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Please print or type. Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4.Manifest Tracking Number WASTE MANIFEST CAR000251603 1 877-577-2669 012496412FLE 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address) Dollar Tree DC 1122 Runway Dr. Stockton CA,95206 Generator's Phone: 775-575-2760 6.Transporter 1 Company Name U.S.EPA ID Number Stericycle Specialty Waste Solutions Inc MNS000110924 7.Transporter 2 Company Name U.S.EPA ID Number Stericycle Specialty Waste Solutions Inc MNS000110924 8.Designated Facility Name and Site Address U.S.EPA ID Number 21st Century Environmental Management of Nevada,LLC NVD980895338 2095 Newlands Drive East Fernley NV,89408 Facility's Phone: 775-575-2760 98 91b.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.Nol. 1. O Z 2.UN1950,Waste Aerosols,flammable 2.1,ERG#126LU — D001 O X 2 DF 177 P 331 3•UN1993,Waste Flammable liquids,n.o.s.(Acetone,Methyl Ethyl Ketone), 3,PG II, D001 D035 XERG#128 1 DF 121 P 214 4.UN3266,Corrosive liquid,basic,inorganic,n.o.s.(CALCIUM CARBONATE,SODIUM D002 XCARBONATE)8 PGII ERG(154) 47 DF 5814 P 122 14.Special Handling Instructions and Additional Information 2)100843(Aerosols)3)100850(Flammable Liquids)4)100845(Basic Liquids,Corrosive);Line 2:Line 3:Line 4:100845(Basic Liquids,Corrosive); 15. GENERATOR'S/OFFEROR'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 labeled/placarded,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 EPA Acknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)or(b)(if I am a small quantity generator)is true. Generator's/Offeror's Printed/Typed Name Signature Month L)ay Year Cameron Gates Cameron Gates 04 1 01 1 2019 -J 16.International Shipments Import to U.S ❑Export from U.S. Port of entry/exit: Z Transporter signature(for exports only): Date leaving U.S.: W17.Transporter Acknowledgment of Receipt of Materials Transporter Printed/Typed Name Signature Month Day Year O Kristopher Almanza I Kristopher Almanza I 04 I 01 12019 N a QTransporter 2 Printed/Typed Name Signature Month Day Year Joe Lipuma Joe Lipuma 04 01 2019 F 18.Discrepancy 18a.Discrepancy Indication Space ❑Quantity ❑Type ❑Residue ❑Partial Rejection ❑Full Rejection Manifest Reference Number: 18b.Alternate Facility(or Generator) U.S.EPA ID Number J U LL Facility's Phone: W 18c.Signature of Alternate Facility(or Generator) Month Day Year Q Z y19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) LU G 1. 2. 3. 4. H141 H141 H121 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a Printe-d Typed Name Signature Month Day Year Jennifer Anderson Jennifer Anderson 04 24 2019 EPA Form 8700-22(Rev. 12-17) Previous editions are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM