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Pleaserint or e. IN,11' 11111101011 F hP ForrnApproved.OMB No.2050-0039 UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of 1 3.Emergency Response Phone 4.Manifest TrackNumber WASTE MANIFEST CAL0004c9774 1 (877) 577-2669 014010689 F L E 5.Generator's Name and Mailing Address an a g e r" Generator's Site Address(if different than mailing address) Amazon. com Services, Inc. (DCK,1) Amazon. com Services, Inc. (DCK1) ('209) 2105-0080 -403 West Louise Avenue 2403 West Louise Avenue Generator's Phone: Manteca, CA 951337 Manteca CA 95337 6.Transporter 1 Company Name U.S.EPA ID Number Steric cle Specialty Waste Solutions Inc IMNS000110924 7.Transporter 2 Company Name U.S.EPA ID Number Worldwide Recover Systems ICAR000175422 8.Designated Facility Name and Sile Address Yuma Yes, LLC U.S.EPA ID Number 2730 E. 13th Street Yuma, AZ 85365 Facility's Phone"3286428938 A Z ROrl OS 15924 ga. 91b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit HM and Packing Group(if any)) No. Type Quantity Wt.Nol. 13.Waste Codes o Won-RCRA Hazardous Waste, Liquid (Latex Paint, 2 DF 00251 P 331 Soap) , Z 2. LU I 3. 4, 14.Special Handling Instructions and Additional Information 1. 109763(L o o s ePac k N o n-R e g u 1 at e d Wa s t e) 15. GEN ERATOR'S10FFEROR'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 intemationaland national governmental regulations.If export shipmenl and I am the Primary Exporter.I certify 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)lift am a small quantity generator)is true. Generator's/offerors Printedfryped Name Signature Month Day Year X A I ex on�,-11GnC n C 12 05 • 019 ,J 16.International Shipments z 11Import to U.S. E]Exportfrom U.S. Port of entrylexiC Transporter signature(for exports only): Date leaving U.S.: Oif 17.TransportorAcknowledgment of Receipt of Materials w Transporter 1 Prinled/lyped Name Signature Month Day Year a Isidro Martinez nae 2 O 019 C Trans ar 2 P ntei/Typed Name Si e �+ �— 9 Month Day Year y 18.Discrepancy 112 YO 117 18a.Discrepancy Indication Space ❑ Quantity ❑Type ❑Residue ❑Partial Rejection ❑Full Rejection ti Manifest Reference Number: 18b.Altema(e Facility(or Generator) U.S.EPA ID Number J U L3- Facility's Phone: w18c.Signature of Alternate Facility for Generator) Month Day Year Q Z w19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) � 1 � 2. 3. 4. 20,DesignaledFQf ilily Owner or Operator-Certification of receipt of hazardous materials covered by the manifest except as noted i tem 18a PrintedlTyped a e _ Signature Month Day Year wt-M 41 1,)� 10 11 q EPA Form 8700- 2(Rev.12-17) Previous editions are obsolete. DESIGN AGILITY TO EPA's e-MANIFEST SYSTEM