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RECEIVED BY SJCEHD (EF) ON 5/15/19 Please print or type.(Form designed for use on elite(12-pitch)typewriier.) Farm Approved.OMB No.2050-0039 UNIFORM HATARDOUS 1.Generator ID Number 2.Page 1 of 3 Emergency Response Phone 4.Manifest Tracking Number WASTE MANIFEST 015 8 8 6° 83 JJ K 5.Generators Name and Mailing Address Generator's Site Address(it different than mailing address) SALLY BEAUTY SUPPLIES 010229 10710 TRINITY PKWY PC STOCKTON,CA 95219 Generators Phon 6,Transporter 1 Company Name U.S.EPA ID Number ALL CLEAN HAZARDOUS WASTE REMOVAL INC. CAD9824923% 7,Transporter 2 Company Name U.S.EPA ID Number TEMARRY RECYLING,INC. CAR000194 217 S.Designated Facility Name and Site Address U.S.EPA ID Number RECICLAIDORA TEMARRY DE ME-ACO MXC130619001 CARRETERA FEDERAL NO.2 MEX SAN PABLO, TECATE i3C Facility's Phone:619-37¢94,53 9a 9b.U.S.DOT Descripton(including Proper Shipping Name.Hazard Class,ID Number, 10-Containers 11.Total 12.Unit HM and Packing Group(if any}} No. Type Quantity W1.Nol. 13.Waste Codas X UN 1950,WASTE AEROSOLS(Each No Exceeding 1 L Capacity), n 331 10001 D035 o 0 FLAMMABLE,N.Q.S.,2.1 w }( 2 UN 1993,WASTE FLAMMABLE LIQUIDS,N.Q.S.,(ACETONE, 331 D001 D035 ISOPROPANOL),3,PG 11 P003 X 3 UN 1479.WASTE OXIDIZING SOLID,N.O.S.(POTASSIUM ` — 141 1 PERSULFATE,SODIUM PERSULFATE),5.1,PG III 4. NON RCRAHAZARDOUS WASTE LIQUIDS,(DETERGENTS, 561 GLYCOLS) 14.Special Handling Instructions andAddidonal I formation 1) 8091613 I i d { 5�' (Aerosol) PRIMARY EXPORTER: TEMARRY RECYLING INC POS 11132 3) R I Oxidize) 4)R— (NRL--CP) 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents at this consignment are fu€ly and accurately describec above by the proper shipping name,and are classified,packaged, marked and Iabeledlplacarded,and are in all respects it proper condition for transport according to applicable intema' and national govemmental 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 EPAAcknowledgment Cons t. I certify that the waste minimization statement ideni In 40 CFR 262.27(a)(if I am a large quantity generator)or d}(if I a a small quantity generator)is true. G a e s ped NMEkVf J Signature � I�oQ1� Day Year J 16. ntemational Shipments F 1-1 Import to U.S. Export from U.S. Port of enlrylexit. z Transporter signature(for exports only): Date leaving U.S IX 17,Transperler Acknowledgment of Receipt of Materials Transpoder to Typed Nam Signature Month DaYLO Year � r 2P7 P 1- Z Transporter 2 PrinledlTyped Name Signature Month Day Y ar 18.Discrepancy 18a,Discrepancy Indication Space El Quantity Type Residue L Partial Rejection 11 Full Rejection Manifest Reference Number: Alternate Facility(or Generator) U.S.EPA ID Number U ua.. Facility's Phone: iy 18c Signature of Altema(e Facility(or Generator) Month Day Year H a Z 55 19.Hazardous Waste �jReport Management Method Codes(i e.codes for hazardous waste treatment,disposal,and recycling systems) 20.Designated Facility Owner or Operator:Cer ifteation of receipt of hazardous materials covered by the manifest except as noted in Item 18a PrintedlTyped Name V 1 Signature Month Day Year EPA Farm 8700-22(Rev.3-05) Previous edi ions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED)