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<br /> ''" " ""' 002175713PSC 3519614-001
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<br /> UNIT 09MFIAT.ARDOUS t Gcrr:: 2 Paye T mf 3.Emerpicy Resporw Phnne 4.MrniEeSt Tracking Number
<br /> WASTE MANIFEST CAL000391166 1 (877)577-2669 002175713 PSC
<br /> f"r_n<•:5 M.,rne roil id.i!Gmy A;IArr„ Gweralur's Site Addrev,(d difle-e!:l ihra nra•7nj xLcrpss)
<br /> BIG LOTS STORES 810 LOTS#1916
<br /> 300 PHILLIP RD,ATTN.DENA FERARU 2720 COUNTRY CLUB DRIVE
<br /> COLUMBUS,OH 43228(614)278-2708 STOCKTON,CA 95204 2099418726
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<br /> STERICYCLE SPECIALTY WASTE SOLUTIONS INC MNSOW110924
<br /> U 1 EPA ID Number
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<br /> a E'<�.: �if:i::l{y N,en[-rsJs9rAurl:r•s
<br /> 41S.LPAIDNvrier
<br /> 21 st Century Environmental Management of Nevada LLC NVD980895338
<br /> 2095 Newlands Dr.East,
<br /> Fernley NV 89408 (775)575-2760
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<br /> r UN2810 WASTE TOXIC,LIQUIDS,ORGANIC,N.O.S.(2.4-0)6.1 PGII 331 1 0016
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<br /> p X 1 DMI 235
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<br /> z 1 UN1950 WASTE AEROSOLS 2.2(8) 331 0001
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<br /> NA3077 HAZARDOUS WASTE,SOLID,N.O_S.(MERCURY)9 PGRI 181 D009 !
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<br /> --(1)BLTOXIC-04-ERG(153)TOXIC LIQUIDS LOOSEPACK(2)SLAEROSOLS-05-ERG(126)AEROSOLS(3)BICRSHBULB-04•ERG(171)CRUSHED BULBS
<br /> GEN£RAFOR SfOFf EROR'S CERTIFICATION: I hewby drttare that ME-ronlenis of this consxlnment are fatty and irceuralely desabed aboye by the pimper sh•ppmy.Fame arct a!e L4assilied pakkatred,
<br /> mnrk.,ri acd 1,60.!rdp;:r.jrd[Y!-aid,rr$•i:;rG re':pt:rN an prnpr-r ren{l or!for lumport according tO mppli able inlemirtional-and national g[Nf4nmenlal regLuIons If export shipment Ind I i!tn Ux Prunury
<br /> (.parwf I criloy that hif..ra,tMFts d this consignment cr;;torm to Ile terns of the atlachel E PA Acknav1edi;nx4d of CnnsenF
<br /> rc?4y lh,,t p:r Trate min!m!7,ovi St,Fterwnt&!ilArd 11140 CFR 262,27(2)(of I am r largo quantity wwaloi)or(b)(if I am a small quantity yenerdtor)is true
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<br /> E+1;1Fr ini;`Y 4I.22(R•`1'0,71 y!pl:.rllitlMl�ilii o11so1etr. 6HIGNATF4 FACILITY TO EPA's e-MANIFEST SY5TEI-A
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