Laserfiche WebLink
Piease �inEor f r <br /> R t fle { mn desgned for use on Oft(12-pkh)Wpewsder <br /> Farm APVrmred.phlg No.2 <br /> UNIFORM HAZARDOUS Generator ID Rumba 2 Page 4 of 3 E—rg-ry Rmpome PFrars � marifact Tracking NurMor <br /> 5 WASMMAMFEST . CAI OiW36376P i 187151���� x05888200 FLE <br /> S.earaatars Nalene snit hla8np+a xxs Geraratars Site Addreya{3dnerent Alen rueifirrg adwss) <br /> Dollar General *i4353 collar venera1#14353 <br /> ck�gc'?513,717 915 C YOS€KITE Ar EX25 E #its PtI TE ii"L <br /> Generala's Prkona; MANTECA, CA 95336-5528 ( MANTECA, CA 95336-5928 <br /> rarasErarler 1 ry NarnK <br /> U S.EPA 1D 1AlrebcY <br /> Stericvcle Specialty Waste ,olutions Inr i i�1SQQ18130`c'�r <br /> 7 Trarspertw 2 Compatry Rana <br /> us EPA ID Number <br /> Worldwide Recovery Systems 1 CAR000175422, <br /> a arimyhlanreandsihrAddress Yuma Yea, LLC US EPA ID Rumba <br /> 27-30 E. 13th Street <br /> Yuma, AZ 85365 <br /> FaNiersPlrone `3:86428935 ' AZR000515924 <br /> ga 9E U.SDDT Dem,qMifedA"PmWStringName,K=vd(!us,IDNunbw. Tf1 Crntaffun <br /> HU Mid P*tWQ PrP M ye) No, Type E7u2nWy n l4blt 13 Codes <br /> 'Non RCRA hazardous Haste. solid (Consumer wel� ' F <br /> Products), <br /> W 2•Non RCRR hazardous waste, liquid (Consumer 4 OF 00710 P 331R <br /> d Products). <br /> i <br /> s <br /> t <br /> a <br /> 1 <br /> r <br /> s , <br /> 14 Spaiai Hwdfrrp In ucborisand Aad LaW tnldn zbm t. 1 1 �jE^j k i*lon F1--RA Solid Waste (CA Only) - 1 o o s etaaek) 2. r <br /> 1113524(Non-RCRA i iquid Waste (F.A L#nlv) - lc.osepack, <br /> G �a`t�a-q1;. <br /> 15 sEMMKTOrSOFFERM CBUIRCATIM 1 hereby dedare lrat ale wtft t4 of ibis mnsigtanerttaroJuly and autxralafy desuibod abom byte propershquV eame,and are d3ssified,pada*, <br /> marked and ta6Aedrptacarded.and aro n atrespeds to t aper midiiion for baq ut accow g oo agokabie iihm bwd and ra DMI puvurrrrrn>iat raw6or s If export atripment and!am trc Primary <br /> F_x{rarier,I certify rhes dm cV*Mts d 1Ns comment wnform to ft feints of tie a83ched EPAAelm Wddgmeo d <br /> I4>,sf*fiat the waste m rrim¢apoa lalemartt fdmVed in 40 CFR 262 r(a)(t€am a targe Ww"y generator)or(b) s tnc. <br /> I �' !` tuamrt <br /> I 105 25 201 <br /> J YIECnrlMorsal R�tS '—T <br /> (_1lrr*W o U S L.�Emix f U S Port at <br /> max. Dale Wt no .s. <br /> � 17 trarepataA�nowledgrnentcNRecreiptofnuianats - V---- <br /> }-- porla 1 nteor ypedNW* —\ 11 l;` <br /> iana <br /> h1LYlaV <br /> Anthony hack ( TW— <br /> i 051 1P.aI <br /> aTransporter i�rn Typed Name � %I= Lay vre¢ <br /> I <br /> 8. I e I i V9 <br /> Disuepanay <br /> Ida-Di 7wwcytedicavon3om C..1 Quan4ry ❑Type 1ResiGue rr j <br /> r J i.�Partial Relecon lJ Ful Repft" <br /> 1-- 180 Alfernale Fa dly(a Gereramr; tAa�Reference Number <br /> J U S.EPA R1 Number <br /> ti <br /> 4 E <br /> � <br /> ramLl mm- <br /> 10c Sgnatue of A lximale Facrlty(or Ganeraaor) - 'om NY Yir <br /> 19 HtZardars Wask Report hlanagemat Metrod Cases fie codas four hazerdans mase tvablre t darpasat,and retcYf43)11am) <br /> UJI <br /> C 1A "4i t3 (4 <br /> 20 Faa*Ower or Operahor Ce,Aiacatorr of reF ip hg11*04 mateaas covered by am ry�ex uded in atm Sae <br /> FM Frim -22(Rev 3 05) Previous editions are nOsale4e. 3E9#GA114 O 1;iTO I1(]!I TA F tIF"l�-:Q1itFt�tlj <br /> R?tTt(JI„_ _:? S 7.� f`ttl ;}r�rh7:N71?� C.�fti�.77'xq n r.s.:y�r. � ., .,.....-,...-,., >._ ----• _ <br />