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Please print or type. Form designed for use on elite (12- IERATOR I UNIFORM HAZARDOUS WASTE MANIFEST
<br />(Continuation Sheet)
<br />21. Generator ID Number
<br />CAR000245092
<br />22. Page
<br />2 of 2
<br />23. Manifest Tracking Number
<br />015096253FLE
<br />Generator's Name
<br />AMAZON.COM SERVICES LLC (OAK4)
<br />U.S. EPA ID Number Transporter Company Name
<br />I
<br />U.S. EPA ID Number Transporter Company Name /
<br />I
<br />27s. 27b. U.S. DOT Description (including Proper Shipping Name, Hazard Class, ID Number, 28. Containers 29. Total 30. Unit
<br />HM and Packing Group (if any)) No. Type Quantity Wt.Nol. 31. Waste Codes
<br />X 5.RO, 1JN2810, Waste Toxic, liquids, organic, 1 CV 00491 P 311 D024 D009
<br />(Mercury, n.o.s. Selenium), 6.1, PG II,
<br />(D009), ERG#153 D010 U129 U205
<br />X 6.UN2811, Waste Toxic solids, organic, n.o.s. 1 CF 00375 P 311 D007 0010
<br />(Chromium, Selenium), 6.1, PG II, (D007),
<br />ERG#154
<br />X 7.UN3086, Waste Toxic solids, oxidizing, no. 1 DF 00156 P 141 D001
<br />s. (Disodium Carbonate & Hydrogen Peroxide,
<br />Sodium Carbonate). 6.1 (5.1), PG II, ERG#141
<br />) 8.UN2588, Pesticides, solid, toxic, n.o.s. 1 DF 00220 P 352
<br />(Diazinon, Bifenthrin), 6.1, PG 11 $ ERG#151 GEh ) 9.UN1993, Waste Flammable liquids, n.o.s. 1 DF 00147 P 214 D001
<br />(Petroleum Distillates, Alcohol), 3, PG II,
<br />FRG#128
<br />X 10.UN1791, Waste Hypochlorite solutions 8, PG 2 DF 00421 P 122 D002
<br />II, ERG#154
<br />) 11.UN2811, Waste Toxic solids, organic, n.o.s. 1 DF 00200 P 311 D007 D010
<br />(Chromium, Selenium), 6.1, PG II, (D007),
<br />ERG*154
<br />) 12.UN3265, Waste Corrosive liquid, acidic, 1 DF 00162 P 791 D002
<br />._, organic, n.o.s. (Oxalic Acid, Glycolic Acid),
<br />A, PS TI, FRS#15:4
<br />13.Non RCRA hazardous waste, liquid (Unused 1 DF 00195 P 343
<br />Oil),
<br />14. Non RURR hazardous waste, solid (Used Oil,
<br />Debris),
<br />2 OF 00088 P 223
<br />Special Handling Instructions and Additional Information 5.109773(CA Liquid Pharmaceuticals) 6.109775(CA Solid
<br />Pharmaceuticals) 7.110470SP(Charliels Soap Oxygen Bleach) 8.109788(Pesticide Solid
<br />Loosepack (Non —RCRA)) 9.109741(Waste Flammable Liquid) 10.109778(Liquid Hypochlorites /
<br />Bleach) 11.109775(CA Solid Pharmaceuticals) 12.109728(Acidic / Corrosive / Organic
<br />M Lu I—cc
<br />0 a co z
<br />Transporter Acknowledgment of Receipt of Materials
<br />Printed/Typed Name Signature Month Day Year
<br />I I I I
<br />Transporter Acknowledgment of Receipt of Materials
<br />g Printed/Typed Name Signature Month Day Year
<br />I III GNATED FACILITY Discrepancy
<br />Hazardous Waste Report Management Method Codes (i.e., codes for hazardous waste treatment, disposal, and recycling systems)
<br />/4 1 ki-I I 1-11+1 1 co w 0 )14 42 / I I-I i Y-1 I 1-1 /2 l 1 li 141 1 11 hzi
<br />EPA Form 8700-22A (Rev. 3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE (IF REQUIRED
<br />8700-22a_12v3 C8275924 641016508 041951838 14
<br />
<br />PD128728 SD128728
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