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Big Lots #1916, 2720 Country Club Blvd, Stockton, CA Record ID PRO538908 <br /> 06/27/2019 CUPA— Haz. Waste <br /> PHOTO# 17 <br /> See previous comment. <br /> NOIV_SALEABLE HAZARDOUS MATERIAL CHECKLIST <br /> Page# of <br /> When hazardous waste collection bin is read r , <br /> ensure all <br /> lds of <br /> This will serve as the request for hazardous waste pick up. Intheevent you ereceive a failure fois rlthe faxt are confirmation,lcalll W d fax to agem nt at . <br /> 1-866-819-1926 to schedule pick up. <br /> STORE I FORMATIONeste Management at <br /> Store#: <br /> Store <br /> Atldress: r -U I <br /> ,�.�N r Store Team Leede �— <br /> City state,Zip Code: / V' V c� ^ Loading Dock Available: <br /> STL Contact Number{cell):�J, � L. — �"�_ <br /> Store Phone Number- Who Will sign Paperwork:_ <br /> Pick-up Hours: �j v-- <br /> I AM-PM <br /> WASTE INFORMATION <br /> UPC (preferred) hie ufacturer <br /> (Ir no UPC Ypu may use SKU) Example-Clorox DESCRIPTION SIZE <br /> Example-Scented Bleach Example 1:4u: QTY. <br /> (U q(o v Cao o ��' ��iUS U � — <br /> G� <br /> Ss <br /> vuc) 3o o <br /> �r� .�o-a- <br /> o r 1 c� OL 2E�/;E�cn, &oa- <br /> v v cl U <br /> _L G uu tz­f <br /> IU L c -I rzDe <br /> -A-`� ) '�tyfv — <br /> U /� / .G7 'c�4+ <br /> !C,! SS G n�v l S e <br /> nu 1 <br /> O / Cd<r r v� v <br /> MpaAlcommonts- <br /> Elianna Florido, REHS Page 17 of 70 <br />