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Please print or type.{Form designed for use on elite(i2-pitch)typewriter.} Form Approved.0%1B No.2050-0039 <br /> UNIFORM HAZARDOUS WASTE MANIFEST 1 21,Generator tDNumber 22 Page 23.Manifest Tracking Number 1 <br /> (Continuation Sheet) CA00M113272 015533331JJFC <br /> 24.Generalor's Name <br /> SALLY 9EAUTY SUPPLIES#752 <br /> 25. Transporter Company Name U.S.EPA ID Number <br /> TRIMSA USA,INC. <br /> 26.Transporter Company Name <br /> U.S.EPA ID Number <br /> 27a. 27b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 28 Containers2g,Total 30.Unit <br /> HM and Packing Group(if any)) No. Type Quantity Wt.Nol. 31.Waste Codas <br /> X UN 1479,WASTE OXID0NG SOLID.N.O.S.(POTASSIUM � � � r� � 141 D00 <br /> PERSULFATE,SODIUM PERSULFATE),5.1,PG ill "l <br /> al <br /> 32.Special Handling InsbvcWns and Addih oar Information <br /> 5) R <br /> PRIMARY EXPORTER: TEMARRY RECYCLING INC. <br /> of 33.Transporter AcknZ±nment of Receipt of Matenals <br /> M Pnnted`Typed Name Signature Month Day Year <br /> D <br /> a <br /> '10 34.Transporter Acknowledgment of Receipt of Materials <br /> 2 <br /> PnntedlTyped Name Signature Month Day Year <br /> H <br /> 35.Discrepancy <br /> J <br /> U <br /> a <br /> a <br /> LU <br /> 36,Hazardo s Voste Report <br /> Memenl Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) <br /> C7 <br /> in <br /> Q <br /> EPA Form 8700.22A(Rev,3.05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIREDy <br />