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Ql�l�lo�n��d w00 3&o c , t� <br /> 951096-13 1731486-001 <br /> 951!WIFO� <br /> 1`9 . Formred fof use on alae 12-Itch er. Form roved.OMB No.2050-0039 <br /> HAZARDOUS 1'Gerora�D Nwrder 2.Page i d 3.Em perry Resoonse Pnmm l Y ImIit Tradi,tp Number <br /> cWASTEMANIFEST CAL00037426a 1 (an�)vsnr-2s�s�s( �mare� mp ma��m 000641363 PSC <br /> SbOLL W NIN Less 4DOLLAR232 E aWEd;ALW13593 —1 <br /> 4232 E Main <br /> in <br /> Stockton, CA 95215 (209) 800-8822 Stockton, CA 95215 <br /> Gersemfa Rvm'. <br /> 8.Trattpater I Conpeny Nam US EPA ID Numbe, <br /> 21st Century Environmental Management of Califqqiia, LP CAR000210617 <br /> 7.Trerepabr 2 Canpm7 Name U.S.EPA m NUMN Ad" <br /> ads L C <br /> 0.Datpv d Farley Nemo v4 Sea AdGea1 U.S.EPA O NunDer <br /> 21st Century Environmental Management of Nevada, LLC <br /> 2095 Newlands Dr. East <br /> Femley NV 89408 (775) 575-2760 NVD980895338 <br /> F a Ptvm <br /> Be. to.US.DOT DexrW.C^ddnB Avpu S'q 9 NarM.Hama Clan,ID Numeer. 10.CmWrors 11.Total 12.Urvi 13.Waste Codes <br /> Hu W4 PKk%Gmw(d enl')) W. I Type O.mnM WL W <br /> 1, <br /> Up9D001 331 <br /> Q N17 WASTE FLAMMABLE LIQUIDS.N.O.S.(PETROLEUM DISTILLATES, <br /> X ISOPROPYL ALCOHOL)7 PGII 1 OF 8 P <br /> 4 <br /> z 2. 0006 Zit <br /> w UN2810 WASTE TOXIC,LIQUIDS,ORGANIC,N.O.S.(TRALOMETHRIN, <br /> DF 8 P <br /> X PERMETHRIN)6.1.1`0111 <br /> ]. ■ l <br /> 4. <br /> 4.Sp&OW Ksq MAY <br /> 1(1)DGYO/'dERG(` 1 FLAMMABLE LIOUIDS(2)OG8.1L-01-ERG(153)TOXIC LIQUIDS ENVIRONMENTAL <br /> UCatTU r CDADTaACNIT <br /> 15. GENEAATOR'a'OFFEROR'8 CEJ2TW=T*N:I hw"dedan ftl dm wnln,b d Cva otrmlpnm ni em hAY era emee Wy dew'b4d ebow by em+aM sNmNq nsm-W ve duOW'PbWed. <br /> meded end hbeled*oVded.and we In W ie"=M Pops'mrd0on for MsPan ec=**W pplurb kft w W W"rubuml Wnnr w tsI npataba I.N span etpmnl end 1 m the Pdrne0' <br /> E)porterW"W" d bm¢0edmd EMAtlov.Nedpn4int of Garment <br /> Imr&y bmt ea rretb mimnootlan atebrnerd&nned h,40 CFR 26Z27(e)(d I aura WW vanM 9>mrdwl or(b)(D I enraand Putty 9e mtb)b bas. <br /> P�j�.�yiwea SpraNre MprM Y Yaer <br /> at ee ss ne(rSG, Leon behalf of DOLLAR GENERAL I 13 <br /> p13593 <br /> ill.Imbaal SM .,, ❑bnoanb U.6. ❑E,.M hen U.S. Pon of ff" a1'. <br /> 1 TnnWoft 47eem 0m V» m OdY): Data leasYq US.. <br /> IX 17.Tranxia AdTOA067meN of Reagl d M31en9)5 +y, <br /> TDay VBa1 <br /> . f9nsppyr is ne"Yw Name �a — t L I '3 <br /> g Mat es1a na <br /> X03 NZr <br /> y" m D. v <br /> e , <br /> 18.D'uaeparcy <br /> 1I 1N.D4aga�y�n SPs� ❑ Q�titY ❑Typs Resdus ❑Paredbn ElRshdFW i <br /> Reil <br /> MarNest Refaenoe Matdar. <br /> 10D.AttalWe FetiIy la DenNatafj <br /> U.S.EPA ID NumEM <br /> J <br /> U <br /> Fa*Iye P1 <br /> i <br /> Q0Q lac.60,atn of kbinata Faddy la Cercrabr) MmN Day Year <br /> Y <br /> 18:1htsdam Wash Mara9Nrerd MCAad Caps Ccs.,oodea b�Man+asro beatrront da(osd,and mgdhq gTwra) <br /> 1. H 1 H141 2 H141 s. 4. <br /> 20.Oeapmbd Fsrffy Omer a DOanaf:Cert Son.d Mold d barerdaa maWish mored ,j an m&*in eaxW ss n"d In ftm tea <br /> 1 f 1 7- <br /> EPA Form87Dd22(Rev.3051 as editions are obs to. <br /> DESIGNATEDDESIGNATEDFA ILITVTODESTINATIREQUIRED) <br /> 11-10-131`01 :36 RCV <br />