Laserfiche WebLink
EXHIBIT E3. FINAL MANIFEST <br /> Please prim OF type.(Form desk nod for uae Dn alto(12-pdtch)typewriter.)I Form Approved.DMB No.2750-0039 <br /> UNIFORM HAZARDOUS tC"—N IO Number 2.Page t of 3.Emergency Response Phone 4.Manifest TrwKng Number <br /> WASTE MANIFEST CWL060391425 1 8775772669 1 010788907 FILE <br /> 5.Ganerd&&Name ane WRAMress C�sions Site A4dress V*k�m than mailing add•essf <br /> Dollar Tree #5403 Dollar Tree#05403 <br /> 1209 E March Lane 1209 E March Lane <br /> Genewors Phone: Stockton, CA 95210 Stockton, CA 95210 <br /> .Tra isporter I Cornp�ky Nnrae US.EPA IO Number <br /> Stericycle Specialty Waste Solutions Inc MN5000110924 <br /> 7.Trompeter 2 Company Name U-5.EPA ID Nunber <br /> e.Des!gnaled Fadlity Name and da s en urn N, LL U..EPA ID Htrrnber <br /> 2095 Newlands Dr. East <br /> Fernley, NV 89408 <br /> Fad' — 775575276@ NVD980695338 <br /> ga. gb.U.S.DOT Des 466*k4-g Ppsr uShipping Name.Nazetd Class.ID Number, 10.Canaatars 11.Tota 12.Unit f3.Wade Codes <br /> HM and Pa 1v C—p(d@r*f)) No. Ty- Duantty MAV <br /> XIUN1950, Waste Aerosols, flammable 2.1, ERG#12 i Cr 00013 P 3,31 0001 <br /> I <br /> w <br /> X2 UN3266, Waste Corrosive liquid, basic, 1 CF 00011 P 122 D00 <br /> inorganic, n.o.s. (Calcium Carbonate, Sodium <br /> Carbonate) 8 PG II ERG#154 <br /> Xa.UN3139, Waste Oxidizing liquid, n.o.s. 1 CF 00012 P 14 DOM <br /> (Hydrogen Peroxide, Phosphoric Reid), 5.1, <br /> PS II, ERG#140 § <br /> Xd LIN190, Waste Flamtable liquids, n.o.s. I CF 00019 P 21 D004 D03 <br /> (Acetone, Methyl Ethyl Ketone), 3, PG II, — <br /> ERG#128 <br /> 14.We[HandIN lP*W;om and AddUuW lmortason 1.100843(Aerosols) 2.100845(9asic Liquids, Corrosive) 3. <br /> 100854((lxidi2ing Liquids) 4.100852(Flameable Liquids) <br /> 15. GEHERATOR'NOFPEROR'S CERTIFICA71ON:I hereby dedav MI the contents of ths cortsigttrtt retax Ward accuraMryd+�c�abour by trte rs � name.and are dashed.pae[agad. <br /> Fng6*d and labaledlplacwM.and are n all respada in proper oondimn for Yar pw awarding la appkahle m5amer nal aM national g0varcmeNal ua.ions.R sal and I am the Primary <br /> Expoft,I ceniy!hat the mn!ants of this co igrmwi canforrn 10 the Iarma of 6a ahadred EPAAkrcWMment of Carowd. <br /> wrdfy JW the wasle rrnnironkn slalarr tl ileniffied in 40 CFR 20227(x)(dlam.a large cluandry generator]or lb)(d lam a small Cfi t lla^eranfl we. <br /> Pnnteu -u r <br /> 1 14 1 j 201 <br /> ifi. lienal PiTi0rA5 ❑ a U.S. ❑E of .. Part of enby✓exrk <br /> Tm, 'nature IV expom unl Gale US! <br /> W 17.TfaAapORerA[YJ>GNBdgmEfll of Remit of MaWas <br /> Transporter 1 PoName g ure <br /> N John" Harper id 1 201 <br /> 4 TranspoRar2 PrinledRtped fYerte � `� n ` gnat In <br /> 1&Cisaeparq� <br /> 1fW.QiwepspcY Mrdrratian Space ❑Duan!iry I ITyf _- z=s tlp.e ❑Parliat Rejecdan ❑F,p Repdw <br /> Manirmt R@Lmnre NurrNer <br /> I8b.Anernata FaPlity(orCawalorj US.EPA ID Number <br /> J <br /> V <br /> d <br /> LL F f7lpae: <br /> a I&5ignaere of Alternate Facility(w Constar} Mont' Day Yeer <br /> Y <br /> 19.Hazardous Waste Report Managarrent Vat%M Cade(i.e-,codes kr haarcons wnge lNabnent,disposal,and fecyding"bans) <br /> W 2. 3 d. <br /> Lr <br /> 2'd.Dasignaled Fac Sty Omer or Operator.Gerdficabon of"I harerdobs vet refs covered by the manifest axoept as noted in Item 18a <br /> Pnnwayw Nawo r � lure month Day Year <br /> eon <br /> EPA Form 870f}-42(Rev. 5) reviam ediuona are nbsolete. DESIGNAT ACILITY TO DESTINATION STATE(IF REQUIRED) <br /> May 15,2019 pg.12 <br />