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Iz ;lj <br /> -Pease print or type (Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 1 21.GeneratoraD Number 22.PT F 6 23,Manifest Tracking Number <br /> (ContinuaflonSh. CA2890090002 d 005870883 JIIC <br /> 24 Ge tratorsName Lawrence Livermore National Laboratory Site 300 for NNSA <br /> R n P'T st +Q /1_7f2r+ I nrpn-nnrc d CI SL 1 <br /> 25: Transporter— _ Company Name <br /> U.S EPA ID Number <br /> 26 Transporter Company Name U.S.EPA ID Number <br /> 27a. 27b.U S.DOT Description(inducting Proper Shipping Name.Hazard Class,ID Number, 28 Containers 29.Total 30.Unit <br /> 31 Waste Codes <br /> HM and Padcinq Group frf any)) No Type Quantity WtNol <br /> M Nan-MCRA hazardous waste.liquid tethyleneg C04 DOP00136-1 0N! <br /> 3:32 <br /> 25 Nan-RCRA hazardous waste,liquid(unused product oil) 3ti_ <br /> >3OFOi3&�75J-� <br /> -23 <br /> 2.7. Non-RCRA hazardous waste,liquid Iunused machine cif) D.M 1117 <br /> 17C3���J-i <br /> 223 <br /> Non-Rm hazardous waste.fltttnd(unused gear cif;CAPuuaual-. 3E q <br /> w ?23 <br /> LU 29: Non-RCRA hazardous waste,-solid(rags contaminated with0 M394 r <br /> �etiui;i31"r�i��dic3�3�vf'r�)f3flF��'Iri-1 <br /> 223 <br /> 311 Non-fllotA hazardous waste solid(empty dmxn last coritatsied Z i r�,� r <br /> petrolsztrtl tlydrecastso1U)00Pt7 47-L <br /> S1Z <br /> 31. Non-RCHA hazardous Waste,solid(empty drum last contained CM <br /> pet;ok-ura hydr•)c.arbonL)DGP O1r-1 <br /> Z'a it <br /> 32. Non-PCNA hazardous wasl&.—gi4i1junused diala od)DOPOUSMi-1 <br /> Zai <br /> 31 loon-RCRA hazardous waste.liquid Ifluorcaliphatt:polymers) WA N; <br /> a a�DGP�iZr}i <br /> 3s} <br /> 31. Non-1tC7t.A Hazardous waste.llqusd(hand deanef.lubmAnt) pt <br /> tX3�0I�.D-I <br /> 223 14-1 331 <br /> 32.Special Handling Instructions and Additianai Information <br /> 33.Transporter Acknowledgment of Receipt of Matelots <br /> �u Pnn*Vyped Name Signature Month Day Year <br /> O <br /> a <br /> z 34 Trarisporter_AOjakiedgmentafReedplofMaWrLils <br /> Phntedliyped Name Signature Month Day -Yow <br /> 35 Discrepancy <br /> C.1 <br /> W <br /> O <br /> 36 HazardDulWasis Report Management Method Codes(Le.,cofts for hazardous waste 1reat�dis <br /> and recycling systems) <br /> 12 <br /> CZY <br /> LU <br /> EPA Form 8700-22A(Rev.3.05) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR <br />