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RECEIVED BY SJCEHD (EF) ON 5/15/19 Please print or type.(form designed for use on elite(12-p'11ch)typewriter.) Form Approved.OMB No 2050-0039 UNIFORM HAZARDOUS 1 Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4.Manffest Tracking Number WASTE MANIFEST CALOOD412060 1 408-363-3678 017 4 0 3 2 6 4 JJ K S.Generator's Name and Mailing Address Generators Site Address(f different than mailing address) SALLY BEAUTY SUPPLIES # 10229 10710 TRINITY PEWT # C STDCWMN, CA, 95219 Generators Phone, ?nQ 477—%1111 6.Transporter 1 Company Name US EPA ID Number ALL CLEAT HAZARDOUS TASTE REMOVAL INC CAD982492399 7.Transporter 2 Cempany Name US EPA Id Number TEM RY REL-Tili, INC_ CAR000194217 8-Designated Faciloy Name and Site Address U.S-EPA ID Number QECICLADOR.A 7131?►R8Y DE MEYICO CARRETER - FEDERAL NO. 2 MEY, SAN PABLO TECATE BC Facilitys Phone: 619-270-9453 MYC13 0 619 0 01 got 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit 13 Waste Codes HM and Packing Group(if any)) No. Type Quantity Wtivol. 1U11111111950, WASTE AEROSOLS ( aah No ENceedilnq 1L1001 D035 331 Capacity) , FLAHMABLE, ■_O.S., 2 4z WASTE FLAIRMLE LIQUIDS, H_O-S, 1 D001 D035 F003 Y (ACETONE, ISOPROPANOL) , 3, PG II 331 3 UN1479, TASTE OXIDISING SOLID, N.O-S . D001 iii Y (CONTAINS POTASSIUM PERSULFATE AND SODIUM PERSULFATE) , 5.1, PGIII (� a HOS RCRA HASARDOUS WASTE LIQUID 551 (DETERGENTS-GLYCOLS) a n ` P 14.Special Handling Instructions and Additional Into ti% i) 8091613 (Aerosol) 2) 8 J7m� Y*5iD-F (Flat• Liq) 3) (ONICil ) i) R J PRIMARY EXPORTER: TEMARRY RECYCLING INC_ POS 13060-48 15, GENERATOR'S10FFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged, marked and labeledlplacarded,and are in all respects in proper condition for transport according to applicable International and national governmental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)^(If I am a small quantity generator)Is true. GeneratorslOff e Rn IfNae I Signature Month Day Y —J 161ntemacon Shipments 14 Z ❑Import to U.S. Export from U.S. Port of entry/exit: Transporter signature(for exports only), Date leaving U.S: 17 TLitransposterAcknowledgmem of ReOl of Materials Transporter 1 Prin Nam Stgnattue Month gay Year CL ACn — al:::� Z Trans r2Pn_n Name Signature Month DayYear 18.Discrepancy 18a,Discrepancy Indication Space Quantity ❑Type ❑Residue ❑Partial Re)'ectian ❑Fufi Rejection Manifest Reference Number. 18b-ARemate Facility(or Generator) U.S.EPA ID Number J U k Facility's Phone: Lu 18c-Signatureof Altemate Facilfty(or Generator} Month Day Year a Z N19.Heard=waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) LU 1. 2. 3. 4 o±-D,QD 20 nated Facitity Owner or Operator:Certification of receipt of hazardous ma rials covered by the manifest except as noted in Item 1 Prin Name r _ Signature Month Day Year o Z EPA Form 8700-22(Rev.3-0 Previous editions are obsolete. DESIGNATED FA TO DESTINATION STATE (IF REQUIRED)