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Please pint or type (form designed for use on oft (12-pkh) Mawr ter) I <br />UNIFORM HAZARDOUS 11, Generator ID Number 2 Page 1 of <br />YIEA$TE MANIFEST <br />CAI 0tM363 i tiP 1 <br />I <br />5. Gsnemrs Narrre snit biaefV Add=S G <br />Dollar General *i4353 <br />ck�gc'?Si3 915 C YOS€MITE AVE <br />GenemWsPrKx MANTECA, CA 95336-5528 <br />rwwoner 1 ry NW* <br />Stericycle Specialty Waste Solutions Inr <br />7 Traispwar 2 cogmny Noma <br />Worldwide Recovery Systems <br />a arimyNameardsiteAddress Yuma Yea. LLC <br />27-30 E. 13th Street <br />Yuma, AZ 85365 <br />FaNibrsPlrone `4x86428938 <br />93 ft U.S. DDT D-70 , fed" Waprr S*009 Mane, HNZW Glass, ID Nwtw. <br />HU and PWJft PrP fK ei <br />'Kon RCRA hazardous waste. solid (Consumer <br />Products), <br />W <br />2•Non RCRR hazardous waste, liquid (Consumer <br />d Products), <br />Oh1B No, <br />87 5f gat% '�-4 I 00588E <br />srroratals Site Address {3aT0erent hen rnrairng,edernsel <br />Dollar general#14353 <br />515 E tFKAMlU A-1 <br />MANTECA, CA 95336 <br />U S. EPA ID kurAW <br />� Measlil��:� <br />us EPA ID HurtOe <br />CAR000175422 <br />AZROOOS15924 <br />TO cWhaYras <br />11 Tow <br />Wan* <br />12 UNI <br />Nn Aral <br />13 Vhm*Codes <br />No, <br />Type <br />OfDt�ir° <br />F <br />! <# <br />4 <br />OF <br />0071O <br />P <br />331,5 <br />, ,o—VnnoW=u :� 4r[7>wmuU"Rworn0" i. i 1w7C:ikN0n KURR 501 id Waste (CA Only) — Looseoack) 2. <br />1113524(Non-RCRA i iquid Waste (F.A L#nlv) - lc.osepack, <br />G SCOL -7 . <br />is sENERKTufr"FERM CMIRCATIOP& i hereby dedsre to ale wdent4 of mis MeA n ens aro Uty and axxnalafy desatead abrrre by the poper shppirg name, and are d3ssified, palaged, <br />marked and fa6AerSrptacarded. and aro n at respells n proper condom far barqut armrding to V06mMe imwantio w and nMIGM1 ipfumr NU regufajom 11 export d*m mt ant I am he Primary <br />E40iar, t certify rhes dm cgrWts d IAS t conform to tie teams of he adahed EPAAelmowld gmerg d <br />I ocr* hat the waste mr im¢8ban lNerowt identified in 40 CFR 262 27(3) (a € am a targe ww"y 9erwgtw) or (b) <br />1, i ftut to u s f_.J Exow <br />;torr 2M 000. <br />V trarupataA *vAwrw t o RAo* a numnats <br />frartSWW 1 hkdr yped kw* <br />Anthony flack <br />18,owepancy <br />Ida- Df 7sWcy irdic 0 3Dm L] 0,.,Uty ❑ Type <br />"" 1a3p-AttdhalC f=aci�y (a Generamrf <br />10c Sgretue of AtWmate Fa ky (dr Garwrator) <br />4�2 <br />ra19 HLVdotrs Wask Report Mariagwrat Melvd Codes fie. codas for h®rdaus waste trEablrerk dq=W, and <br />Ui <br />X DnMijisd Facility Owea(r't7peralor Certiflca6orr o<raFdp riff hQaafous malat covered by it* OW M. <br />)(V I [ 1Den1 1 (1 }l�.0 1 , 1 rn <br />Port of <br />P496e V i.-1 PaURajecian <br />IM Rderence Number <br />t U S. EPA ID tkffdm <br />t <br />ngsystansj <br />i4 <br />1 ntoted in item Sae <br />� 05 � 25 X201 <br />LP1 j Y9 <br />L.J Ful Rejection <br />)rm S><W-22 (Rev 3-05) Previous edit* are obsate4e. ` ' 3E9#Csi�14 Fl 1 1{_iTY T� � I1�]f l STA F sl€ <br />R?tTt(JI _? 57.E Pnt ;?rxfll7 NA73 C .gf1w7?Ill n MAA 1 ter. � , .... -, _ ----• _ <br />