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<br /> Approved.OMB No,205G-0039
<br /> UNIFORM HAZAROQU5 Page 1 3 Em.r94fuj Rezpc,,5e Fhcm 4.Manifem T, n16'" 0'
<br /> WASTE MANIFEST C01271
<br /> AL124427616 I 877t, 72-6G9
<br /> 0 f2c"' 3 145 FLE
<br /> -G-nemt
<br /> Bath & Body WoVks 1510 Bath & Body Works#1510
<br /> 2094729339 4950 PACIFIC 4E, WEBERSTOWN MALL/ SPACE 4950 PACIFIC AVE
<br /> Gerafalv's Piio--a: STOCKTO1 952107 N, CA I I.
<br /> STOCKTON, CA 95207
<br /> 67ranspmeri Ccmwyka.-m V S.ERA 10 Number
<br /> Stericycle Specialty Waste Solutiau Inc
<br /> MN9000110924
<br /> 2 Compony Nai ne U.S.EPA.1D NurnhF
<br /> Worldwide Recovery Systems CAR000175422
<br /> 8.Des�gn witer
<br /> Fac�i6,'Janie and Site A,!.*,,,
<br /> Yuma Yes,! LLC lj�S EPA ippi
<br /> 2730 E. 113th Street
<br /> Yuma, AZ 85365 II
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<br /> 928
<br /> 6428938 AZ E000515924
<br /> i'v. efsI-. 'i
<br /> ,T'tj 2 Un:' 13-Masts Ga es
<br /> type Quan.,y INUN'06
<br /> Non RCRA hazardous Waste, [Olid (Soaps, III DF 00125 P 331
<br /> 0
<br /> Lotions),
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<br /> LU
<br /> 41.
<br /> 14.spez;ial Hand iv InsiruEw,and A&diti-wal imor-nation 1. 110903(State Requlatedlsolid5)
<br /> --7(
<br /> 35. GENERATOR'Si'OFFEROWS CERTIFICATION:I al c-f th,, gn-rnent are�jdj and ivaWJy ee-qcndba j abn-vp by 4j-ie amper Orippm narra,and art-classilied,packaged,
<br /> 're re
<br /> qL!labeheWDlacardad,and N2 res'Dec! 'Uci ft T5,p according tc ap'-Fcab!e in:x-rnq triA ard natio.al g3verpirne-intal.regulations.9 export shornent and I am the Primary
<br /> niamed a '!;%l:Lr'.l ,
<br /> Exmrler,I cer;-j tat 03e wrtents cflhim mrsialMlent wricr.r.t.F,.'terms cl atac ed EPA Ackwwied, iitt
<br /> jrnent ol ,nse.
<br /> certify tha'the vmlle irgairniza0an VaO nrn identliedin 40 ffi"R" CF.Rt 62.27(a)(if I am a large qvaquantitygcnaraw)or an.3 small quamiq genalat��(,;s Inde.
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<br /> LU meni� Day Year
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<br /> 9.Hazardous Waste Report Wwagem.en!Me'_d Codes(i.e.,cases fol hazardic.--was!.e lreatnwnt,dispasa:,and rev icit
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<br /> EPA Form.9? Q-22"'Re-i,12-17, Pfcvi"us edlilons Dr;1GNATEi)rA([Lllll TO EPA's e
<br /> -MANIFEST SYSTEM
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