f3RPll-0 laorosols)IERr 1711 OF DOW 0035 DOD5 <br /> DGFiZ1LZ-1 <br /> 741 72d 331 <br /> 54. wastz,Consumer cornmodrty.ofitA-0(aerosols)(ERC 171; DK 11 ;)Ol~ri <br /> GM0170112-1 <br /> 331 <br /> 32 5peaal Handling Instructions and Additional Information <br /> a 33 Transporter meat of Receipt of Materials <br /> �u Pnntedlryped Name Signature Month Day Year <br /> O <br /> a <br /> cn 34.Transporter Admawl ment of Receipt of Materials <br /> PrintedlTyped Name Signature <br /> 35 Discrepancy <br /> J_ <br /> U <br /> U. <br /> 0 <br /> 1W- 36.Hazardous Waste Report M mend Method Codes x.,codes for hazardous waste treatment Wisposa and recycling systems) <br /> 41 EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR <br />