hwbdocuments.env.nm.gov alamos national labs/ffco/31541.pdf · subject: notice of completion of...

~A It LosAlamos -···~~lNATIONAL LABORATORY IIV"~I~!-i

Natlon.1 Nuel..,. Security Admlnlsfnllion --- [ST.1!tn -

Environmental Protection Division National Nuclear Security Administration Risk Reduction Office (ENV-RRO) Los Alamos Site Office, MSA316 P.O. Box 1663, Mail Stop K404 Los Alamos, NM 87544 Los Alamos, NM 87545 (505) 667-n03/FAX: (505) 665-4504 (505) 667-4348/FAX: (505) 667-0731

Date: May 7, 2009 Refer To: ENV-RRO-09-030

CERTIFIED MAIL RETURN RECEIPT REQUESTED

Ms. Rebecca Kay Hazardous Waste Bureau New Mexico Environment Department 2905 Rodeo Park Drive East, Building 1 Santa Fe, New Mexico 87505-6303

Dear Ms. Kay:

SUBJECT: NOTICE OF COMPLETION OF OFF-SITE WASTE SHIPMENT ACTIVITIES (3.3.4) IN THE COMPLIANCE PLAN, SITE TREATMENT PLAN, FEDERAL FACILITY COMPLIANCE ORDER, LOS ALAMOS NATIONAL LABORATORY

The purpose of this letter is to notify the New Mexico Environment Department (NMED) that Los Alamos National Laboratory completed required low-level waste (LLW) shipment activities set forth in the Federal Facility Compliance Order (FFCO). These shipments fall under Activity 3.3.4 in the Compliance Plan (CP) of the Site Treatment Plan (STP).

A shipment that included 5 containers of STP-covered waste was sent to Perma-Fix Northwest in Richland, WA. The shipment was initiated on March 25, 2009, shipped on March 26, 2009, and received at Perma-Fix Northwest on March 30, 2009. Information about the STP waste shipment is presented in Table 1.

An Equal Opportunity Employer I Operated by Los Alamos National Security LLC for DC 31541

11111111111111111111111111111111111

Ms. Rebecca Kay 2- May 7, 2009 ENV -RRO-09-030

Documentation that waste was received at the aforementioned facility is provided in Enclosure A. Please contact Peggy Powers at (505) 665-5717 or by email at [email protected] or George Henckel at (505) 606-0960 or [email protected] if you have any questions.

In accordance with the requirements of Section XX, "Documents, Information, and Reporting Requirements," ofthe FFCO, we, as the project managers responsible for overseeing the implementation of the Site Treatment Plan for the Los Alamos National Laboratory and for Los Alamos Site OfficelNational Nuclear Security Administration, certify that, to the best ofour knowledge and belief, the information in this document is true, accurate, and complete.

Sincerely, Sincerely,

Margaret A. Powers STP Project Manager Risk Reduction Office (ENV -RRO) Los Alamos National Laboratory

George C. Henckel, III STP Project Manager Los Alamos Site Office National Nuclear Security Administration

An Equal Opportunity Employer I Operated by Los Alamos National Security LLC for DOE/NNSA

mailto:[email protected]

mailto:[email protected]

Ms. Rebecca Kay - 3 - May?,2009 ENV -RRO-09-030

MPlbb

Enclosures: a/s

Cy: James Bearzi, NMEDIHWB, Santa Fe, NM, w/ene. John E. Keiling, NMEDIHWB, Santa Fe, NM, wo/ene. Milton L. Bishop, LASO-EO, w/ene., A316 George C. Henckel III, LASO-EO, w/ene, A316 Michael B. Mallory, PADOPS, w/o ene., AlO2 J. Chris Cantwell, ADESHQ, w/o ene., K491 James Blankenhorn, WDP-DO, w/o ene., J595 Paul Newberry, WDP-HMWO, w/o ene., J598 Ellen Louderbough, LC-LESH, w/o ene., Al87 Dennis Hjeresen, ENV-RRO, w/o ene., K404 Peggy Powers, ENV-RRO, K404, w/ene., K404 ENV -DO, File, w/o ene., J978 ENV -RRO, File, w/ene., K404 IRM-RMMSO, w/ene., AlSO


ENCLOSURE A

MANIFEST 00036409IJJK


2025 Battelle Blvd. Richland, WA 99352 Telephone:(509) 375-5160 FAX: (509) 375-0613

March 30, 2009

LANS, LLC on Behalf of U.S. Dept of Energy P.O. Box 1663, MS J598, Tamer Amin Los Alamos, NM 87545

Mr. Tamer Amin

In compliance with the requirements of 10 CFR 20, Appendix G, Section III, C.l, the attached-signed shipping manifest copy is your notice of receipt and acceptance of the mixed waste materials specified on the manifest. Manifest number 000364091 JJK received on March 30, 2009 has been assigned our receipt number MWR09-052

This is an acknowledgement of receipt only. Any discrepancies found during unloading will be processed at a later date.

Thank you for your business. Sincerely,

~--. Dakin Utley Technical Projects Lead Perma-Fix Northwest

Enclosure( s)

UHWM Fonns 540, 541 Incoming survey

/ HKTF' IF: 09032501 68482

Please print or type. (Form designed for use on elite (12-pitch) typewriter.) Form Approved. OMB No. 2050-0039 UNIFORM HAZARDOUS 1. Generator ID Number

WASTE MANIFEST liK0890010515 5. G~I,gs,Naref~ M!i&¥d~ DOE

P.O. Box 1663, MS J598, Tamer Amin Los Alamos, NM 87545

(505) 665-6158 Generator's Phone: 6. Transporter 1Company Name

1

2. Page 10f 13. Emergency Response Phone

18 (505)667-6211 Generator's Site Address (if different than mailing address)

LANS, LLC for US DOE Mesita Del Buey Rd. TA-54

1 Los Alamos, NM 87545 U.S. EPA ID Number

TRIAD TRANSPORT 1 OKD981588791 7. Transporter 2 Company Name

8. Desj[nated Facil~Name and Site Address PERMA-FIX NORTHWEST, INC. 2025 BATTELLE BLVD RICHLAND. WA 99354

Facility's Phone: (509) 375-5160

9a. HM

9b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, and Packing Group (if any))

c:: 1'ILS!:I!> 'Fi~~rLE-EXCEHED, !'l~:·r.;I.uAI.., LUI !;;t't:t;1l"ll; A{;HUH

10. Containers

No. Type

1 ~RUM -

U.S. EPA ID Number

I U.S. EPA ID Number

1 WAROOOOI0355 11. Total 12. Unit 13. Waste CodesQuantity WtNol.

Fon' FOOS 31 K~ X AC227,Aft241,NP237,PU238,PU239,PU240,PU241, 1.30E-04 TBq

~r--t1m~n7Ifi~ttDm]m~Tnr!ITI~IC~~1W~~Ll~TnnTt-------r-~~-------r---1~~~~~~~~w 2'(LSA~ib "~iSSILE-EXCEME5, 1'l~:r;KJ.AL, LUI :;Yt;i,;ll'.llf Ald.iY.l.H

Dft D004 D005 D006

F002 1 FOOS ~ X Aft241,Aft243,Cft243~CH244,Cft24~Cft247,CS1371.HP237,PU23a,pU2

39,PU240,PU241,PU~42tSR90,U2~~,U234,U235,u238t 7.17£-05 T 3'(LSA~Ib "~i§§ILE-EXCEPHt ft~:f:.iUAL, LUI ::on!';l!'!lf 1I1,,1lUU

Aft241,AH243,CM245,HP237,PU238,PU239,U234, 3.64£-05 TBq

4'(L5A~II) IIFISSILE-EXCEPT~/'7: f.lt!AL, Wit ~nl.t.tr.ll; .!Il"ll YJ. H

X AK241,AH243,CS137, NP237,PU238,PU239, PU240,PU241,PU242, SR9 0,U233,U234,U235,U238, 5.67£-04 TBq

14. Special Handling Instructions and Additional Information

I ~RUJf -Dft

1 ~RUM -D1'I

1 PRU" -DJ!

LINE 11 ERG 1:166,OSWP I:

LINE 12 ERG #:166,OSWP I:


FOOl 23 K

DOO4

FOOl 13 K

1)004\

FOOl 54 K

DO().4

LINE 14 ERG 1:166,OSWP #:

0005 D006

F002 F005

D005 DOO6 I

FOO2 FOO5

DOOS D006

15. GENERATOR'S/OFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name, and are classified, packaged, marked and labeledlplacarded, and are In all respects in proper condition for transport according to applicable international and national govemmental regulations. If export shipment and I am the Primary Exporter, I cartify that the contents of this consignment conform to the terms of the attached EPAAcknowledgmenl of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a) (if I am a large quantity generator) or (b) (if! am a small quantity generator) is true.

Generator's/Offeror's PrtntedITyped Name ) Signature

.- IAwl E72. a-y~ 1 ~ - Month Day Year

10312,::,j 01 ...I 16. International Shipments 0 0 ~ Import to U,S, Export from U.S. Port of entry/exit: ..________________ :!!: Transporter signature (for exports only): Date leaving U.S.:

ffi 17. TransporterAcknowledgment of Receipt of Materials

~ Tran~er 1prtntedfTjf6ct Name, '

~ --:--\ (j f. " I( l{, rf}o J ~ Transporter 2PnntedlTyped Name

c:: I

18a. Discrepancy Indication Space

1 18. Discrepancy

5 18b.Altemale Facility (or Generator)

C3 i2: Facility's Phone:

o Quantity

I

o Type

Month Day Year

10-:;' 1.9.i·lt~ Slgn~re~ Month Day Year

1 I I

o Residue o Partial Rejection o Full Rejection

Manifest Reference Number: U.S. EPA ID Number

~~1_8C_.S_ig_na_tu_re_O_fAl_te_m_at_e_Fa_cil_~_(O_r_Ge_n_era_to_~_______________________________________________________________~IMo_~_~I_Da_y~I_~_ea~r ~ 19. Hazardous Waste Report Management Method Codes (I.e., codes for hazardous waste treatment, disposal, and recycling systems)

I

~ 1.

1 20. Designated Facil~ Owner or Operator: Certification of neceipt of hazardous materials covered by the manifest except as ncted ip-IlemiBa

PrintedfTyped N:me .D..f \--: 1:,. _ / Signatune " \ /

~'")J-J , \..A , k-'-- 7 I Month Day Year

1315010; EPA Form 8700-22 (Rev. 3-05) PrevIous editions are obsoiete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)

HMTF #: 09032501 684 * 82

Please print or type. (Form designed for use on elite (12-pitch) typewriter.) Form Approved. OMS No. 2050-0039

UNIFORM HAZARDOUS WASTE MANIFEST 121. Generator ID Number (Continuation Sheet) NM0890010515

24. Generalo~s Name LANS, LLC for US DOE

122. Page2 of 1

23. Manifest Tracking Number

0OO364091JJK

P.O. Box 1663, KS J598, Tamer Amin Los Alamos,

25. Transporter __ Company Name

NM 87545 u.s. EPA 10 Number

I 26. Transporter Company Name

U.S. EPA ID Number

I

£It!

~ w:z: w (!)

OSWP #: OSWP I: DEWP I: OS"P I: OSW? I: i

27a. 27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 28. Containers 29. Total 30. Unit 31. Waste CodesHM and Packing Group (if any)) No. Type Quantity WI.No!.

5 UN3321, WASTE RADIOACTIVE !ATERIAL, LOW SPECIFIC 1"001 1"002 Fooe;X ACTIVITY eLSA-II) FISSILE-EXCEPTED, 7, DRUI!

AK241,AH243,HP237,PU238,PU239,PU240,PU241, 7.91E-05 TBg 1 - DII 40 K D004 D005 D006

6 UH3321, WASTE RADIOACTIVE !ATERIAL, LOW SPECIFIC 1"001 1"002 F005 X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRU!

~ft~~~~A~2f~~PU238,PU239,PU240,PU241,U234,U235,U23B, 1 - DM 15 K D004 D005 D006

7 UH3321, WAstE RADIOACTIVE KATERIAL, LOW SPECIFIC I FOOl F002 F005 X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUK

Aft241,CS137,KK56,PU238,PU239,SR90t U234, 4.11£-06 TBq 1 - DK 21 K D004 0005 DOO6

8 UK3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl F002 F005 ~ K ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUI!:

~K~~~hCSl3~~~~~~7~~~238,PU239,PU240,PU241,SR90,U234,U23 1 - DK 3S K 1)004 0005 0006

9 UN3321, WASTE RADIO~CTIVE MATERIAL, LOW SPECIFIC FOOl FOO2 FOOS X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUK

~H~~~hCSt37?k~~~7~t~238,PU239,PU240,PU241,SR90,U234,U23 1 - DK 25 K 0004 0005 D006

10 UH3321, WASTE RADIO~CTIVE KATERIAL, LOW SPECIFIC FOOl FOO2 1"005 K ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUM

~K2~lkg~~~~,~g~38,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - DK 19 K D004 0005 0006

11 UH3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl F002 FOOS x ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUI'!

~H2tl&~g~~~,~~~38,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - D1'I 13 K 0004 D005 D006 12 U13321, WASTE ~ADIOACTIVE KATERIAL, LOW SPECIFIC FOOl FOO2 F005

X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUI[ ~K2~1~~g~~~,eM!38,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - DK 17 K D004 0005 0006

13 UN3321, WASTE ~ADIOACTIVE KATERIAL, LOW SPECIFIC FOOl F002 FooS X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUIi

~l!2~1~~g~~~,~~~38,PU239,PU240,PU241,PU242tSR90,U234,U23 1 - DK 17 K 0004 0005 0006

14 UN3321TWASTE g~DIOACTIVE KATERIAL, LOW SPECIFIC FOOl FOO2 FOOS X ACTIVI Y eLSA-II) FISSILE-EXCEPTED, 7, DRUIt

~~2ilo~~~5l,~~~8,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - DM 14 K D004 0005 0006 32. Special Handling Instructions and Addfiionallnformation

OSWP I: OSWP I: OS"P I: OSIfP t: OS"P I: LINE #5 ERG #:166, LINE #6 ERG #:166, LIKE #7 ERG #:166, LINE #8 ERG #:166, LINE #9 ERG ,: 166, LINE tl0 ERG 1:166, LIKE 111 ERG #:166, LINE '12 ERG 1:166, LIKE 113 ERG 1:166, LIKE 114 ERG 1:166,

£It! 33. Transporter Acknowledgment of Receipt of Materials iI!:! PrintedlTyped Name Signature Month Day Year '

0 £It! I I Ia.. I ~ 34. Transporter Acknowledgment of Receipt of Materials ~ PrintedlTyped Name Signature Month Day Year l- I I I Ir: 35. Discrepancy

:::i U Lf Q

~ 36. Hazardous Waste Report Management Method Codes (I.e., codes for hazardous waste treatment. disposal, and recycling systems)

~ \\n'L I \-I\\'7- I "HL I HuZ-- I \..} 112(I)

Q w

\~\\~ I \-\ \\2- I \-\1\1- I I HII2-." 112-,EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)

Hl'ITF #: 09032501 68482 Please print or type (Form designed for use on elite (12-pilch) typewriter) Form Approved OMB No 2050-0039

UNIFORM HAZARDOUS WASTE MANIFEST 121 .Gener1li£J~§~D1 0515

(Continuation Sheet) 12~P61 1 23. Manifest Trac~?j N~r

00 6 91JJK

24. Generato(s Name f...Aft:::l, L1.I,.; :tor uo DUE P.O. Box 1663, tiS J598, Tamer Amin Los Alamos, Nl'I 87545

25. Transporter Company Name u.s. EPA 10 Number

I 26. Transporter ___ Company Name

U.S. EPA 10 Number

I 27a. 27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, 10 Number, 28. Containers 29. Total 30. Unit HM a,nd Packing Group (if any]. . Quantity WtNol.

31. Waste Codes No. Type

X '" ... Ac'tIvITY eisA': II) FIssitE'=EXcEPTED:' 7~u" ;;;r,.\J.r.u.V DRUK rvv.l. rw..::: I'UU:

Aft241,CSI37,PU238,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - DK 14 K IIUIJ't IJUIJ.J LlUIJO

~ 5,,~!.18E-0!_!B~L,,¥,.. ..._~.•_ ,....._y

X i"" ACTIVITY"7LSA-II) Fn3SILE-EXCEPTED: 7," w, ",vn.r.t. DRUft rlJlJ.1. ruu..r. ruuOJ

Aft241,CS137,PU238,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - DM 12 K IJVV't UWOJ vvuo5, 1.20E-04 TBg

X 1.1.1 ACTIVrh"CLSA-II) FISsIl.E-EXCEPTED: 7~" wcc.IJ.1.rJ.IJ DRUlt rVUL ruu.G rW;J

Aft241,CSI37,PU238,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - Dft 14 K IlUU'i vvv,) LlUIJO5, 1.27E-04 TBg

~ X LQ ACTIVITY"(LSA_II> FISSILE-EXCEPTED: 7~ft <In:.v.r.r .1.v DRUII: I'VUl. rw.: rW;J

~ AM241,CSI37,PU238,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - DK 12 K IJUU<:I: IJUU;:) lJUUb

w 5, 1. 34E-04 TSg:z

'J.:1 ACTIVITYII(LSA-II) FIsSiLE-EXCEPTED: 7~" ;Jr~V.\rJ.\J I'VVl ruu.: ruu:J ~ X DRUK

AK241,CSI37,PU238,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - OK 15 K lJUU'i IJUUJ I1UUb5, 1.38E-04 TBq

it .GIJ AC~Ivihw(LSA-IU FISSILE-EXCEPTED; 7~1f .,n.Yl.l'll, DRWI rWl r'Wi:: /:"UUJ

Aft241,CS137,PU238,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - Dft 13 K IlUU'l: IJUUOJ IJIJVO5, 1. 58£-04 TBg

X I"J. ACTIVrTYw(fsA-Iu FISML~-~~6m~: ~~w i;Yt;liU'J.tj DRUM I'W! ruu" toW;)

A!241,CSI37,PU238,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - Dn: 15 K uuu't uw;:) UUUb5, 1.60£-04 TBq

X I"" ~C~IVITY·ILSA-II) FIsSIl.E-EXCEPTED: '7" .,r't:l.ill'"l.tJ DRUIl ruul. (,'W;'!; I'"UU::I

AIl241,CS137,PU238,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - DK 17 K uw't uuu;:) IAJUb5, 1. 60E-04 TBq

it:J ~~t~iTY'fr§~-ii) 'Fi~ML~-~~t~~~~: ~~" :;nlarll.i ~'UUl .'UU2 1"00:1

X DRUlt AK241,CSI37,PU238,PU239,PU240,PU241,PU242,SR90,U234,U235, 1.68£-04 TBq

1 - DK 32 K IIUU't I IJWO UUUb

X ~'l ~~~t~~hlJ(LSA-II) ~is§~~i-~~~~*~~: ~UW :3n~Lr!l, DRUK r'UOl l'"UUL ~'W::J

AIf241,CSI37,PU238,PU239,PU240,PU241,PU242 f SR90.U234,U23 1 - DK 14 K iJUU4 0005 IIUUb5, 1. 68E-04 TBq

32. Special Handling Instructions and Addifional information LIKE #17 ERG #:166,LINE #15 ERG #:166, LIKE 116 ERG 1:166, LINE 118 ERG #:166, LINE 119 ERG 1:166,

OSWP I: OSWP f: OSWP I: OSWP I: OSWP I: LIRE #20 ERG #:166, LIKE 121 ERG 1:166, LINE #22 ERG #:166, LIKE #23 ERG #:166, LINE #24 ERG 1:166,OSW? #: OSWP I: OSWP I: OSWP I: OSWP I:

c:: 33. Transporter Acknowledgment of Receipt of Materials ~ PrintediTyped Name Signature Month Day Year 0:: I I I I0 Q.

~ 34. Transporter Acknowledgment of Receipt of Materials ~ PrintediTyped Name Signature Month Day Year l- I I I I ~ 35. Discrepancy

::; (3

ii: Q

~ 36. Hazat'\,;1.:port Managemet Method c~r\~\1:es for hazardous waite treatmen\rlytnd recycling systeiS)

H112en w Q

\-\\\"1 I )\ \1'Z I \-\ \\'2 I 'H liz..

I

I \.\" ?-. N/12...,

EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITYTO DESTINATION STATE (IF REQUIRED)

HMTF #~ 09032501 68482 Please print or type. (Form designed for use on elite 12-pitch) typewriter.) Form Approved. OMB No. 2050-0039

UNIFORM HAZARDOUS WASTE MANIFEST 21. Generator ID Number i 22. Page 23. Manifest Tracking Number

(Continuation Sheet) Nli0890010515 4 of 1 0OO364091JJK 24. Generator's Name LANS, LLG for US DOE:

P.O. BOK 1663& liS J598, Tamer Amin Loa Alamos, N 87545

25. Transporter __ Company Name U.S. EPA ID Number

I 26. Transporter __ Company Name

U.S, EPA ID Number

I 27a, 27b. U,S, DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 28, Containers 29, Total 30, Unit HM and Packing Group Of any)) Quantity WINo!.

31. Waste Codes No, Type

25 UH3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl FOO2 FOO~ X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUK

AK2117~~~~~,~g~38,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - DK 14 K D004 0005 0006

26 UN3321, WASTE ~ADIQACTIVE KATERIAL, LOW SPECIFIC FOOl FOO2 FOOS X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRU!

~K2111~~~X~,~g~38,PU239,FU240,PU241,PU242tSR90,U234,U23 1 - DK 15 K D004 D005 0006

27 UH3321, WASTE ijADIOACTIVE ftATERIAL, LOW SPECIFIC FOOl F002 F005 X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7. DRUII:

~K2~~4~~~37.PU23a,PU239,PU240,PU241,PU242,SR90,U234,U23-n.t'TRI'f

2 - OK 31 K 0004 0005 D006

0::: 28 U13321, WASTE R!DIOACTIVE ftATERIAL, LOW SPECIFIC FOOl F002 FOOS g X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUM ~ Aft241,CS137,PU238,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - DK 51 K 0004 DOOS 0006 w "i 1 m-fl4'TRn:z 29 UI3321, WASTE RADIOACTIVE ftATERIAL, LOW SPECIFIC FOOl F002 FOOSw (!) X ACTIVITY (LSA-II) FISSILE~EXCEPTED, 7 DRUM

~~2~1~~i~~'~W~38,PU239,PU240,PU241,PU242,SR90,U234,U23 2 - OK 46 K DOD4 D005 DOO6

30 U83321, WASTE ~ADIOACTlVE ftATERIAL, LOW SPECIFIC FOOl F002 FOO5 K ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUII

~K211~~~~X~,~g~38,PU239,PU240,PU241.PU242,SR90,U234.U23 1 - DM 27 K 0004 0005 D006

31 UI3321, WASTE ~~IOACTIVE MATERIAL, LOW SPECIFIC FOOl FOOi! F005 X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, naUK

~K211~g~~~~,~g~38,PU239.PU240,PU241,PU242,SR90rU234,U23 1 - DIl 21 K 0004 DOOS DOO6

32 Uli3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl FOO2 F005 K ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUM

~K2~1~~~~~,~~~38,PU239.PU240,PU241,PU242,SR90,U234,U23 2 - Oil 56 K 0004 0005 0006

33 UR3321, WASTE ~DIOACTIVE KATERIAL, LOW SPECIFIC FOOl F002 F005 X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUIt

~ft211b~~~~,~g~8,PU239,PU240,PU241,PU242,SR90,U234tU23 1 - DK 18 K D004 0005 0006

34 UN3321, WASTE ~DIOACTIVE KATERIAL, LOW SPECIFIC FOOl FOO2 F005 K ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, ORU!

~~2~~O~~~~~,~~~38,PU239.PU240.PU241,PU242.SR90,U234,U23 3 - DM 88 K 0004 0005 DOO6 32, Special Handling Instructions and Additionallnformafion

LIKE 125 ERG 1:166,OSlfP I:




LINE 129 ERG 1:166. OSWP I:

LIKE 130 ERG #:166,OSIt? I:

LIRE 131 ERG #:166,OSWP I:

LINE 132 ERG #:166,OSWP ,:

LINE 133 ERG #:166,OSWP #:


0::: 33, Transporter Acknowledgment of Receipt of Materials ~ PrintedfTyped Name Signature Month Day Year It: I [ I J0 CL. ~ 34, Transporter Acknowledgment of Receipt of Malerials ~ PrintedfTyped Name Signature Month Day Year l- I I I I ~ 35, Discrepancy

d (.)

~ e!i 36, Hazardous Waste Report Management Method Codes (i.e" codes for hazardous waste treatment, disposal, and recycling systems)

~ \-\\\1 I "\lL I '-filL. I UIIZ ! J..I] 12.. rn w

\-\ \\2 l-\ \ \ 'L. "112 HII2e "\\'L I I I I EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)

HI.'ITF it: 09032501 68482 Please print or type (Form designed for use on elite (12-pitch) typewriter) Form Approved OMB No 2050-0039

UNIFORM HAZARDOUS WASTE MANIFEST 121. Gener1r~'tf~~~010515 (Continuation Sheet)

5 of 1\22. Page 23. ManlfestTracki'3 Number 000 64091JJK

24. Generator's Name I:-A!,!S, LLC !or Uli DOI:;P.O. Box 1663, KS J598, Tamer Amin Los Alamos, HM 87545


I u.s. EPA ID Number

Company Name u.s. EPA ID Number

26. Transporter I

27a. 27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 28. Containers 29. Total 30. Unn 31. Waste Codes HM and Packing Group (H any)) No. Type Quantity WlNol.- . X y,", ACTIVITY '(Lsi:iiYFIssitE~£XCEPTED~' 7~u" iJrCl<lr LI< DRUIf

fUUl. l'UU<! l'UU:::

AK241,CS137,PU238,PU239,PU240,PU241,PU242,SR90,U234,U23 3 - DK 75 K IJUU't IJUV;:I UUUb5, 6.10E-04 TBg _

X I...., ACTIVITY"eLSA-In FISSILE-EXCEPTED: 7~" iJrr.I<J.r!.V DRUI{ ruu.I. l'UU<! l'UU::I

AK241,CS137,PU238,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - DK 26 K fJUU"1 IJUU;:; UUUb5, 2.05E-04 TBg

X l.;If ACTIVITY"(LSA-In FIssILE-ExCEPTED: 7U " ~rr.VJ.rJ." DRU!

ruu.l t'UY"" I.'UV;J

AK241,CSl37,PU238,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - DK 22 K IJUU'f: UUU;J UUUb5, 2.11£-04 T8g

0::: X ..10 ACTIVITY"ir5A-In FISSlLE-EXC~~TE~: ~~'fJ ;:jaMUl. DRUII. ruu.l. ~UU,!: rUU;J

0

~ AM241,CS137,PU238,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - Dlt 24 K !.IVY'! IJUU:J lJUUb w 5, 2. 14E-04 T8g z

,jj AGTIVlh"(LSA-li) FISSILE-EXCEPTED: 7~" llrr.IJJ.rJ.1.t I'UU.l ruu", rUU::lw

K DRUIt(!)

AK241,CS137,PU238,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - DK 28 K lIUU", IJUU:J IJUUb5, 2. 16E-04 TBg

X 'tv ACTIVlh"cLSA-ID FIsSiLE-EXCEPTED: 7:. ~r~J.rJ.V DRUl{ ruuJ. l'uu;! l'UUO

AK241,CS137,PU23B,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - OK 39 K VUY"!: uUV.J !lVVO5, 2.21£-04 TBq

X I'll ~~TIViTYlI~LS~-IIrFISSILE-~XC~PT~; ~~" llnL.lr l~ DRtiK fUUl 1'002 1"UU:J

AK241,CS137,PU238,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - DK 38 K lJUU'l I1UUO UlJUb5, 2.23£-04 TBq

K 4t: ~~~IVlhl!tE~A-~t~l~iMILE-E~~EPTED: ~~11 llrr.I.lrLv DRUlt l"UUl ~·UU;! I'UU:J

AK241,CS137,PU238,PU239,PU240,PU241,PU242,SR90,U234,U235, 2.32£-04 TBg

1 - DK 31 K UUU'i IJIJUJ UUUb

14~ ~~rriih"tr§i-iilil FiSHlE,.~i~~~f~5: ~~' ~fr;\jJ.1'1\j fUUl I'UU2 1"00::1 K DRUII.

A!241,CS137,PU238,PU239 f PU240,PU241,PU242,SR90,U234,U23 4 - Dft 97 K IJUU4 I.IUU;' IJUUo 5, 9.44E-04 TBq

['iii AC~IViTYlI(~§~-ii)IFi~§il~-~~ti~*~5: ~~" ~t'~\j!1'1\j fUUl I'l]U2 ~'UU:i

X DRUIl AII.241,CSI37,PU238,PU239,PU240,PU241,PU242,SR90,U234,U235, 2.52£-04 TBq

1 - DII 29 K I.IUUoIl UUU:J IJUUb

32. Special Handling Instructions and Additional Information LINE 137 ERG 1:166,LIKE 135 ERG 1:166, LINE 136 ERG 1:166, LINE 138 ERG #:166, LIKE 139 ERG #:166,

05WP I: OSWP I: OSWP I: OSWP I: OSWP I: LIIE 140 ERG 1:166, LINE 141 ERG 1:166,OSWP I: OSWP I:

LIKE 142 ERG 1:166,OSWP I:

LIKE 143 ERG 1:166,OSIfP I:


0::: 33. Transporter Acknowledgment of Receipt of Malerials ~ PrintedITyped Name Signature Month Day Year

I I I I0 0. ~ 34. Transporter Acknowledgment of Receipt of Matenals ~ PrinledlTyped Name Signature Month Day Year l- I I I I ~ 35. Discrepancy

::::i U ~ 0 ~ 36. Hazardous Waste Report Management Method Codes (Le., codes for hazardous waste treatment, disposal, and recycling systems)

\4t\1~ \\\\1.... I }.\"1 I "lI'L I \-\U1.. I en w

\\ \\2 )4"2 I H\\'2 J \~JYL \-ill?...0 I I EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)

HMTF #: 09032501 68482 Please print or type (Form designed for use on elite (12-pitch) typewrite~) Form Approved OMS No 2050-0039

UNIFORM HAZARDOUS WASTE MANIFEST 121 . Generator 10 Number 122. Page 23. Manifest Tracking Number

(Continuation Sheet) NK0890010515 6 of 1 0OO364091JJK 24. Generator's Name LANS, LLC for US DOE

P.O. Box 1663& KS J598. Tamer AminLos Alamos, N 87545

U.8. EPA ID Number 25. Transporter Company Name



I 27a. 27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 28. Containers 29. Total 30. Unit 31. Waste CodesHM and PaCking Group (if any)) No. Type Quantity WLNol.

45 UH3321, WASTE RADIOACTIVE HATERIAL, LOW SPECIFIC FOOl FOO2 Foo1X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUft

~K2~17~~~~~'~W~38,PU239,PU240,PU241,PU242,SR90,U234,U23 I - OK 45 K 0004 D005 D006 46 UH3321

t WASTE RADIOACTIVE !ATERIAL, LOW SPECIFIC FOOl FOO2 FOOS

K ACTTVI Y (tsA-III FISSILE-EXCEPTED, 7, ORUK ~~2~17~~~~~p~g:38,PU239,PU240,PU241,PU242,SR90.U234,U23 ! - DK 25 K 0004 0005 D006

47 UN3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl F002 1"005 X ACTIVITY (LSA-II} FISSILE-EXCEPTED, 7 DRUK

~ft2~17g~~~~,~~:3B,PU239,PU240,PU241,PU242,SR90,U234,U23 ! - DK 51 K D004 0005 0006

'" 48 UH3321, WASTE ~ADIOACTIVE MATERIAL, LOW SPECIFIC FOOl F002 FOO5 ~ X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DeUK ~ ~K2~17R~~~~'~M~38,PU239,PU240,PU241,PU244SR90,U234,U23 1 - OK 71 K D004 0005 0006 w :z 49 U13321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl FOO2 FOOSw C) X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRU!

~K2~1~g~~~~,~g~38,PU239,PU240,PU241.PU242,SR90,U234,U23 1 - DK 57 K 0004 DooS D006 50 U13321, WASTE ~ADIOACTIVE !ATERIAL, LOW SPECIFIC FOOl F002 FOOS

X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, . ORUK AK2~1~~~~~~.~~38tP~139,PU240fPU241tPU242fSR90,U234fU23 1 - OK 36 K 0004 0005 0006

51 UH3321, WASTE ~ADIOACTIVE !ATERIAL, LOW SPECIFIC FOOl F002 F005 X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DaUK

~K2ill~~~~,~g~38,PU239,PU240,PU241,PU242,SR90,U234,U23 1 - OK 35 K 0004 0005 0006 52 UN3321, WASTE ~DIOACTIVE MATERIAL, LOW SPECIFIC FOOl F002 FOOS

X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DaUlt AIt241,CSI37,PU238,PU239,PU240,PU241,SR90, 3.16£-05 TBq 1 - DK 38 K 0004 0005 D006

53 UN3321, WASTE RADIOACTIVE ftATERIAL, LOW SPECIFIC FOOl F002 FOOS K ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7 . DRUIt

AK~41;~~~~7~&~238,pu239,pu24o.pu241,sR90,u234~u235,U238 1 - OK 23 K 0004 0005 0006 54 UN3321, WASTE RADIOACTIVE ftATERIAL, LOW SPECIFIC FOOl F002 FaDS

K ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7 DRUK An~4~;~~~~1T~~238,PU239,PU240,PU241,SR90.U234,U235,U238 1 - OK 36 K 0004 0005 0006


LIRE 145 ERG ':166, LINE '46 ERG 1:166, LIKE 147 ERG 1:166, LINE 148 ERG #:166, LINE '49 ERG 1:166,OSItP #: OSWP I: OSlfP I: OSWP I: OSW? I:LIKE 150 ERG #:166, LINE 151 ERG 1:166, LIKE 152 ERG 1:166, LIRE 153 ERG #:166, LINE 154 ERG 1:166,OSWP f: OSWP I: OSWP I: OSWP I: OSWP I:

'" 33. Transporter Acknowledgment of Receipt of Materials W Prlntedrryped Name Signature Month Day Year ~ .

I I I I0 CI.. ~ 34. Transporter Acknowledgment of Receipt of Materials ~ Printedrryped Name Signature Month Day Year l- I I I I i= 35. Discrepancy

:J U Ii!: c ~ 36. Hazardous Wasle Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems)

140'2 11112...~ \\\\1..., I \-\ n'2 I H1\1 I I en W

't\ \\ 1 I H\\'2. I ,~ \\'2 I HII2 I iH 1'2c

EPA Form 8700·22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)

HKTF If: 09032501 68482 Please print or type. (Form designed for use on elite (12-pitch) typewriter.) Form Approved. OMB No. 2050-0039

UNIFORM HAZARDOUS WASTE MANIFEST 121 . Generaifo~~bOO10515 (Continuation Sheet)

1 of 1122. Page 23. Manifest Traeki:l Number000 64091JJK

24. Generator's Name LAN~, .LLC LOr U::t !JUt; P.O. Box 1663, K5 J598, Tamer Amin Los Alamos, HI'[ 81545


I u.s. EPA ID Number


I U.S. EPA 10 Number

27a. 27b. U.S. OOT Description ~ncluding Proper Shipping Name, Hazard Class, 10 Number, 28. Containers 29. Total 30. Unit HM and Packing Group (if.any)) _ Quantity WINol.

31. Waste Codes No. Type

X "... ACTIVITY 1tSA~II) FIssitE:EXCEPTED~' 7~'·HI ;)r~J.rl\" DRUK l'UUl rvv..:; I'UU::

AK241,CS137,PU238,PU239,PU240,PU241,SR90,U234,U235,U238 1 - DIl 11 K lJUU't IJUU;) UUUO , 6.37E-O~ TBq

X .JO ACTIVlh"'(LSA-II) FISSILE-EXCEPTED: 7," w.~uLr.L1J DRUK ruu.l. ruu,," rUU;J

AK241,CS137,PU239,PU239,PU240,SR90,TH228,U234,U235,U238 1 - f)ft 64 K lJUlJ'i IJIJU::I lJUUb f 1.71E-05 TBq

X ,-J'ACTIVlh"iLSA-II> FIssH.E-EXCEPTED: 't" ;)r~lJJ.r.l.u DRUII rw.l. {'uu", rIJ\);:)

!K241,CS137,PU238,PU239,PU240,SR90,U234, 6.54£-06 TBq 1 - DK 21 K IJIJU'i IJUU;J UUUD

a:: X .;]0 ACTIVITY"<tSA-ii)·F'issH.E-E~CEPTED: 1~" ;)rc.t.1Ut. DRUM l'UV.l. fUU:':: fUU;J

0

~ AK241,CS137,PU238,PU239,PU240,SR90,U234,U235,U238, 1 - OK 19 K IJUU':I: lJUU::I lJUUb W 2.72£-06 TBq:z ;J, ACTIVIh"(LSA-rilJ.FIsSILE-EXCEPTED: 7~fI .,rrM.l'lli

rUU1 ruu;! I'-UU::lw X DRUIlC>

Aft241,CS137,PU238,PU239,PU240,SR90,U234,U235,U238, 1 - OM 23 K iJUU'l: lJUU;J !JUlib3.81£-06 TBq

X ou ACTIVITYII(LSA-iI)"FiSSIl.E-EXC~TED: ~~' ;,rr.l.tl.f!lf DRUK t'UUl l'UU;! l'-UU:J

AK241,CS137,PU238,PU239,SR90, 3.38£-05 TBq 1 - DK 17 K IJUU't I lJUUiJ IJUUO

K 01 ~~~tvlh'~E~~-¥~~J.~f~ML~-Ext~~~: ~U, bYJ:;\iU.I.\i DRUM l'UUl . I'oo:l I'lJU5

An241,CS137,PU238,PU239,SR90,U234,U235,U238, 1.63£-06 1 - DK 18 !( IJUU'l: lJUU;J UUUb TBq

X 04 AGT!VlhllirSA-IIl Fi~§il~-~~t~~~~: ~~W ::inGJ.fJ.G DRUH 1"001 l'UUJ.:: FOO5

AK241,CS137,PU238,PU239,SR90,U234,U235,U238, 1.7SE-06 1 - DK 20 K IJUU't lJUI);:) IJIJUbTBq

X Ib.j ACTI~Ih"1tSA-~i)J.FiSSil.E-2~~~~i~: 7~ff arr.I.lr.l.l. DRUK FOOl fOO2 t'w::!

AK241,CS137,PU238,PU239,SR90p U234,U23S,U238, 4.80E-06 1 - DIt 29 K lJUU'I: UUU::I IJUUbTBq

K bli ACTI~th'1LSA-II) FI~M~~-~~~~~*~5: ~I :;rr;t;J.HI; DRUK fUUl tuu;:: f'OO:l

AK241,HH54,PU238,PU239, 3.67£-06 TBq 1 - DK 24 K /JUU4 IJUU:J IJUUb

32. Special Handling Instructions and Additionallnfonmation LINE 155 ERG f: 166, LIKE 156 ERG I: 166,OSWP I: OSWP I:

LINE #57 ERG 1:166,QSWP I:

LIKE #58 ERG 1:166,OSWP t:

LINE #59 ERG 1:166,OSWP t:

LINE 160 ERG 1:166, LIKE 161 ERG 1:166, LINE 162 ERG 1:166, LIKE 163 ERG 1:166, LINE 164 ERG 1:166,OSWP #: OSWP #: OSWP f: OSWP f: OSWP I:

a:: 33. Transporter . Acknowledgment of Receipt of Materials I:!:! PrintedlTyped Name Signature Month Day Year a:: I J I J0 t.'I.. ~ 34. Transporter Acknowledgment of Reoeipt of Materials ~ PrintedITyped Name Signature Month Day Year l- I I I I ~ 35. Discrepancy

::::::; C3 ~ Q

~ 36. Hazardous Waste Report Management Metl10d Codes (I.e., codes for hazardous waste treatment, disposal, and recycling systems)

~ \\\\'2.. I '\-\ \\1... I \~ \ \2. I Hil2.. I It,,~ ii) w

\\W2 "H'L }1 \\'2., »111Q

I \-\112 I I I EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)

HMTF #: 09032501 613482 Please print or type. (Form designed for use on elite (12-pitch) typewriter.) Form Approved. OMB No. 2050-0039

UNIFORM HAZARDOUS WASTE MANIFEST 121 . Generator ID Number .: 122. Page 23. Manifest Tracking Number

(Continuation Sheet) NMOB9001051..J 8 of 1 0OO364091JJK 24. Generato~s Name LANS, LLC for US DOE

P.O. Box 1663& KS J59B, Tamer Amin Los Alamos, N 87545

u.s. EPA 10 Number25. Transporter __ Company Name



I 27a. 27b. U.S. DOT Dascription (including Proper Shipping Name, Hazard Class, ID Number. 28. Containers 29. Total 30. Un~ 31. Waste CodesHM and Packing Group (if any)) No. Type Quanlity WtNo!.

65 UK3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl FOO2 FOO! K ACTIVITY (LSA-II) FISSILE-EXCEPTED, 1, DRUtf

AK241,KNS4,PU238,PU239,U234, 1.72E-06 TBq 1 - DK 26 K D004 0005 0006

66 UK3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl , FOO2 FOOS' X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 1, ORUH

AK241,KNS6,PU238,PU239,PU24D,PU241, 8.34E-05 TBq 1 - DK 32 K 1)004 0005 DOOG

67 UH3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl FOO2 FOOS X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, ORUK

AK241,NP231,PU238,PU239,PU240,PU241, 3. 16E-OS TBq 1 - OK 26 K D004 0005 0006

a:: 68 UH3321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOl F002 FODS0 X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUIt ~ Aft241,NP231,PU238,PU239,PU240,PU241, 6.10E-05 TBq 1 - DK 30 K 0004 0005 0006 w z 69 UH3321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOl F002 FODSw CI X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 1, DRUI'!

AI'!241,NP237,PU238,PU239,PU240,PU241, 1.20£-04 TBq 1 - DK 31 K 0004 0005 0006 10 UN3321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOl FOO2 FODS

X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 1, DRUlf AM241,KP237,PU238,PU239,PU240,PU241, 3. 13E-04 TBq 1 - DIt 52 K 0004 D005 0006

71 U13321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl F002 FODS X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 1, DRUII

AM241,HP231,PU238,PU239,PU240,PU241, S.18E-04 TBq' 1 - OK 84 K D004 0005 0006

72 UH3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl FOO2 FODS X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DaUI{

Aft241,KP231,PU238,PU239,PU24D,PU241,U234, 1.77E-04 TBq 1 - OK 18 K 0004 DODS D006

13 UH3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl F002 FOOS X ACTIVITY (LSA-Ill FISSILE-EXCEPTED, 7, DRUI{ !

~H~1~~~~2~~~PU238,PU239,PU240,PU241,U234,U23S,U238, 1 - OK 19 K 0004 0005 DOOG

74 UK3321 , WAstE RADIOACTIVE "ATERIAL, LOW SPECIFIC FOOl FOO2 FODS X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7 DRUK

Atl~~~HP21~~PU238,PU239.PU240.PU241,U234,!J235fU238, 1 - DM 69 K D004 0005 0006 1. -04 T

32. Special Handling Instructions and Additional Information LIKE #65 ERG 1:166, LIKE 166 ERG 1:166, LINE 167 ERG 1:166, LIKE 168 ERG 1:166, LINE 169 ERG 1:166,OSWP #: OSWP I: OSW? I: OSWP I: OSWP #:LINE '70 ERG 1:166, LINE 171 ERG #:166, LINE 172 ERG 1:166, LIRE 113 ERG 1:166, LINE 174 ERG 1:166,OSWP #: OSWP #: OSW? #: OSWP #: OSWP I:

a:: 33. Transporter Acknowledgment of Receipt of Materials ~ PrintedlTyped Name Signature Month Day Year

I I I I0 a.. ~ 34. Transporter .. Acknowledgment of Receipt of Materials ~ PrintedlTyped Name Signature Month Day Year l-

f I I I ~ 35. Discrepancy

::::i U ~ 0

~ 36. Hazardous Waste Report Management Method Codes (Le., codes for hazardous waste treatment, disposal. and recycling systems)

lH/2 ).I11L.~ "\\2.. I l-\H'1. I Hn1 I I CJ) w

~i 1\ '2 I I HH'Z J \-\H'L I t111"L0 \-\ \ \'Z-EPA Form 8700·22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)

HKTF #: 09032501 68482 Please print or type (Form designed for use on elite (12-pitch) typewriter) Form Approved OMS No 2050-0039

UNIFORM HAZARDOUS WASTE MANIFEST 121 .Gene~~~ob10515 (Continuation Sheet)

of 112~page 23. Manifest TraCki~ Number000 6409lJJK

24. Generator's Name LAN.::;, LLI..,; :tor Ub.UUt;P.O. Box 1663, KS J59B, Tamer Amin Los Alamos, NM 87545

25. Transporter Company Name u.s. EPA ID Number



I 27a. 27b. U.S. DOT Description (including Proper Shipping Name. Hazard Class. ID Number. 28. Containers 29. Total 30. Unit 31. Waste CodesHM and Packing Group (if any)) No. Type Quantity wtNo!.- - . X '.J ACTIVITY (LSA':II)"FIssltE':eXcEPTED~' 1'-Uff i;!,,"\JULv DRUIt

I'UUl l'UU:':: l'UU::

AK241,HP231,PU238,PU239,PU240,PU241,U234,U235,U238, 1 - DK 21 K 1l004· lJUU:J ·IJOO&3. l1E-04 .T~g:.

X 'Q ACTrvlh"CLSA-II>kFISSILE-EXCEPTED: 1~ff .","VUkV ORU! I"UUl ruut: 1'00;:)

AK241,NP237,PU238,PU239,PU240,U234,U235,U238, 2.86£-05 1 - DK 24 K uuu't UUU;J UUUb T~S.

r I UR.J.J~.i., "A.;!, .. '''''III.l.Ullv.I.I.'1:. nl!.lIl.Il.l.AI.., 1..1.111 ,;,n:.\JU.L1",

DRUK HIU! roo", rVU;J

X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7,AH241,NP237,PU238,PU239,U234, 5.00E-OS TBq 1 - OK 19 K IJOO'! IJUU:J IJUUb

0:: I fO ACTIVITvIl(LSA-II) FISSILE-EXCEPTED: 7~lf 0). el",.Lr.Lv DRU!f l'UUl I.'UU:':: rUU::l

0 K

~ AK241,PB212,PU238,PU239, 3.53£-06 TBq 1 - OK 44 K lJUU4 DUU!:) DOO6 w z

11':i ~CTIViTr"1LSA-II) FISSILE-EXCEPTED: 7~" ~niJJ.r 1'fUUl t'UUj! i rUU;Jw

X ~RggC)

AK241,PU238,PU239~ 1.52£-06 TBq 1 21 K UIJ!J4 I.IIJU:J IJUUb

It;U ~2iIViTY"~~~A-In FIsMLE-EX~~~T~5; ~~" ~rr.iJll'llJ DRUM t·UUl l'UUt; l'UU:J

X A1t241,PU238,PU239, 1.61E-06 TBq 1 - DM 14 K UVUIi lJUU:J UUUb

101 ACTrVlty'f~§A-ii) IFisML~-~~t~~T~~: 7~1 ~nl;1l' 1!J fUOl rUU:':: I'W;:'

X DRUIl Aft241,PU238,PU239, 1.13E-06 TBq 1 - DK 12 K UUU'l ~ IJUUb

l(j~ ~ctliih"(~~A-li,lFi~Mrn-~~~E~TE5: ~~" ;)r'~ljlnlj DRU1I t'UUl l'UU5

X AK241,PU238,PU239, 1.93E-06 TBq 1 - OK 5 K 11004 IJUU:J IJUUb

/j;j 1!l!;:!~~!T u;;;n ;'~~.yt; rtA!~~!~~, ~UI ::it't;(.;1l'J.~ fOOl f002 FOO!)K ACTIVI Y (LSA-II) FISSILE-EXCEPTED, 1, DRUK

AK241,PU238,PU239, 4.58£-06 TBq 2 - DK 15 K LlUU4 IIUU;J UUUb

li4 U~~~~!, -,'Alf!e ItAUI IAi;IJ.V~ na.I.t;H!!!:-, !:!uw !'jyt;(;LI'Lli fOOl fOO~ roO!)K ACTIVITY (LSA-IIi·FISSILE-EXCEPTED, 7, DRUM

Aft241,PU238,PU239, 2.40E-06 TBq 1 - DK 53 K DU04 0005 0006

32. Special Handling Instructions and Additiooallnformation LINE 171 ERG #:166, LINE 178 ERG 1:166.LINE 115 ERG 1:166, LINE 116 ERG 1:166, LINE 119 ERG 1:166,

OSWP I: OSWP I: OSWP I: OSWP t: OSWP #:LINE 180 ERG #:166, LINE 181 ERG 1:166, LINE 182 ERG 1:166, LINE #83 ERG 1:166, LINE 184 ERG 1:166,OSWP I: OSWP #: OSWPI: OSWP I: OSWP I:

0:: 33. Transporter Acknowledgment of Receipt of Materials ~ PrintedfTyped Name Signature Month Day Year 0:: I . I I I0 Q,.

~ 34. Transporter Acknowledgment of Receipt of Matenals ~ Printedrryped Name Signature Month Day Year ..... I 1 I I ~ 35. Discrepancy

:::i (3

if c ~ 36. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems)

»il'2 I HlI~s \.\ WL I"H'2- I H\\'2. I VJ w c \\\ i'L 1 )\,,1... I }.\ ilL I ~1'2. I '1-/11 '2

EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACII.ITY TO DESTINATION STATE (IF REQUIRED)

HMTF #: 09032501 68482 Please print or type (Form designed for use on elite (12-pitch) typewriter) Form Approved OMS No 2050-0039

UNIFORM HAZARDOUS WASTE MANIFEST 121 . Generator ID Number 122. Page 23. Manifest Tracking Number

(Continuation Sheet) Nl108900105l5 10 of 1 0OO364091JJK 24. Generator's Name LANS, LLC for US DOE

P.O. Box 1663k MS J598, Tamer AminLoa Alamos, N 87545

u.s. EPA ID Number25. Transporter __ Company Name



I 27a. 27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 28. Containers 29. Total 30. Unit 31. Waste CodesHM and Packing Group (if any)) No. Type Quan~ty WtNo!.

65 UH3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl FOO2 pomX ACTIVITY (LSA-II) FISSILE-EXCEPTED, 1, DRUII

Aft241,PU238,PU239, 2.44E-06 TBq 1 - 1)11 23 K 0004 1)005 0006

86 UR3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOL F002 F005 X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 1, ORUtl

AK241,PU238,PU239, 2.55E-06 TBq 1 - DK 14 K 0004 0005 D006 87 U1332l, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOL FOO2 F005

X ACTIVITY (LSA-IIl FISSILE-EXCEPTED, 1, DRUt(AK241,PU238,PU239, 2.68E-06 TBq 1 - DK 13 K 0004 0005 0006

0:: 88 UH3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl FOO2 FOOS0 X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 1, DRUIl ~ AK241,PU238,PU239, 3. 16E-06 TSq 1 - Oil 24 K D004 0005 0006 w;z 89 UH3321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOL FOO2 FODSw Cl X ACTIVITY (LSA-IIl FISSILE-EKCEPTED, 7, DRUII

Aa241,PU238,PU239, 4.94£-06 TBq 1 - DK 12 K 0004 D005 D006 90 UH3321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOl FOO2 F005

X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 1, ORUI'[AK241,PU238,PU239, 5.01E-06 TBq 1 - DK 52 K 0004 0005 0006

91 UH3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOL FOO2 FOOS X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 1, DRUK

AK241,PU238,PU239, S.82E-06 TBq 1 - DK 21 K 0004 0005 D006

92 UI3321, WASTE RADIOACTIVE MATERIAL. LOW SPECIFIC FOOL F002 F005 X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 1, ORUK

AK241,PU238,PU239, 6.28E-06 TBq 1 - DK 56 K 0004 0005 D006

93 UK3321T

WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOl FOO2 F005 X ACTIVI Y (LSA-II) FISSILE-EXCEPTED, 1, DRmt

Aft241,PU238,PU239, 6.31£-06 TBq 1 - Off 15 K 0004 0005 D006 94 UH3321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOL F002 F005

X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUII Aft241,PU238,PU239, 6.90E-06 TSq 1 - DK 22 K 0004 I 0005 0006

32, Special Handling Instructions and Additionallnfonnanon

LIKE la5 ERG #: 166. LINE 186 ERG 1:166, LINE 181 ERG 1:166, LINE la8 ERG 1:166, LIRE 189 ERG 1:166.aStiP I: OSWP I: OSWP #: OSWP #: OSWP #=LINE #90 ERG 1:166. LIKE 191 ERG 1:166, LIKE 192 ERG 1:166, LIKE 193 ERG #:166, LIKE 194 ERG 1:166,OStiP #: OSWP I: OSWP #: OSWP I: OSWP #:

ca:: 33. Transporter Acknowledgment of Receipt of Materials ~ PnntedlTyped Name Signature Month Day Year

I I I I0 11. ~ 34. Transporter Acknowledgment of Receipt of Materials ~ PrintedlTyped Name Signature Month Day Year l- I I I I5 35. Discrepancy

(3

if ClIi 36. Hazardous Waste Report Management Method Cedes (I.e., codes for hazardous wasle treatment, disposal, and recycling systems)

HU'2 I HII'Z...~ \.\ WL I t\ WL I 11 W2... [en w

).\111 , \l \I'L ICl ~11 \'1 I I·,}! l2 I UIIZ-EPA Form 8700·22A (Rev. 3-05) Previous editions are obsolete.. DESIGNATED FACILITYTO DESTINATION STATE (IF REQUIRED)

HMTF #: 09032501 68482 Please print or type (Form designed for use on elite (12-pitch) typewriter) Form Approved OMB No 2050-0039

UNIFORM HAZARDOUS WASTE MANIFEST 121 . Gene~~~O10515 (Continuation Sheet)

IfiPag'f 1 23, Manifest Trac8:J~umber00 4091JJK

24. Generator's Name LAN::i, ....Lt.; for US ODE P.O. Bog 1663, HS J59B, Tamer Amin Los Alamos, NH 87545

u.s: EPA ID Number 25. Transporter Company Name



I 27a. 27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 28. Containers 29. Total 30. Untt 31. Waste CodesHM and Packing Group (if any)) No. Type Quanttty WtNo!.

X ,5ACTIvIT'y '(LSA:III FISSi:tE:EXcEP'H:D~' 7~Uff >Jrr.IJLrLt. DRUK 1'001 1"002 FOU~

AK241,PU238,PU239, 7.70£-06 TBq 1 - DK 22 K IJUUlf: IJUU;J tJUUb

-1'1[7 PfPf~~"'f./ ""'~!Ilo ..........w ..wl.l.U:O nti.lI:.It.l.lU.. , &..yft ;;)n;.t.,u' .1.1.. rUU.l ruu..: ruu;:) l{ ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUK

AK241,PU238,PU239, 7.81E-06 TBq 1 - D1f 23 K D004 D005 0006

197 ~~f~~lh'tE~i-ii,n~i~§il~-~~t~~i~5: ~~W Sft;GlfIC FOOL FOO2 F005

K DRill.'(AK241,PU238,PU239, 9.47E-06 TBq 1 - DK 30 K D004 0005 0006

0:: 1~8 ~~¥t;ihlf[~i-~~~l~~~~~l~-~~~~~~: ~~W ~n~u!~ DaUIl fOOl 1"002 1"005

0 X ~ AIl241,?U238,PU239, 9.86E-06 TBq 1 - DII 93 K D005 D006 w :z

I~:; ~~¥t;itv"tE§~-U)J.~is~fLi-~6~~+~t: ~~II tln"Ull.,

K

1"001 1"002 1"005w X DRUIt(!)

AK241,PU238,PU239, 1.05E-05 TBq 1 - DK 103 D004 DOO::l 1)'006

X ACTIVITYIff~§i_ii) 'Fi~Mr~-~~t~f~: ~~lf t;1'~"!Hli DRUK 1"001 1"002 FOOS

AK241,PU238,PU239, 1. 13E-05 TBq 1 - Dl'I 73 K lJUUIi lJUU:J 00Ub

X IlUl~~~iiih"tr§i-¥r:!~~~Mr~-~~t~~*~5: ~~w S!'~t;.lnli DaUlt l."'UU1 1"002 1"005

AK241,PU238,PU239, 1.25E-05 TBq 1 - DII 136 [( IJUU4 . lJUU:J IJUUb

ACTIVIh'fr~i-ii) Fi~~jl~-~t~*~5: ~~w :;rt;~.ll'lli FOOl 1"002 FOOSX DRUM

AIl241,PU238,PU239, 1.61E-05 TBq 1 - DK 94 K UWIi UW:l lJWb

J~~~~;;Ih"t[~i-U~!~~~§ir~-~~t~i~5: ~~w St'eGJ.H(; FOOl fU02 I'~OO5

X DRUK AK241,PU238,PU239,PU240, 1.77E-06 TBq 1 - DII: 11 K IJUUb

114I1N:H... , _WA:;!~ WA IAI~!!!t; ~~!!f~!~!:-. ~ow ::;1't;~rFIG 1"001 I FOO2 FOO!)X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUK

AM241,PU238,PU239,PU240, 3. 76E-06 TBq 1 - OK 36 K 0004 lJUUJ IJVvg

32. specia'ti~~g Instructions and Additionallnformalion LIKE 197 ERG ':166, LIKE 198 ERG 1:166, LINE #99 ERG 1:166,LIKE 19 ERG 1:166, LIKE 196 ERG 1:166,

!OSWP I: OSWP I: OSWP I: OSW? I: OSWP I:LIKE 1100 ERG 1:166, LIKE 1101 ERG #:166, LIKE 1102 ERG 1:166, LIKE 1103 ERG #:166, LINE 1104 ERG 1:166.OSWP #: OSWP #: OSWP I: OSWP I: OSWP I:

0:: 33. Transporter Acknowledgment of Receipt of Materials ~ Printedrryped Name Signature Month Day Year

I I I I0 0.. ~ 34. Transporter Acknowledgment of Receipt of Matenals£2 Printedrryped Name Signature Month Day Year l- I I I I ~ 35. Discrepancy

:::i (3

if Cl

!:i 36. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems)

~ HilL I Hill- I "112 I Ril1 J }l ,,1.-. (f) w

I \Hlh I ~1I2-- J HI J2 I H'r~Cl HII'l-EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete, DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)

HHTF I: 09032501 68482 Please print or type (Form designed for use on elite (12-pilch) typewriter) Form Approved OMS No 2050·0039

UNIFORM HAZARDOUS WASTE MANIFEST 121 . Generator ID Number /: 22. Page 23. Manifest Tracking Number

(Continuation Sheet) NM0890010515 12 of I 0OO364091JJK 24. Generator's Name LANS, LLC for US DOE

P.O. BOK 1663" KS J598, Tamer AminLos Alamos, N 87545




1 27a. 27b. u.s. DOT Descrtption (induding Proper Shipping Name, HaZ9ro Class, ID Number, 28. Containers 29. Total 30. Unit 31. Waste CodesHM and Packing Group (if any)) No. Type Quantity WtNol.

105UN3321, WASTE RADIOACTIVE HATERIAL, LOW SPECIFIC FOOl FOO2 FOO~ X ACTIVITY eLSA-II) FISSILE-EXCEPTED, 7, DRUII

AH241,PU238,PU239,PU240, 6.69E-06 TBq ! - OK 14 K D004 D005 0006 1

!06UN3321, !tASTE RADIOACTIVE HATERIAL,LOW SPECIFIC FOOl FOO2 F0051 X ACTIVITY (LSA-II) FISSILE-EXCEPTED 7, DRU!!:

AH241,PU238,PU239,PU240, 7.24E-06 rBq 1 - nK 22 K 0004 D005 0006 !

107UI33211

!tASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl FOOl FOOS X ACTIVI Y (LSA-II) FISSILE-EXCEPTED, 7, DRUK

AII241,PU238,PU239,PU240. 8.85E-06 TBq 1 - O! 13 K D004 0005 D006! 0::: 108U13321, WASTE RADIOACTIVE !ATERIAL, LOW SPECIFIC FOOl FOO2 FOOS ~ X ACTIVITY (LSA-II) FISSILE-EXCEPTED 7, DRU! ~ AK241,PU238,PU239,PU240, 9.04£-06 TBq 1 - Dff 19 K 0004 0005 0006 w

F002tF005z 109UN3321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOlw C) X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUI

AK241,PU238,PU239,PU240, 9.82E-06 TBq 1 - Dff 32 K 0004 0005 0006 110UH3321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOl FOOl F005

X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUI{Aff241,PU238,PU239,PU240, 9.90E-06 TBq 1 - DK 28 K 0004 0005 0006

111UN3321, WASTE RADIOACTIVE ftATERIAL, LOW SPECIFIC DR~~

FOOl F002 F005 X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7,

AM241,PU238,PU239,PU240, 1.25E-05 TBq 1 - OK 16 K DOO4 0005 DOOG 112UN3321, WASTE RADIOACTIVE IfATERIAL, LOW SPECIFIC FOOl FOO2 FOOS

X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUIl AK241,PU238,PU239,PU240, 1.33E-05 TBq 1 - Dft 29 K D004 0005 0006

113U13321, WASTE RADIOACTIVE IfATERIAL, LOW SPECIFIC FOOl FOO2 F005 x ACTIVITY (LSA-II) FISSILE-EXCEPTED! 7, . ORU!!. AK241,PU23B,PU239,PU240, 2.21E-05 Bq 1 - Dft 97 K 0004 0005 0006

114UH3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl FOO2 FooS x ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DaUK AK241,PU238,PU239,PU240,PU241, 2.77£-05 TBq 1 - DII. 33 K 0004 0005 0006

32. Special Handling Instructions and Addltionallnfonnation LINE 1105 ERG 1:166, LINE '106 ERG 1:166, LIKE 1107 ERG 1:166, LINE 1108 ERG 1:166, LIRE '109 ERG 1:166,OSWP I: QSWP I: QSWP I: OSWP I: OSWP I:LINE 'lID ERG 1:166, LINE 1111 ERG 1:166, LINE #112 ERG #:166, LINE 1113 ERG 1:166, LINE 1114 ERG 1:166,OSWP I: OSWP I: OSWP I: OSWP I: OSWP I:

0::: 33. Transporter Acknowledgment of Receipt of Materials W PrintedfTyped Name Signature Month Day Year Ii! I I I I0 0... ~ 34. Transporter Acknowledgment of Receipt of Matenals ~ PrintedfTyped Name Signature Month Day Year l- I I I I§ 35. Discrepancy

U if. CI

~ 36. Hazardous Waste Report Management MethOd Codes (i.e., codes for haZ9rnous waste treatment, disposal, and recycling systems)

8 \-Il\'L I \\ 1\'2... I i{iJ'l,.. I HJ12-. I 1-11 r2-. en W CI \.\ \IL I "li2 I HU'2 I HI 11.. J NiI'L,

EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DES"rlNATION STATE (IF REQUIRED)

HKTF #: 09032501 68482 Please print or type (Form designed for use on elite (12'pitch) typewriter) Form Approved OMB No 2050·0039

EPA Form 8700-22A (Rev. 3.05) Previous editions are obsolete. DESIGNATED FACILITYTO DESTINATION STATE (IF REQUIRED)

UNIFORM HAZARDOUS WASTE MANIFEST [21. Gener1l6j~§~010515 (Continuation Sheet)

[f3Pa6f 1 23. ManlfestB"cg~ Numb1Jo 640....lJJK

24. Generator's Name ~Altl:), .LtG ;or US DOE TamerP.O. Box 1663, KS J598, Amin

Los Alamos, HK 87545

25. Transporter __ Company Name U.S. EPA 10 Number

J Company Name

U.S. EPA 10 Number 26. Transporter

I 27a. 27b. U.S. DOT Description (Including Proper Shipping Name, Hazard Class, 10 Number, 28. Containers 29. Total 30. Unit 31. Waste CodesHM and Packing Group ~fany)) No. Type Quantity WINo!.

X ACTIVITY (i.SA~II) FISSi:tE~EXCEPTEb~' 7;YfI wI" wfJJ.r ~IJ DRUlf 1"001 l"UU;e: l"W-

AK241,PU238,PU239 t PU240,PU241, 3.01E-OS TBq 1 - OK 27 K IJUU'i UUU;) UUUb

X 1.1. ACTIVITY"(LS!-II) FIssIl.E-EXCEPTED: 7~fI ;:!rl:.liJ.r.l.1J DRUK

["WI 1'00':: roo;:)

AK241,PU238,PU239,PU240,PU241, 3.S4E-OS TBq 1 - OK 19 K IJUUlt UUU:J IJUVb

X IU'ACTIVlhl!cLSA-II) FISSILE-EXCEPTED: 7~1! ;:!rr.\41U\, DRUtt rUUl ruu~ ruu:J

AK241,PU238,PU239,PU240,PU241, 3.91E-05 TBq 1 - OK 14 K IJUU4 I 1JUO::f IJUUb

eo:: ACTIVITY"(LSA-II) FIssIi.E-EXCEPTED: 7~" iJrr.lJJ.r J.1.r DRUII rOOl 1"00" I'UO:)

0 X ~ AK241,PU238,PU239,PU240,PU241, 4.52£-05 TBq 1 - DK 37 K UUU'i IJUU;:) ooUb w z

lJ."ACTIViTY"~LSi-II) FISsrLE-EKCEPTE5: ~~" ~rr.l>ll'11> l'UUl 1'uu;.:: FOO!Jw K DRUKC>

AK241,PU23B,PU239,PU240,PU241, 1. 15E-04 TBq 1 - DIt 21 K I)UU4 UUU:l 1)00b

J.;.w.u").Jif.4~T Ui:jIIIf ,HY~ nArt.Iu'AI.., i..-UII ;:U'I:.t..l..!'l.1.. fOOl r-uU;t . l'UU;) X ACTIVI Y <LSA-II) FISSILE-EXCEPTED, 7, DRUII

AK241,PU238,PU239,PU240,PU241, 1.35£-04 TBq 1 - Dlt 40 K UUU4 000::1 0006

'7 ~~;~~IhWtE~i-ii)l~i~~tt~-~~t~i~5: ~?W "Yr.lJll'ltJ FOOl Foo2 FOOS

X DRU!!AK241,PU238,PU239,PU240,PU241,U234, 4.09E-05 TBq 1 - OK 13 K DUtJ4 000::1 0006

ACTIVITY"tr§i-¥l~J.~t~~fr~-~t~~i~: ~~w :,reliULli FOOl FOO2 FOOS

l{ DRUM AK241,PU238,PU239,PU240,PU241,U234,U235,U238, 2.50E-05 1 - Dtl 16 K DUUI! DU05 UUUbTBq

11

ACTIVITv'tE§i-ID FIs~tL~-~~t~*~: !f.' ::;ntiiUli FOOl FOO2 FOGS

X DRUK AK241,PU238,PU239,PU240,PU241,U234,U235,U238, 3.14E-05 1 - DI{ 15 K 1M}'! IJUU:J UUUb TBII

X AGTIVIhWf~§i-ii;IFi~ir~-~~t~~i~5: ~~w ~rt;"11"!t; DRUIl FOOl Foo2 1'"000

AIl241,PU238,PU239,PU240,PU241,U234,U235.U238, 3.73E-05 1 - 011 7 K 0004 D005 0006TBq 32. Special Handlin~'nstructions and Additional Information

LIRE III ERG 1:166, LIRE 1116 ERG 1:166, LIKE 1117 ERG #:166, LIKE 1118 ERG 1:166, LIRE 1119 ERG 1:166,OSWP I: OSWP I: OSWP I: OSWP I: OSWP I: LIKE 1120 ERG #:166, LIKE 1121 ERG #:166, LIKE 1122 ERG 1:166, LIRE 1123 ERG 1:166, LIRE 1124 ERG 1:166,OSW? I; OSWP.t: OSWP t: OSWP I: OSWP #:

eo:: 33, Transporter Acknowledgment of Receipt of Materials t!::! PrintedlTyped Name Signature Month Day Year tt:: I I I I0 0.. ~ 34. Transporter Acknowledgment of Receipt of Materials ~ PrintedlTyped Name Signature Month Day Year l- I I I Ii= 35. Discrepancy

::i U ~ 0

~ 36. Hazardous Waste Report Management Method Codes (Le., codes for hazardous waste treatment, disposal, and recycling systems)

~ H112... I lit i2. I H;) 2.... 1 UJl2 J l-I" 2....(/) w

~ \I 'Z.. I \-till. I UIl2- I0 1 UlI'L\~HZ-

HMTF #: 09032501 68482 Form Approved OMS No 2050-0039Please print or type (Form designed for use on elite (12-pitch) typewriter)

UNIFORM HAZARDOUS WASTE MANIFEST \21. Generator ID Number I: 22. Page 23. Manifest Tracking Number

(Continuation Sheet) Nl'I.0890010515 14 of 1 . 000364091JJK 24. Generator's Name LANS, LLC for US DOE

P.O. Box 1663& 1'1.5 J598. Tamer AminLos Alamos, N 87545


[ U.S. EPAID Number


I 27a. 27b. U.S. DOT Description (including Proper Shipping Name. Hazard Class, ID Number, 28. Containers 29. Total 30. Unit 31. Waste CodesHM and Packing Group (if any)) No. Type Quantity WtNol.

125UN3321, WASTE RADIOACTIVE U'fERIAL, LOW SPECU'IC FOOL FOO2 Fo&X ACTIVITY {LSA-III FISSILE-EXCEPTED, 7, DRU!

~~;41,PU23B,PU239,PU240,PU241,U234,U23S,U23a, 6.61E-05 1 - DK 14 K D004 0005 D006

126UNj321, WASTE RADIOACTIVE !ATERIAL, LOW SPECIFIC FOOL F002 FODS' X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUK

~1~41,PU238,PU239,PU240fPU241,U234,U23S,U238, 1.02£-04 1 - DK 28 K 0004 0005 0006

127UHj321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOL FOO2 FOOS X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7 DRUK

~~~41,PU238,PU239,PU240,PU241,U234,U235,U238, 2.08E-04 1 - DK 26 K 0004 DOOS 0006

0:: 128U~~321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl FOO2 FOOS0 X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7 DRUIt ~ AK241,PU238,PU239,PU240,U234,U235,U238, 1.72£-06 TBq 1 - OK 12 K D004 0005 0006 w :z 129U13321, WASTE RADIOACTIVE MATERIAL, LOlfSPECIFIC FOOl f'OO2 FOOSw (!) X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUM

AK241,PU238,PU239,PU240,U234,U23S,U238, 2.3OE-06 TBq 1 - Ol! 14 K 0004 0005 0006

130U13321, WASTE RADIOACTIVE !ATERIAL, LOW SPECIFIC FOOl FOO2 F005 X ACTIVITY (LSA-II) FISSILE-EXCEPTED. 7, DRUM

AK241,PU23B,PU239,PU240,U234,U23S,U238, 3.04E-06 TBq 1 - OK 9 K 0004 0005 0006 131U13321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOL FOO2 FOOS

X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUP! AK241,PU238,PU239,PU240,U234,U235,U238, 4.22£-06 TBq 1 - DK 18 K 0004 0005 0006

132UH3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOL I FOO2 FOOS iX ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, ORUK

AK241,PU238,PU239,PU240,U234,U235,U238, 4.94E-06 TBq 1 - DIt 17 K D004 0005 0006. !

133U83321, WASTE RADIOACTIVE KATERIAL. LOW SPECIFIC FOOl F002 FOOS K ACTIVITY (LSA-II) FISSILE-EXCEPTED 7, DRU!!:

AK241,PU238,PU239,PU240,U234,U235,U238, 6. 15E-06 TSq 1 - Dft 15 K 0004 0005 0006 134013321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC 1"001 FOO2 FOOS

·x ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, ~RggAK241,PU238,PU239,PU240,U234,U235,U238, 6.34E-06 TBq 1 22 K D004 DOOS 0006 32. Special Handling Instructions and Additional Information

LIKE 1125 ERG 1:166, LINE 1126 ERG 1:166, LIKE 1127 ERG 1:166, LIKE 1128 ERG 1:166, LIKE 1129 ERG #:166,OSWP 1= OSWP I; OSWP I: OS,,!? I: OSWP I:LIME 1130 ERG 1:166, LINE 1131 ERG 1:166, LIKE 1132 ERG 1:166, LINE 1133 ERG 1:166, LIKE #134 ERG #:166,OSWP I: OSWP I: OSWP I: OSWP #: OSWP I:

0:: 33. Transporter Acknowledgment of Receipt of Materials ~ PrintediTyped Name Signature Month Day Year

I I I I0 0~ 34. Transporter Acknowledgment of Receipt of Matenals ~ PrintediTyped Name Signature Month Day Year l- I I I I ~ 35. Discrepancy

::::i U Lf Q

J:! 36. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems)

~ \-\1\1-. I "\\1... I \111'2 I 1~/l2. J 1411'1(3

t\\YL 14 112.. i~ j 1'2.. ~tli'LQ I HU'l I I 1 EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)

HKTF' #: 09032501 68482 Please print or type. (Form designed for use on elite (12-pitch) typewriter.) Form Approved. OMB No. 2050'()039

UNIFORM HAZARDOUS WASTE MANIFEST 121 . Gene'trO~~15blO515 (Continuation Sheet)

If~pag~ 1 23. Manifest TraCki:f Nf<ber000 6 091JJK

24. Generator's Name LAHl:I, LLL; :tor U?_DI;!~ P.O. Box 1663, KS J59B, Tamer Amin Los Alamos, NK 87545

25. Transporter __ Company Name U.S. EPA 10 Number

I 26. Transporter __ Company Name U.S. EPA 10 Number

I 27a. 27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, 10 Number, 28. Containers 29. Total 30. Unil HM and Packing Group (if any)) NO.~ Quantity WINo!. 31. Waste Codes

X L ACTIVrT'y '(LS!:!!) FIsSIU::EXCEPTED;' 7~urr wi"c.vLl'i\' DRUlI r 'uut: ruu~

AH241,PU238,PU239,PU240,U234,U235,U238, 7. 26E-06 TBq 1 - DK 19 K UUU'i wuo UWb

L ACTIVITYn'LSA_II) FISSILE-EXCEPTED: 7~fI iJ[ I>U.!.r lou

ruu.L ruu,," ruu.J X DRU!

AK241,PU238,PU239,PU240,U234,U235,U238, 7.4SE-06 TBq 1 - DK 12 K IJUV't WU;) WUb

X IL.3!ACTIVlhlifts/:-In FISSIl.E-ExCEPTED: 1~" O1i"I:.YLi" Lv DRUK ruu~ ruUi:; rVU;J

AK241,PU238,PU239,PU240,U234,U235,1J238, 7.B7E-06 TBq 1 - OK 20 K wu't uvu;:) IIUI.lO

0:: ~~~ IfftOlll:. 'l.l.l~ nlt!!:!~=~!:" I.UIf ::I,r.vir~" DRUM

ruu.l. !'uu" I'UU;J

0 X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7,

~ AK241,PU238,PU239,PU240,U234,U235,U238, 1.45£-05 TBq 1 - Oil 19 K IJUU't uuu;:) lJVUb W z

i-w"ACTIVrhl!{'LSA-ID FIsMLE-~~CEPTE~: ~~" ~rt.v.l.r1'" ruUl I'l.Iu;.:: rUU:lw X DRUK(!)

AK241,PU238,PU239,PU240,U235,U238, 5.12£-06 TBq 1 - Df!. 8 K IJUV'! uuu;:) UUUb

X .L' ACTIVITY"(LSA-II) FISSIL.E-EXCEPTED: ~~" ill"t."irL" DRUlt ruu.L !'!JlIt.: rUU;J

AH241,PU238,PU239,PU241,U235,U238, 4.04E-05 TBq 1 - DK 94 K WU'i IJUU;:I IJIJUO

X 14 ~CTIVIty"fili-II) FISst~~-~~~;T~t: ~~'ff llt't;l.Ill'lti DRUn: r'UUl ,...uu:.! l"UU:J

AK241,PU238,PU239,TH228, 2. 53E-06 TBq 1 - DK 24 K IJUV't IJUU;J lJUUb

l'!~~~Ivlry"(LSA-ii;) Fi~M~~-~~~~~~~~: ~~w :lnGIHG FUOl I'UU:'::: l'UU;:'

K DRU!f AK241,PU238,PU239,TH228,TH229,U233, 2.15£-05 TBq 1 - DK 25 K wu't IJUU::I IJUUb

Il'tJ~~finh1!1Esi-Ii', Fi~§i;:~-~t~~*~: ~~' :It'~I.i.lH''' ruUl !'w:.! l"UU:J X DRUK

AK241,PU238,PU239,U234, 1.64E-06 TBq 1 - DII. 6 K 1JUUl! UUU:J /JUUO

i44J~~TiVIhWtt§i_Ili) Fi~§i(~-~b;*~~: ~~w l;(Jt;t;lHt; mUI 1'002 I'U05

X DRUft AK241,PU238,PU239,U234, 3.13£-06 TBq 1 - DIl 4 K UUUO\ !.lUU:" DUUb

32. Special Handlin~tstructions and Additionallnformalion LINE 113 ERG #:166, LINE 1136 ERG 1:166, LINE 1137 ERG #:166, LIKE 1138 ERG I: 166, LIKE 1139 ERG 1:166, OSltP I: OSW? I: OSi? #: OSltP I: OSItP #: LIRE 1140 ERG 1:166, LIRE 1141 ERG, 1:166, LIKE 1142 ERG 1:166, LIKE 1143 ERG 1:166, LINE 1144 ERG 1:166, OSWP #: OSWP I: OSWP #: OSW? I: OSWP I:

0:: 33. Transporter Acknowledgment of Receipt of Materials ~ Printedffyped Name Signature Month Day Year 0:: I I I I0 t.l.. ~ 34. Transporter Acknowledgment of Receipl of Materials ~ Prinledffyped Name Signature Month Day Year l- I I I I ~ 35. Discrepancy

::::i (3

~ QIi 36. Hazardous Waste Report Management Method Codes (I.e., codes for hazardous wasle treatment, disposal, and recycling systems)

~ "tiL I llH1--. I HU2. I \.\H~ I ltlVl tn W

I \\\\2 I ilnz.. I HUL IQ

\~\\"L \-\ \\2EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)

HMTF #: 09032501 68482 Please print or type (Form designed for use on elite (12-pitch) typewriter) Form Approved OMS No 2050-0039


UNIFORM HAZARDOUS WASTE MANIFEST 121 • Generator 10 Number 122. Page 23. Manifest Tracking Number

(Continuation Sheet) N1'[0890010515 16 of 1 0OO364091JJK 24. Generator's Name LANS. LLC for US DOE:

P.O. Box 1663k

1'[S 3598, Tamer Amin Los Alamos. N 87545

u.s. EPA iD Number25. Transporter __ Company Name

I U.S, EPA ID Number

1 27a. 27b. u.s. DDT Description (including Proper Shipping Name, Hazard Class, ID Number, 28, Containers 29. Total 30. Unit 31. Waste CodesHM and Packing Group (ihny)) No. Type Quantity Wl.Nol.

14SUI3321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOl F002 FOO~ X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUK

A!241,PU23S,PU239,U234, 3.41£-06 TBq 1 - OK 21 K 0004 0005 D006

146UH3321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOl F002 FOOS· X ACTIVITY (LSA-III FISSILE-EXCEPTED, 7, DRUI{

Aft241,PU238,PU239,U234, 4.66E-06 TBq 1 - OK 35 K D004 0005 0006 147U13321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOl F002 FOOS

X ACTIVITY {LSA-III FISSILE-EKCEP'rED, 7, DRUlt Aft241,PU238,PU239,U234, 4.69E-06 TBq 1 - DK 13 K 0004 D005 0006

a:: 148UI3321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC I FOOl FOO2 FOOS g X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUIt I

~ AK241,PU238,PU239,U234, 5.62£-06 TBq 1 - DK 24 K 0004 D005 0006 w z 149UN3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl F002 FOOSw (!) X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUM

AK241.PU23S,PU239,U234, 8.50E-06 TBq 1 - DK 21 K 11)004 0005 D006

15OU13321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl F002 FOO5 X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUM

AM241, PU238,PU239,U234, 8.56£-06 TBq 1 - OK 19 K 1)004 D005 0006

151U13321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOl F002 FOO5 j{ ACTIVITY (LSA-II) FISSILE-EKCEPTED, 7, DRUI!

Alt241,PU238,PU239,U234, 1.09E-05 TBq 1 - DK 24 K D004 D005 0006

152U13321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOOl F002 FOOS X ACTIVITY (LSA-II) FISSILE-EXCEPTED, 7, DRUI!

AM241,PU238,PU239,U234, 4.34£-05 TBq 1 - DK 25 K D004 0005 0006

153UH3321, WASTE RADIOACTIVE KATERIAL, LOW SPECIFIC FOOl F002 FOOS X ACTIVITY (LSA-III FISSILE-EXCEPTED 7,

Aft241,PU238,PU239,U234, h DRUIt

4.95E~05 T q 1 - DK 27 K D004 D005 D006 154UN3321, WAST£ RADIOACTIVE MATERIAL, LOW SPECIFIC FOOl F002 FODS

X ACTIVITY (LSA-II) FISSILE-EXCEPTEDS7, DRUIt: Aft241,PU238,PU239,U234, 6.70E-05 T q 1 - III{ 19 K D004 D005 0006

32, Special Handling Instructions and Additional Information

LIIE #145 ERG #:166, LINE #146 ERG #:166, LIRE #147 ERG 1:166, LINE 1148 ERG #: 166, LIIE 1149 ERG 1:166,OS"P I: OSWP I~ OSWP I: OSWP I: OSWP I:LINE 1150 ERG 1:166, LIIE 1151 ERG 1:166, LIIE 1152 ERG 1:166, LIIE 1153 ERG #:166, LIIE 1154 ERG 1:166,05WP I: OSWP I: OS"P I: OS"p I: OS"? I:

a:: 33. Transporter Acknowledgment of Receipt of Materials ~ PrintedlTyped Name Signature Month Day Year

I I I I0 n. ~ 34. Transoorter Acknowledgment of Receipt of Materials£2 PrintedITyped Name Signature Month Day Year t- I I I I ~ 35. Discrepancy

:::::i (3

~ 0

~ 36. Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recyding systems)

~ \\\\1- I \\\\'L I \11\2. I Hll2- J HII'2--(/) w

,"\l'L- I \\\\'L I \\\\'Z- J "Hz.. HII~0 J EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)

HMTF #: 09032501 68482 Please print or type. (Form designed for use on elite (12-pitch) typewriter.) Form Approved, OMB No. 205()-OO39

UNIFORM HAZARDOUS WASTE MANIFEST 121 . Gane~~§ltr010515 (Continuation Sheet)

If7P~1: 1123.ManifestaH5?1~~1JJK

24. Generator's Name I."Alti:l, 1..!...!... IOr U::i.1JI.J~ P.O. Box 1663, KS J598, Temer Amin Los Alamos, NK 87545

U,S. EPA ID Number 25. Transporter __ Company Name

I U,S, EPA ID Number

26, Transporter __ Company Name

I 27a, 27b, U.S. DOT Description (including Proper Shipping Name, Hazard Class, 10 Number, 28, Containers 29, Total 30, Unit 31. Waste CodesHM and Packing Group (if anl1L_ ~'A~_ M_ •••_ --, No. Type Quantity WtNo!.-X ....ACTIVITY (LSA':I!) FIsSltE':EXCEPTED~' 7";" wi ............... DRUI'[

rvv.!. ruu..:: ruu~

AK241,PU238,PU239,U234, 7.03E-05 TBq 1 - j)lf 31 K 1JUU'i /JUV;:) UUUb

ACTIVITY111([:91-IItFIssrLE-EXCEPTED: 1~rt LlH.\lJ.r J.u ruu.l. fUU':: fUUO

X DRUft AK241,PU238,PU239,U234,U235,U238, 1. 35E-06 TBq 1. - DK 8 K IIUU'!: INU;;) /JUUO

I L,J 'ACTIVITY"(LSA-II) FISSILE-EXCEPTED: 1;" wn~VI.r.L\I DRUK rVIJ.I. ruu.:: ruu;:)

X AK241,PU238,PU239,U234,U235,U238, 2.99E-06 TBq 1 - DM 21 K /JUu'! IJU\J;:) IJUUb

ct: AGTIVIh"(LSA-II).l.FISSILE-EXCEPTED: 7~fI iJ.r.\lLr1.v DRUK ruu.I. ruu& ruuo

0 l{

~ AH241,PU238,PU239,U234,U235,U238, 3.03E-06 TBq 1 - DIt 30 K IJUUl! IJUU:J UUUb w z I"""ACTIVITY"<LSA-iir1FIssIl1-ExcEPTED: 7ft

03nIJU J,v rUUl l'UUI.: ruu:Jw

(!) X DRUlf AIf241,PU238,PU239,U234,U235,U238, 6.07E-06 TBq 1 - DIt 28 K 1JUU4 DUU::> D006

ACTIVITYI~~A-II) FISSIl~-Excrrnt: ~~I ;)t'l'.IJlr 1" DRUlf l'UUl [,UUl ("UO:J

K AH241,PU238,PU239,U234,U235,U238, 7.03E-06 TBq 1 - DK 24 K IJUU'i UUU;) UUUb

11blAC~iiITY"~L~i_ii)·~~~M~~-~t;TE5: ~~I :;Y1<JiU' it; fOOl FOD2 FOD:)

X DRUK AH241,PU238,PU239,U234,U235,U238, 2.41E-05 TBq 1 - DK 103 K /JUu'! /JUuo IJUUb

X ACTIVlfy"frSA-it¥!~~~H~~-~~t~*~~: ~~w :;t't-;IJu'r(; DRUII to'WI l'W;! 1.'00::1

AIf241,PU238,PU239,U234,U235,U238, 2.58E-05 TBq 1 - DK 36 K /JUu'! OOU::l WUO

1f':'~C;;i~ITYWt~~i-ii) Fi~Hr~-~t~~f~5' ~~" t;n~ln~ fOOl FOO2 FOO5 l{ DRUM

AIf241,PU238,PU239,U234,U235,U238, 3. 94E-05 TBq 1 - DK 17 K IJUU4 IJIJU:J DUO!:)

Ilb4~CT;~ITYW?E~~-li;'~I~~ir~-~~t~~~~5' ¥:' :;rI:;IJ.L1'J.\i IfOOl 1"1.1114 FOO5

X DRUIl AK241,PU238,PU239,U234,U235,U238, 5.83E-05 TBq 1 - 1)11: 26 K UUU4 DUO:) 0006

32, Special Handling Instructions and Additional Information LIRE 1157 ERG 1:166, LIKE 1158 ERG 1:166, LIKE 1159 ERG 1:166,LIKE 1155 ERG 1:166, LINE 1156 ERG 1:166,

OStfP I: OSW? #: OS"P I: OStfP #: OStiP I: LIKE 1160 ERG 1:166, LIRE 1161 ERG 1:166, LIRE 1162 ERG 1:166, LIKE 1163 ERG 1:166, LIRE 1164 ERG 1:166,OStfP I: OSWP f: OSWP I: OSWP f: OStiP I:

ct: 33, Transporter Acknowledgment of Receipt of Materials ~ Prin\edITyped Name Signature Month Day Year

I I I I0 Q.

~ 34, Transporter Acknowtedgment of Receipt of Materials ~ PrintedfTyped Name Signature Month Day Year l- I I I I ~ 35, Discrepancy

::i (3

it c ~ 36, Hazardous Waste Report Management Method Codes (Le.. codes for hazardous waste treatment, disposal, and recycling systems)

HilL 14112...t5 \\\\L I ""'L. I \\\\1 I 1 (I) w

\-\Wl- I "\,~ I tHll I H"2 J ~~t1,-c

EPA Fon'll S700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)

HMTF #: 09032501 68482 Please print or type (Form designed for use on elite (12-pilch) typewriter) Form Approved OMS No 2050-0039

UNIFORM HAZARDOUS WASTE MANIFEST 121. Generator ID Number 122. . Manifest Tracking Number

(Continuation Sheet) NK0890010515 18 of 1 0OO364091JJK 24. Generato~s Name LANS, LLG for US DOE

P.O. Box 1663& KS J598i Tamer Amin Los Alamos, H 87545

: 25. Transporter Company Name U.S. EPA ID Number

l 26. Transporter __ Company Name

U.S. EPA 10 Number

I 27a. 27b. U.S. DOT Description Qncluding Proper Shipping Name, Hazard Class, ID Number, 28. Containers d 29. Total 30. Unit 31. Waste CodesHM and Packing Group (if any)) No. Type Quantity WI.No!.

165UR3321, WASTE RADIOACTIVE MATERIAL, LOW SPECIFIC FOO! FOO2 FOO! j!: ~~flVrfl (LB4-II' FISSILE-EKCEPTED, 1, DRUK

AftZ41,PU238,PU239,U235,U238, 1.038-06 TBq 1 - OK 64 K 0004 D005 0006

166UK3321;. WAS'rE RADIOACTIVE I!ATERIAL, LOW SPECIFIC FOOl I FOO2 FOOS X ACTIVI Y (LSA-II) FISSILE-EXCEPTED 1 DRUM

AK241,PU238,PU239,U235,U238, 8.87E~06'TBq 1 - DK 38 K 0004 D005 DOO6

a:: 0

~ w z w C)

I


LINE 1165 ERG 1:166, OSIfP I:

LINE 1166 ERG 1:166,OSWP #:

~nsporter Acknowledgment of Receipt of Materials ~ PrlntedfTyped Name Signature Month Day Year a:: I I I I,0 .a..

! 34. Transporter Acknowledgment of Receipt of Materials PrintedfTyped Name Signature Month Day Year

l- I I I I ~

35. Discrepancy

:::i (3

~ c w

36. Hazardous Waste Report Management Method Codes (I.e., codes for hazardous waste treatment, disposal. and recycling systems)!::( z \\\\1 I \-\\\l- I I IC)

en w c I I I I EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)

Page: 1 PAGE LINE CONTAINERS

1 1 C09201870 1 2 C09201990 1 3 C09201862 1 4 C09201987 2 1 C09201983 2 2 C09201975 2 3 C09201989 2 4 C09201919 2 5 C09201994 2 6 C09201958 2 7 C09202030 2 8 C09202022 2 9 C09201893 2 10 C09201938 3 1 C09201976 3 2 C09202005 3 3 C09202032 3 4 C09201999 3 5 C09201962 3 6 C09202008 3 7 C09201914 3 8 C09201904 3 9 C09201996 3 10 C09201936 4 1 C09201965 4 2 C09202020 4 3 C09201980 4 4 C09201869 4 5 C09201949 4 6 C09201967 4 7 C09201942 4 8 C09201933 4 9 C09201968 4 10 C09201874 5 1 C09201946 5 2 C09201876 5 3 C09201953 5 4 C09201931 5 5 C09201960 5 6 C09201961 5 7 C09201877 5 8 C09202015 5 9 C09201920 5 10 C09201868 6 1 C09201875 6 2 C09201882 6 3 C09201964 6 4 C09201991 6 5 C09202026 6 6 C09201934 6 7 C09201978 6 8 C09201921 6 9 C09201915 6 10 C09201912 7 1 C09201881 7 2 C09201944

55 G; 55 G; 55 G; 55G; 55 G; 55G; 55 G; 55 G; 55 G; 55 G; 55 G; 55 G; 55 G; 55 G; 55G; 55G; 55G; 55 G; 55G; 55 G; 55G; 55G; 55 G; 55 G; 55 G; 55 G; 55 G; 55 G; 55G; 55 G; 55G; 55G; 55G; 55 G; 55 G; 55 G; 55G; 55 G; 55 G; 55 G; 55 G; 55 G; 55 G; 55 G; 55 G; 55G; 55G; 55G; 55G; 55 G; 55G; 55G; 55G; 55G; 55 G; 55 G;

C09202004

C09201963

C09201957

C09201937 C09201947

55G;

55 G;

55 G;

55 G; 55 G;

C09201940 C09201950

55G; 55 G;

C09201941 55 G; C09201971 55G; C09201986 55 G;


7 3 C09201913 SSG; 7 4 C09201906 55 G; 7 5 C09201928 SSG; 7 6 C09201861 55 G; 7 7 C09201891 55 G; 7 8 C09201895 SSG; 7 9 C09201892 SSG; 7 10 C09201969 55 G; 8 1 C09201997 55 G; 8 2 C09201995 SSG; 8 3 C09201884 55 G; 8 4 C09201993 SSG; 8 5 C09201916 55 G; 8 6 C09201872 SSG; 8 7 C09201856 55G; 8 8 C09201924 55 G; 8 9 C09201855 55 G; 8 10 C09201871 55 G; 9 1 C09201883 55G; 9 2 C09201900 SSG; 9 3 C09201860 55 G; 9 4 C09202012 55 G; 9 5 C09201929 55 G; 9 6 C09201954 55 G: 9 7 C09202009 55G; 9 8 C09202007 55 G: 9 9 C09201956 55G; C09201977 55G: 9 10 C09201992 55G; 10 1 C09201982 55 G: 10 2 C09201985 55 G: 10 3 C09201955 55 G; 10 4 C09202027 SSG; 10 5 C09201939 55G; 10 6 C09201878 55G; 10 7 C09201988 55G; 10 8 C09201903 55 G: 10 9 C09202024 55 G: 10 10 C09201974 55 G; 11 1 C09202023 55G; 11 2 C09201879 SSG; 11 3 C09202028 55 G; 11 4 C09201885 55G; 11 5 C09202019 55 G: 11 6 C09201898 55 G; 11 7 C09201923 55G; 11 8 C09202029 55G; 11 9 C09201959 55G; 11 10 C09201894 55G; 12 1 C09201945 55G; 12 2 C09201889 55G; 12 3 C09201917 55 G; 12 4 C09202016 55G; 12 5 C09202010 55G; 12 6 C09202002 SSG; 12 7 C09201888 SSG; 12 8 C09202006 55 G;


12 9 C09201908 55 G; 12 10 C09201981 55G; 13 1 C09201899 55 G; 13 2 C09201943 55 G; 13 3 C09201948 55 G; 13 4 C09202000 55G; 13 5 C09201984 55 G; 13 6 C09201922 55 G; 13 7 C09201952 55 G; 13 8 C09201926 55G; 13 9 C09201905 55 G; 13 10 C09201887 55 G; 14 1 C09201873 55 G; 14 2 C09201886 55 G; 14 3 C09201966 55G; 14 4 C09202017 55 G; 14 5 C09202011 55 G; 14 6 C09202013 55 G; 14 7 C09201911 55G; 14 8 C09201973 55G; 14 9 C09201932 55 G; 14 10 C09201880 55 G; 15 1 C09201890 55 G; 15 2 C09201927 55 G; 15 3 C09202003 55G; 15 4 C09201910 55 G; 15 5 C09202014 55 G; 15 6 C09201909 55 G; 15 7 C09201918 55G; 15 8 C09201930 55G; 15 9 C09201858 55 G; 15 10 C09201979 55G; 16 1 C09201902 55 G; 16 2 C09201857 55G; 16 3 C09202018 55G; 16 4 C09201951 55G; 16 5 C09201901 55G; 16 6 C09201970 55G; 16 7 C09202031 55G; 16 8 C09201897 55G; 16 9 C09201896 55G; 16 10 C09202025 55 G; 17 1 C09201998 55G; 17 2 C09201925 55G; 17 3 C09201935 55G; 17 4 C09201865 55G; 17 5 C09201866 55 G; 17 6 C09201864 55G; 17 7 C09202021 55 G; 17 8 C09201859 55G; 17 9 C09201972 55G; 17 10 C09201863 55G; 18 1 C09202001 55G; 18 2 C09201867 55G;