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<br /> DOLLAR7GENEffA�.^ e * ,, . ' ft DOL.1AB;GENERAL.A195fty r T •fY P' d, .t4. 3T.;•�.`a:.5--'`Yi:'::
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<br /> ."Do lltOn,CA86215)'209j 800A'822 `'- ` Stodtlon,CA 95216(209j t1D0$8?2'; '`, - • ''' ` - ;
<br /> . re!t4porter arae ,SfPA IDN ~a. '
<br /> .. 21st CenturyZrivironmental Management of California,LP' CAR00021061Z
<br /> T.Tmnsporler2CompenyName - - - - - S.EPAlUNum*
<br /> 21st Century Environmental Management of Nevada,LLC NVD980895338 -
<br /> gnate a 'ty arae an;Bile Address - - U.S.EPAIDNumber
<br /> - .21st Century Environmental Management of Nevada.LLC
<br /> 2095 Newlands Dr.East -
<br /> Fernley NV 89408 (776)676-2760 -
<br /> FacTA s Phone:' N1%DB80896538'
<br /> gar 8b.U.S.DOT DesaiWon gncludhg Proper Shipping Name,Hazard Class,10 Number. 10.CaMalnM M. .11.Told .12 Unit 1&„,�Codes.
<br /> HM Ord Pxft Group(If any)) - No. Typo Quaray WUVo4 .
<br /> 1; NON•RCRA HAZARDOUS WASTE LIGUID(OILS,DETERGENTS) ,
<br /> K 931'
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<br /> 1 . GENERATOR'SFOFFEROR'S CFRTIFICATION:I henhydedme ihat lhecontenls of life consignment are fdyardamaeldydescibed above by the p)opersipping nerve,and andassdied,pacimged,•�'..�
<br /> .mademend Nbeled/placaded,Rod&rein all respedsin pmpercmdillonfortrensport according to applicable international and natlnnal govemmenn)regu'agons.a eapo4sdpmetard i am the Palmary -
<br /> E1podeglcenily that thomnterAsofttiscrosigmnemmnfmmlolhetermsol2*allwtkd EPAAckmWepgmantofConeent.
<br /> Icert!"tthe we*minimlzadonsi&temerA ldenBfiedln4DCFR262.27(a)(dlam&large auartity ge�ata)w(b)(ll am a,smail quantitygeneretar)'kWa. " :
<br /> - mare r rads t Neme Ane - y Melissa Ballard(PSC, LLC on behalf of DOLLAR GENERAL.
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<br /> J' 1 Ilttemaaanel ShlPm&nk ❑ImpodtoUS. .
<br /> QE.WalhamU5 - ..Part oteraldsak � -
<br /> Trans oRdr4 naTwa or - bn .-Dale leevin U.S.;
<br /> 17.Traa�enerAdnoWedgmenl or Receipt of Materiels
<br /> TrarsPono,! ,Pnme arae. - _ � y - •. t
<br /> aMelissa Ballard ••• • .-���
<br /> 70; ,21 S
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<br /> ' enilesl Reference Number.
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<br /> i8aAtemate Fadlty(or GeperaDr) U.S:EPAID NurcSer •,'tR,
<br /> .. � Fecih '.'Phone: - .. .' •. •: 1
<br /> w 7&.SgnatweaAAemete Fadliy(or Gererata) _ —Month
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<br /> 52 19.Remrdous Waste Repot)M®emen Mellad Coftke cgcInfarnizardals wastahealmenl,dsposal ardrtxydng syaeino f, "- .'I `.�
<br /> rkmerstors 66M
<br /> titan -•y .
<br /> 20 Designated Faccllr. rpr OparelbN'Celladetlad aflebdptdhezaNma dreledeIs c6iraell btheparastoxceptas rated Intern Ifs
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<br /> ..EPA-Farm 87 tftv;B•B5)tFievloUSe�o04gre45@weTa•;?.
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