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632622-17 <br /> 001634839PSC 2877928-001 <br /> €'IC Se p0t ofWoe.(Forrn rfesi ned for use on elite 12- lch lypewo2rj Form A loved.OMB No.2050.0034 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 21.Gerreralor lu Numher 22.Page 23.Mantfest Tracking Number <br /> Wentinuation Sheep CAL000391074 2 of 20011334$39 PSC <br /> 24.Gerrernl©&Name <br /> BIG LOTS STORIES <br /> 300 PHILLIP RD,ATTN:AENA FERARIJ <br /> COLUMBUS,0H 43228(614)278-2706 <br /> US 25. Trarr�,WOner__..__ �rnpany Name <br /> ;i Ir o er <br /> 26.Transpmler Con3pmyName U.S. i ' <br /> 27a. 27h.KS,DOT OesYOhn(irriudrig Prower ShipWin'g Homo.Harare Cknss.ID HwnNai, 28.Conlaimrs 28.Total M.Unil 31,Waste Codes <br /> IjM and Packing GmuuW(if any)) NO. ry p P th3antdy ")Voi. <br /> I <br /> i <br /> 6 kOti-RCrtA 31R2.4ROOUS WASTES47LIB(VARIOUS GONSDINER SOLID PROBUCTS) � f <br /> 1 OF 40 P <br /> • j <br /> 09IMMONG(06% <br /> i <br /> o x ..�- <br /> LUVj <br /> I <br /> z <br /> 10.NON FWRA <br /> Fk <br /> I <br /> i <br /> xt—t""AGpt^ r <br /> 32. pHari ng Irainldons anfAdditional Wormalio <br /> w1L <br /> —gWIS)OLMONREGSOL-03-ERGO NOR REGULATED SOLIDS ,fj�A). <br /> aethAUP <br /> lQ <br /> 33-)ra m Ackrw&dgmqrA of Peceipi el Matelots <br /> W PrinledfTyped Name Signature Monlh Day Year <br /> a <br /> 0 <br /> a <br /> � 31.Trans ler Aeknow racrNndR o1�Aaler'sats <br /> H M a oe S gnatu r. VWWI Gay yea+' <br /> 35.Discmpmcy <br /> _J <br /> i3 <br /> U. <br /> Q <br /> d <br /> Q36-Hazardous Y+aste RepoA Management Method Codes(s a_.codes fo haZ2rtlogs wasiz lre3tment.dispose,and r8eyeling syslems) <br /> {5)H141 (6)H141 (7)H141 (8)H070 (9)H141 <br /> Lu (10) <br /> © (10)H14i (11)H141 1 (12)H070 <br /> EPA Form 8700-22A(Rev.3-05) Previous editions are obsolete, <br /> -10.1 TY.1 I a 1. %1 M M RR Ph I ral. 121 7�I��7 <br />