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Please¢print arType.(Farm designed for use an elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generalar ID Number 22 Page 23.Manifest Tracking Number <br /> (ContlnuaUon Sheet) CA2890090002 S rip 5 OOSS710091JK <br /> 24 Generatnes Name <br /> Lswrence Litrerizlore National Laboratory She 300 for NNSA P Q Box BOB f L-786 LifrarmoTe CA 94SS1 <br /> 25.Transporter Company Name US EPA ID Number <br /> 26.Transporter _ . Company Name U S EPA ID Number <br /> 27a. 27b U.S,DOT Description(hduding Proper Shipping Name,Hazard Class,ID Number, 28.Containers 29 Total 30.Unit <br /> HM and Packing Group(11 any)) No Type Quantity WLNoI. 31 Waste Codes <br /> 35_ Wn-RC-7A hazardous waste.solid(aiusm um and steel cuttings) I EIF P <br /> [}Qpt UNI-1 <br /> 38_ felon-RCRA hazardous waste,solid(absorbent and dirt 1 DM 129 s <br /> t-ontarninatCd with Peiral :um hydr*Larb�;(is)IMPOL34-1 <br /> t�3 <br /> 37. Wort-RCM hazardous waste.liquid(ethylene glycol)00VOW5-i i Elm <br /> .-► I 3d3 <br /> 39. Non-RCKA hazardous waste.solid(used fiM filters)DC F-DW ,I 1 Dr <br /> 352 <br /> z <br /> 39. Eton-RC'RA hazardous waste,soled(!+rnpty drum iast coritainef, i 0M s <br /> ghtrr�nne)4)CPt#irl r <br /> MNon-aFtCRA hazardous wave.solid(debriscoritaminatedwith ,_ ON! 432 <br /> petroleum hydrocarbons)00POW4-1 <br /> 4L Ncn-KCRA hazardous waste.liqutd(diprcpyleneglycol i 01M 363 <br /> moncroe?thyl ether-)DOPOMI-1 <br /> 33! <br /> 42. Non-RCRA hazardous waste,liquid(unused hydraulic fluid) 1 <br /> Dated-1 yy <br /> 273 <br /> 43 Non-RcRA hazardous waste,liquid(unused cutting oil) f 38 <br /> DGPe]4]8p5J-i <br /> 223 <br /> 44 10n-RCRA hazardous waste,sclid(dt:bris contarmnated ninth <br /> ethylnneglycol)DOP0044-1. <br /> 35� <br /> 32.Spedal Handling Instructions and Additional Information <br /> a rd3.Transporter meet of Receipt of Materials <br /> Onntecyped Name Signature Month Day Year <br /> e3. <br /> en 34.Transporter Ackn meni of Receipt of Materials <br /> x <br /> Pdnted)Typed Name Signature Month Day Year <br /> H <br /> 35.Discrepancy <br /> J <br /> U <br /> lei <br /> a <br /> a36,Hazardous Wa tee rfi Management Mefhod Codes�e..codes for hazardous waste treatment,dls;iosat,and recyclingfrecyding systems) <br /> tz 7_ ! I . . Ii h 1LII 1e r- re <br /> EPA Farm 8700-22A(Rev.3.05) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR <br />