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e <br /> y t <br /> Please pdnNr " Form Approved.OMB No.205G'0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Generator ID Number 3Pac�e_ Y3�Manifest Tracking Number <br /> i (Continuation Shoot) ICA289OD900ID2 DFF / OL9445632 IJK <br /> 24,Generator's Name <br /> Lawrefbce Livmrrwe National Lab Site 300 on bdWf of LOS NN A P.O.Box 808/L-786 Lhwnwm CA M51 <br /> 25 Transporter Company Name U.S.EPA ID Number <br /> 26.Transporter Company Nama <br /> U.S.EPA ID Number <br /> 27a. 27b.U.S.DOT Description(indyding Proper Shipping Name,Hazard Class,ID Number, 28•Containers 29.Total 30.Unit <br /> HM and Packing Group(if any)) No. Type Quantity WtNd. 31 Waste Codes <br /> 1S.Rq NA221%Waft moors,9,qi(ERG 1711 DOP0131-1 3 DM 298 P <br /> 151 <br /> 16.NA3077,Kaunkm waft scK nALL(11091lIL 9,Hi(ERG 1711 3 DM 597 P om <br /> DOPO03&1 181 <br /> 17.NA307y,Hmrdous Waft eaN,n."(Cps,9,01(ERG 171] 3 DM M P D <br /> 181 <br /> I.MM",Fie=*W 11If>ft SOIEd,11A.L(DOM DM%91 IERG 2 DM 298 P DOOR DDO <br /> 1721 IMPOO&I lei <br /> z <br /> 19.Rq MAWR,HUWftW r s. ,n.t3ts.(D011),%lil(R4 1 DM 226 P 0031 <br /> D1)[EPA 1711 DoP006-1 <br /> 181 <br /> 2Q NA3077. M wnw,sand,n.cs,([lC1X 9,Di(gM 1711 1 CF 1325 P OM <br /> DOP003MPI <br /> 181 <br /> 2L Non-MMA haZardimin WM tQ,tmlid{fast ootrttalned Ove al n) 1 DM 48 P <br /> Zd mpa���j 512 <br /> 2L Nan-RCAA haWdOUS amid(Wn PCB tiara}DMIM2 DF 48 P <br /> 1 <br /> 223 <br /> A iPCn-RMA h=fdC=to M te,Wild(icy dmm laat nErla 2 DM 86 P <br /> Ipclorol M hyt 0=b0M)DOPW47.1 <br /> 512 <br /> .Non-RCRA hmnkm arasto,KNd empty dnern last grad 1 DF 14 P <br /> guf �)�' �� <br /> n 447-1 512 <br /> 32.Special Handling Instructions and Additional Information <br /> 1Z 33.Ta r ment of Receipt of Materials <br /> H PnntedfTyped Name Signature Month Day Year <br /> 34.Transporter ment of R,-e t of Materials <br /> Prinledrryped Name Sgnature Month Day Year <br /> r 35.Discrepancy <br /> J <br /> LL <br /> O <br /> LU <br /> 36.Hazardous Waste e�pClement/ (i.e., / waste t�tment dis ar <br /> systems)) <br /> t7 S /) <br /> EPA Form-000.22A(Rev.12-17) Previous editions are obsolete. / DESIGNATED FA' ITY TO GENERATOR <br />