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F7S2157-19 <br /> 0023Ot862PSC <br /> 5*561152-001 <br /> Ise Pn�€nr type. Form Approved.OMB No.nSG.)t]:rfl <br /> UNWORFR FIr47.ARBOt15 I.Genco alnr 1l1 NumSer 2.Paye 1 of 3.Emeripw y Rrsprmsa P!nre 4.Marsifg5l cracking Number <br /> WASTE MANIFEST CALOM91A71 1 (877)577-2869 002301862 PSC <br /> o.Cep-_rpLles N;1me rind MaiAop Ac[dress Ge»mratar's Site Address f I dilTerr ni fhrar mailing address) <br /> BIG LOTS STORES BIG LOTS#4817 <br /> 300 PHILLIP RD,ATTN-DENA FERARU 1321 WEST YOSEMITE AVENUE <br /> COLUMBUS,OH 43228(614)278 A514 MANMCA,CA 95337 2092393864 <br /> Cvmcrata's Phuno: . <br /> h.ialspnnFr I Cmmpa�v Flame US.PTO Numhw <br /> STERICYCLE SPECIALTY WASTE SOLUTIONS INC MNSOOO110924 <br /> r-T anfar;P ?Ccmpti3:q Name r C , a -EPa 117 NumheF <br /> S.DeSigrtawf Faril}Name arxf&1eAddress US,EPA 0)N�m)Ivr <br /> 21st Century Erlvironmentai Management of Harada LLC NVD980B8533$ <br /> 2095 Nowlands Dr.East, <br /> Fernley NV 89408 (775)575-2760 <br /> fxslo.'s Plknw. <br /> rr�i- 9r.(!.S.GOT 01-,Criplm(inclurin!y Proper Sh+pping Name,Ra7,9fd Cass,ID Mirnber, 1 p l:on(alners 11-10ar 12 Una <br /> 'Al 11x1 Paciwfl Grwli(!l�x!y)) 1:1.11asle Code:; <br /> No Type Qrrnnih wl r4fa1. <br /> 1' UN1791 WASTE NYPOCHLORrTE rSOL(MONS 8 PGY <br /> >� r r"w2 s <br /> OF 8 P <br /> 2- UN2810 WASTE TOM,MHOS,ORGANIC,N.03.R4-D)5.1 PGII € <br /> s cJ 331 € oUf 3 <br /> x 1 DF 42 P <br /> 3 f <br /> ' S <br /> 4 f <br /> F ' <br /> 1 <br /> t <br /> 1•I_Sper3a:t!anlfNng f;sslruLiiUns;�Id A�Idaiornl Infarrt�lrcxl <br /> (31 wMC�T$L c1H1-05-ERMS4)BLEMH(2)BLTO)OC•04-ERG(153)TOYJC LIQUIDS WOSEPACK <br /> 16. GENERATO'SOFFEROWS GER7fFICATION:I hereby dechm M the cnrderris of His core ignmenl are Njf and auffde.ly desu bed above by the proper sh'.Ppmg name,ani are ckmsf ed,rx3c6 4a Lrl, <br /> nwarked aryl i;041pJrpla:ardod,and arm in'ali raspecls in proper cmdilicn for wrwsport according to applicable rnlemaGmna!and nduar-a€govelnmeraal regriations.If evvA shipmerd and I con tllm Nranary <br /> F+Ipr3rtmr,I Cerl�y Ihat the Cpnierli5[!r ilns CCCE51(�rmlem(confOlrn tin llle lerrrGs:i1 t11Y 91tdrl'iefl frPQ AcimmlaJledgillnwl Di CGnsnnt. <br /> I ceRi�y that Iha r ate mro llization statement idenl.&ed in 40 GFR 2f,2.27(a)(if l am a largp quay%generator) (b)(el am a small gcrn wf is true, <br /> —0- <br /> Pitiedi Typed PJame 11ure tM3nGti D Yn,r <br /> 1 4 -29 1 19 <br /> ,� in fnle�rrlalimnal5hipnrwtt5 <br /> r ❑Inz>dr11oUS. ❑F_rllrtlhamil:5' P <br /> � T'rartslprtler sir�latare(fmr exports only): leauirrg U.S <br /> W 17,Tris;mder Ar-kroo!edgmM of R.ecetit mf Idri,�Ailswj - <br /> T.'lr�till��der I Pd fx1flyped mm Siyl3nCtrr h+nnlh I].ry Yc.r <br /> d-aTryl Johnson 4 29 19 <br /> Traitsprrter2PrmlmrlTgprri#damp Sgnature - <br /> Month fray Year <br /> 11+.Tsist::tpai>Ey <br /> r&r Mxrerancylr!dici onSpxC <br /> L_I Qtianthy ❑TylSe 0 Residue Parliaf Reieclimxl ❑1-u11 F?ei£ttinn <br /> Mwifest Rdaci ce Number: <br /> 3,11b.Allernate E:am•ky(or Generalnr) It S.EPR ID N!anher <br />_ L.A <br /> 6Qi.. f=a6htysFherte: - - <br /> I Et -ckpialwo.rtthdpmNe F clyy'(ar Gerrefatarl Mm t, Day Ysar <br /> r-• <br /> Q <br /> 15.?Iww6jus'Jayle IT fW ManagpmeM Weri)xl Codes[.p.,Codes far haardets wasle ImAment,drsprjwl,and rpcycling sy%jem;) <br /> 1. <br /> Q F 2. <br /> 3. 4. <br /> .070 11141 <br /> 11}17es>gnated€atil�ly Drrnec or O(�ratat'-Ge=lihcatedn t>#reretlttal hazardt�us materials wvered by fhrs ntarFlp.'tezce -xs nt�r<I u+tteno 181 <br /> r3rn�lerir ypeti riar'm �--''�'-i - SicF1 r€: i,Ic, tYdN YF: <br />