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Please print or type. s 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 CAD981663107 1 (877) 577-2669 013105090 F L E 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address) Pep Boys #710 Pep Boys#710 (209) 464-6066 845 Dr.M.L.King Jr. Blvd 845 Dr.M.L.King Jr. Blvd Generator's Phone: Stockton, CA 95206 Stockton, CA 95206 6.Transporter 1 Company Name U.S.EPA ID Number Steric cle Specialty Waste Solations Inc MNS000110924 7.Transporter 2 Company Name U.S.EPA ID Number 8.Designated Facility Name and Site Address General Environmental Mg-t. LLL U.S.EPA ID Number 11855 White Rock Road Rancho Cordova, CA 95742 Facility's Phone: 916351LY380 CAD980884183 9a 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.Nol. X "UN1950, Waste Aerosols, [flammable, (each not 1 DF 00127 P 21 D00 exceeding 1 L capacity)] 2. i, ERG#126 z 2. L c7 3. 4. 14.Special Handling Instructions and Additional Information 1.78,:x75(A a r o s O l s, Flammable) 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 labeled/placarded,and are in all respects in proper condition for transport according to applicable international andnlgovernmental regulations. export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of ConsenI certify that the was minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)or(b)(ifI .governmental to is true. Generator's/ is rin ITyp Name Signature Month Day Year 14 20L O J 16. ntemational Shipments , ❑Import to U.S. ❑Export from U.S. Port o?-entry/exit: ? Transporter signature(for exports only): Date leaving U.S.: 17.Transporter Acknowledgment of Receipt of Materials Transporter 1 Printed/Typed Name Signature Month Day Year 0 Krista her Almanza 1 107114 14 20L0 Z Transporter 2 Printed/Typed Name Signature Month Day Year t- 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quantity El Type ❑Residue El Partial Rejection Full Rejection Manifest Reference Number: 18b.Alternate Facility(or Generator) U.S.EPA ID Number J_ V LL facility's Phone: w 18c.Signature of Alternate Facility(or Generator) Month Day Year Q z .S2 19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) LU 1. � � 2. 3. 4. 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a Printed/Typed Name Signature h Day Year 2 CL 2z� �2 S V-C)) EPA Form 8700-22(Rev.12-1 ) Previous editions are obsolete. GNATED FACILITY TO EPA's e-MANIFEST SYSTEM