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Please print or type (Form deUNIFORM HAZAR *0 tW STff � ASTE"MANIFESOT <br />Pe BUYS #711 <br />2098521222 P4987 ep -'st Ln <br />Yuma Yes, LLC <br />2730 E. 13th Street <br />Facility's Phone, Yuma, AZ 85365 <br />CRA hazardous waste, liquid (Auto Care <br />Pep Bo s#711 <br />498/ west Ln <br />Form APPrOv-d. 0% <br />Fk <br />10 Q!onlaines Tetv 12. Unit <br />Type Qoarility Vift,'Nfoi. 113, Waste Codes <br />DF 00146 P 33 <br />1.78411(State Requlated Liquids) <br />hereby decafe eh-�t the <br />ail resppcts'n proper roo�,jjj�cj �ur trartc,),t a_ gnmef I j WlDea above by the proper shipping' <br />regu"'brins If export sh,'Drrieat and i arn me P, cry <br />Ir, nitional Shipment -5 <br />18 Discrepaocy <br />L Quarimy F- j - <br />Res <br />2o Des, nated Facility 0*,,, operetor <br />Ins no <br />PA Forin 8700-22 <br />are <br />EPA ID Numue-i <br />DFull Rejection <br />