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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.0M8 No.2050-0039 UNIFORM HAZARDOUS 1 Generator IQ Number 2.Page 1 of 3.Emergency Response Phone 4.Manifest Tracking Number WASTE MANIFEST CAL00D412060 1 408-363-3678 017369579 JJ K 5.Generators Name and Mailing Address Generators Site Address(if different than mailing address) SALLY BEAUTY SUPPLIES##10229 10710 TRINITY PKWW#C STOCICTON,CA 95219 Generators Phone209-477-53$5 5.Transporter 1 Company Name U.S.EPA ID Number ALL CLEAN HAZARDOUS WASTE REMOVAL INC CAD982492399 7,Transporter 2 Company Name U.S.EPA ID Number TEMARRY RECYCLING,INC. CAR000194217 6-Designated Facility Name and Site Address U.S.EPA ID Number RECICLA,DORA TEMARRY DE MEXICO MXC130619001 CARRETERA FEDERAL NO 2 MEW SAN PABLO, TECATE SIC Facility's Phone:6 1 70-9453 ga 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 Wt.Nal. X 1. UN1950,WASTE AEROSOLS(Each No Dteee(ing 1 L Capaelty), 331 j 0001 D035 FLAMMABLE.N.O.S.. 2.1 rn L X 2 UN 1993.WASTE FLAMMABLE LIQUIDS,N.O.S., (ACETONE, 331 D001 0035 ISOPROPANOL),3,PG Il d©r ]11F ++ VV P fOt1S }( 13. UN1479,WASTE OXIDIZING SOLID,N.O.S.(POTASSIUM 141 D001 PERSULFATE,SODIUM PERSULFATE),5.1,PG III O� 4 zO n NON RCRAHAZARDOUS WASTE LIQUIDS,(DETERGENTS, 1 T 551 GLYCOLS) cc I (:F Co 14.Special Handling Instructions and Additional Information 1) R091613 1 101 I X5 (Aerosol) PRIMARY EXPORTER TEMARRY RECYLING INC PORI 1125851#9 2) R f a I (Flam Ltq) U l 1}CCF 3) R f o1 1 (OxIalzer) 4)R 1 (NRL--CP) 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 labeledrp4cardA.and are in all respects in proper condition for transport according to applicable Intemational and national gavemmentai 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 EPAAcknowladgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantlly generator)o (b)(if I am a small quantity generator)is true. GMOM.Zta�ljyapd Signature Mo thy� Y� 1 16.International Shipments (�Z . '�1.1}❑import to U.S. / ❑Export from U.S. Part of entrylexit: �'�r - Transporter signature(for exports drill 4 r _ � Dale leaving U.S.: D 5—C t 17.Transporter Acknowledgment of Receipt of Materials LU a Tra rte 1 Printec y Na Signature Mronth Qay Year Z Trairspi 2 Printed yped Name Signature _ Month Day Year 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quantity 1:1 Type El Residue Partial Rejection E Full Rejection Manifest Reference Number. 18b.Alternate Facility(or Generator) U.S.EPA€D Number a C] U4 Facility's Phone, W 18c.Signature of Alternate Facility(or Generator) Month Day Year a Z a519.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment.disposal.and recycling systems) LLJ 1 2. 3.2�z at-) I �a-c-1 tt]2� .i V(I ) P 20.2nnated Facility Owner or Operator Certfication of receipt of hazardous malipals covered by the manifest except as noted in Item 18a Print yped NameSignature Day Year t r L� - Month c ! EPA Form 8700-22(Rev.3-0 ) Previous editions areobsoete. V DESIGNATED FX?IY/ DESTINATION STATE (IF REQUIRED)