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. ,Form des*WforuseoneRs(12-PU) iera il111FxxmAPVOved 1IIIIlIII <br />w $ t �RL�AA3T44Q1 1 co za5s <br />1 of 'i Ettettgcnry.poieo Phone +. Ate+ lest r <br />"�'`� 010$88404 FLE <br />Dollar General #13585 s"tl1'�`�'cne�nsaulga,) <br />ZO 49866 2I58 ALPINE AWE Dollar General#13585 <br />215O W ALPrNE AVE <br />GawWaft F'tw&L STOCKTON, CRR 95204-2853 <br />Mpgw 1 STflCK� ON, CA `35204– 85 <br />tarKane <br />Stericycle Specialty Waste Solutions Inc u�eFNloHunoGr <br />7 TiaryppMr 2 Ctvtpaey Name MdSO@O 11 OW4 <br />Worldwide Recovery Systems s ePA w fi.nwr' CRR0faOf75422 <br />8 t ecrty Name and SteAddeaa - <br />ulna es, <br />2730 E. 13th Street <br />Yuma, AZ 85365 <br />Foci r. Phony 9286428938 <br />9e 9h US MFOft* f - *Wft Prier SN*V liaard Gess. IQ slumber, <br />I. on KCKR hazar-d-0—us waste, so I onsumer <br />Products), <br />Products) , <br />ismer <br />i <br />e <br />u Fanning tw�uc>std �p1orW pYormaron <br />1.11 29(Non–RCRA Solid Waste (CA Onl ) – Loose <br />11O524(Non–RCRA Liquid Waste (CA Only) – Loosepack) y Pack) c, <br />75 �E7fA:'aRT.rOFFI•/tOR'S �� I trreb� declare dra�l the contend Gills rm,�jirtfliht are elRy yid aoc>xafety descrLad abatie �e <br />masked and f2Nd df*C&ded, and aro in J respects it MM cc K*M *x treincport aatff&g t2 a *oe hal and tretianai dl R►GAGr �Ppry �. and ani rtasyfkd, pts, <br />Export � cartlty lir dz Gornhents d lws msignmont mdorm kr the bms d Te atgchad 9i4 ga'eramcn�tl �.1teMpott �iprnartt arxi ! am 1bc Prur� <br />� �h rnat tftt'.ra�e minimaaliar 7{alett�ent idereied R IU CfR 262.27{al {d I sn a �� of Car�,sent <br />Haar <br />°Q'm MY9 fatb}{iflanasmsr4uarMY4exraftriisb „ <br />Lim --et4-tiq <br />L Jttwbus <br />T tier a Qxft &*)_ <br />17 hanWrbrXdoprledgm 0fRKa00tllCftiels <br />is Dko"ancy <br />19a Oi-WXY Wxsian Space C] r <br />16b AMfnate t-a%fty (« GawMor) <br />J <br />U <br />LL- <br />ar--- <br />S PaEdanpytczAl <br />Typo �._.1 Rgdue _1 Partial Rejerine <br />U <br />19. NspMou61Ra411e Aeped 6tr<a--!t Wtod Codas ( e_ radesit r ftnarj= waste teennaet disposal. and CJter 1 <br />1 i 4 3 sysoemsi <br />2. <br />I4 <br />�% farms QtM11C a 47peraxGr (:ertifisaM0110f teeef0l <br />Of ha¢ardous m3herM czvomd by the m mho" ept asys4lQt� E!!m 1&a <br />1ped Maur Swat- >�v� <br />y tib' <br />EPA Form 8700-22 (Rev 3p5) Previotr5 eftans ar a ob®oiehe, DESKMATED FA CKM TO DEST1MATION STATE (W REED) <br />8700—'P2 1 Pv? MH ?AR7',M"t? [ r sn►4� a, r,R. �.n�.� .. <br />