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RECEIVED BY SJCEHD (EF) ON 5/15/19 <br /> Please pant or type-(Form aesioned for use on olite(12-pitchy typewriter.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS 1.Generator ID Number 2-Page 1 of 3.Emergency Response Phone4.1Hanliest Tracking Number <br /> WASTE MANIFEST CAL00041206D 2 408-3153-36M8 1 015886583 JJ K <br /> 5-Generator's Name and Mailing Address Generator's Site Address(if different than malli rig address) <br /> SALLY BEAUTY SUPPLIES 010229 <br /> 10710 TRINITY PKWY PC <br /> STOC:KTON,CA 95219 <br /> Generators Phone: 209.477-5386 <br /> I 8.Transporter s Company Name U.S.EPA Ip Number <br /> ALL C LEM HAZARDOUS WASTE REMOVAL INC. CA0982492399 <br /> 7 Transporter 2 Company Name U.S.EPA ID Number <br /> TEMARRY RECYLING,INC. CARO00194217 <br /> S.Designated Facility Name and Site Address RECICLADORA TEMARRY DE MEGCO U.S.EPA ID Number <br /> CARRETERA FEDERAL NO.2 MEI( I4F}�Ci 30619001 <br /> SAN PABLO, TECATE 6C <br /> Facility's Pnone: 619-274-9453 <br /> 96 9b.U-S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Conialners 11.Total 12-Unit T3 Wasle Codes <br /> HM and Packing Group(if any)) No Type Quantity wt./Vol. <br /> X 1• UN1950,WASTE AEROSOLS(Each No Exceeding 1 L CapaclLyy, 331 Doo 1 D035 <br /> a FLAMMABLE,N.O.S.,2.1 <br /> 1� <br /> UN1993,WASTE FLAMMABLE L IOUIDS,N.O.S.,(ACETONE, 1331 DOO1 0435 <br /> ISOPROPANOL),3,PG It 40 1 <br /> F4O3 <br /> X 3- B860 <br /> 4. NON RCRA HAZARDOUS WASTE UQUIOS,(DETERGENTS, 561 <br /> GLYCOLS) <br /> 14.Special Handling Instiuctrflns an Additional Infi maiion <br /> 1 R091613 ! S l7t (AeroSol) PR* ARY E5lRORTER: TEMARRY REC'YLMUG INC POOR 10871 <br /> 2�R_120 (Flam Uq) <br /> 4)R 7 d rf (NRL-C P) <br /> 15. GENERATOR'SIOFFEROR'5 CERTIFICATION: I hereby declare that the contents of thls consignment are!illy and accurately described above by the proper shipping name,and are classified•packaged. <br /> marked and labeled/placarded,and are in all respects in proper condition for transport accarding to applicable inte51 ,n,,m_ <br /> al and national governmental regulations.It export shipment and I am the Pnmafy <br /> Exporter,I cerlify that the contents of this consignment conform to the lerms of the attached EPA AcknowledgmentI certify <br /> that the waste minimization statement identified In 40 CFR 26227(a)(it i am a large quantity generator)oram A small quantity ganerawo Is true <br /> Generators+atfemr's PnntedlTyped Nam signature �Ih Year <br /> th4W, <br /> -j 18.International Shipments <br /> M I n to U.s. Export from U.S, Part of entrylexit:��_s_ }. _�► k a <br /> Transporter signature(for exports only) Date leaving U.S-' Gr <br /> u 17.Transporter Acknowledgment of Receipt of Materials <br /> CC <br /> }cans er 1 P' edlTyped Name Signature Month may Year <br /> O J <br /> RL <br /> N <br /> 4 Transporler2 PrintediTyped Name signature Man Da Year <br /> Ce <br /> I— <br /> 18.Discrepancy <br /> 18a.Discrepancy Indication Space ❑ Quantity Type Residue ❑Partal Rejection Fun Rejection <br /> Manifest Reference Number: <br /> 18b.Alternate Facility(or Generator) U.S.EPA ID Number <br /> C] <br /> 4 Fac+llty's Phone: <br /> LOU 187-Signature of Alternate Facility(or Generator) Month Day Year <br /> a <br /> H <br /> 19.Hazardous Waste Report Management Method Cedes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> Q 1- p1 2 3- 4- <br /> 20,NignateA Facility Owner or Operator:Certificat m of receipt of ous matenals covered by the manifest except as noted in 14 i8 <br /> Pn leyped Name r Signature Month Day e <br /> 1r2i 1911 <br /> 4 Form 8700-22(Re . -05y Previous editions are ob le DE5IGNAT AGILITY TO DESTINATION STATE (IF REQUIRED) <br />