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111111111111111 Please print or type. Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS LC,e�e�(pr1D4 y l74 21 Page 1 ogncy625ppns&P.Cbb§ ni est Tracking Number WASTE MANIFEST L H {tCC�INN l ti(!1 !/ [ FLE 5.Generators Name and Mailing Address Generator's Site Address(if different than mailing address) �J Amazon. com Services, Inc. (DCK1) Amazon.com Services, Inc. (DCK1) (209) 205-0080 2403 West Louise Avenue 2403 West Louise Avenue Generators Phone: Manteca, CA 95337 Manteca, CA 95337 6.Transporter 1 Company Name U.S.EPA ID Number Stericycle Specialty Waste Solutions Inc IMNS000110924 7.Transporter 2 Company Name U.S.EPA ID Number Worldwide Recovery Systems ICAR000175422 8.Designated Facility Name and Site Address Y u m a Y e s, LLC U.S.EPA ID Number 2730 E. 13th Streit Yuma, AZ 85365 Facility's Phone:9286428938 JAZR000515924 ga 9b.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 QuantityWtNol. 13.Waste Codes Non-RCRA Hazardous Waste, Liquid (Latex ain , 00440 P 33 00 Soap) , - u, Z 2. LU 0 3. 4. 14.Special Handling Instructions and Additional Information I 1013 JbJ Lo 0 s ePack No n-He—g—Uar ed wa st e 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 labeled/placarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)orp)lift am a small quantity generator)is true. Generatoes/Offerces Prinleed Name Signature Month Day Year I J 6.In ational Shipments ❑Import to U.S. ❑Export from U.S. Port of entry/exit: ? Transporter signature(for exports only): Date leaving U.S.: UJ 17.TransponerAcknowledgment of Receipt of Matarfals I— Transporter 1 Printed/Typed Name Signature Month Day Year a Isidro Martinez 111 1 13 P019 Z Transr 2 Printed/Typed Name '� Signal Month Day Year � 18.Discrepancy 18a.Discrepancy Indication Space j ❑ Quantity ❑T ❑Residue E]Part al Rejection ❑Full Rejection Manifest Reference Number: 18b.Allemate Facility(or Generator) U.S.EPA to Number J V LL Facility's Phone: LU 18c.Signature of Alternate Facility(or Generator) I Month Day Year 2 19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) LLJ 1. 1� 2. 3. 4. v1 ) 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials Covered by the manifest except as noted in Item 18a Printed/Typed.NameSignalur Month Day Year EPA Form 8700-22(Rev.124) Previous editions are obsole e. NATED FACILITY TO EPA's e-M NIFEST SYSTEM