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RECEIVED BY SJCEHD (EF) ON 5/15/19 Please print or type (Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS 1 Generator ID Number 2.PagEmergency Response Phone 4.Manifest Tracking Number wASTEMANIFEST CAL0009120E0 LT 408-363--3678 017416980 JJK 5.Generator's Name and Maihng Address Gererator's Site Address(If different than mailing address) SALLY BEAUTY SUPPLIES N 10229 10710 TRINITY PKWY 8 C 17574 COLIMA. RD STOCK ON, CA, 9521.9 ROWLAND HEIGHTS, CA, 91748 Generator's Phone: ?nq 471-RIR5 6-Transporter 1 Company Name U.S.EPA ID Number ALL CLEAN KMARDOUS WASTE REVlOBAL INC CAD902492399 7.Transporter 2 Company Name U.S.EPA ID Number TEMARRY RECYCLING, INC- CAR00019421? 8 Designated Facility Name and Site Address U.S.EPA ID Number RECICLADDRA TEMARRY DE MEXICO CARR—ETERA_ FEDERAL NO. 2 MEX, SAN PA15LO TECATE W Facility's Phone: 619-270-9453 ya 9b.U.S_DOT Description(including Proper Shipping Name,Hazard Class,iD Number, 10.Containers 11.Total 12-Unit HM and Packing Group(if any)) No Type Quantity Wt,Nol. 13.Waste Codes 1.UN1950, WASTE AEROSOLS (Each No EMceedi g IL 001 035 p Capacitg} ' E'I,Ac$1AIIrLE, N_D_S_, 2-1 I P r LJ 2.UN1993, WASTE FLAMMABLE LIQUIDS, N.0-S, 001 035 003 (ACETONE, ISOPROPANOL) , 3, PG II 3.UN1479, WASTE OXIDISING SOLID, N_O.S _ D001 X (CONTAINS POTASSIUM PERSULFATE AND SODIUM r P PERSULFATE) , 5.1, PGIII 4 C 4.NON RCRA HAZARDOUS WASTE LIQUID , (DETERGENTS_GLYCOLS) t P 14.Special Handling Instructions and Additional Information 1) 809161-3 / Ira! t (Aerosol) 2) R / ZL (Fl,,, Liq) 3) R /.A>l I t f0N1diar=_r) i) R V X 37CLQ V (NRI.-CP) PRIMARY EXPORTER= T01ARRY REC4CLING INC- PO# 11876 47 15, GENERATOR'SIOFFEROR'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 labeledfplacarded,and are in all respects in proper condition for transport according to applicable intemational and national governmental regulations.If export shipment and 1 am the primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPA Acknowledgment of Consent. il I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generaior or(b)Pi aV small qu t genei is true. G er torsfOfferar's Pnntedrryp d N e Sign re r Month Day Year r / C O. 1011-7 � 16.International Ship ents ` v` ❑Import to U 5?Export from U.S. Pori of entrylexit: /fit F-N J*- C'1i Transporter signature(for exports only}: 0^111 C A 4te leaving U.S.: - w 17 Transporter Acknowledgment of Receipt of Materials I.- Transporterl Print !Typed Name Signature Mo Day Year ar QaL=Z) 0 Transporter 2 PrintedlTyped Name Signatu Month D y Year t 18.Discrepancy 4Z 4'Z 18a.Discrepancy indication Space ❑ Quantity L-1 Type ❑Residue ❑Partial Rejection ❑Full Rejection Manifest Reference Number 18b.Alternate Facility(or Generator) U.S.EPA ID Number 7110 Facility's Phone'. r� 18c.Signature of Alternate Facility{or Generator) Month Day Year a Z 19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) � 1. 2. 3. Y � )(W / 20, es nated Facility Owner or Operator:Certification of eip of hazardous mat 'als covered by the manifest except as noted in Item Pnnt ped Name SignatureMon Day Year( C -1/ \ \S��j � I - I GA EPA For �2(R,v.3-0 'Previous editions are o e. DESIGNATED I Y TO DESTINATION STATE (IF REQUIRED)