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i Please print or type.(Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Eme en Res rise Phone 4.Manifest Tracking Number WASTE MANIFEST CAL000427616 1 877772669 010685468 F L E 5.Generators Name and Mailing Address Generator's Site Address(if different than mailing address) Bath & Body Works#1510 20947229339 4950 PACIFIC AVE, WEBERSTOWN MALL/ SPACE 4950 PACIFIC AVE Generators Phone: STOCKTON CA 95207 STOCKTON CA 95207 6.Transporter I Company Name U.S.EPA ID Number Steric cle Specialty Waste Solutions Inc MNS000110924 7.Transporter 2 Company Name U.S.EPA ID Number 01 s 39133 8.Designated Facility Name and Site Address General Environmental Mgt, LLC U.S.EPA ID Number 11855 White Rock Road Rancho Cordova, CA 95742 Facility's Phone:9163510980 CAD980884183 9a 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit 13,Waste Codes HM and Packing Group(if any)) No. Type Quantity Wt.Nol. X 1UN1993, Waste Flammable liquids, n. o. s. (Ethyl 1 CF 00026 P 331 D001 U002 0 Alcohol, Acetone), 3, PG II, ERG#128 w X 2UN1950, Waste Aerosols, [flammable, (each not 1 CF 00003 P 331 D001 exceeding 1 L capacity)] 2. 1, ERG#126 Ston RCRA hazardous waste, liquid (Soaps, 1 DF 00075 P 331 Lotions), I Non RCRA hazardous waste, solid (Soaps, 1 CF 00035 P 331 Lotions), --- 14.Special Handling Instructions and Additional Information 1. 110905(F 1 am m ab 1 e Liquids) 2. 110904(Aer o s o 1 s, Flammable) 3. 110902(State Regulated Liquids) 4. 110903(State Regulated Solids) 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged, marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPAAdr>owledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)or(b)(if I am a small quantity generator)is true. eneratoesl ernes Printed/Typed Name Signature Month gay Year l l 08 201 .j 16.International Shipments F ❑Import to U.S. ❑Export from U.S. Port of entry/exit: Z Transporter signature for exports only): Date leaving U.S.: W 17.Transporter Acknowledgment of Receipt of Materials Transporter 1 Printed/Typed Name Signature Monthay ear a Isidro Msv4inez "�� 08 08201 zTransporter 2 P t d Na gnatureay Year 1- �_ - A,* 18.Discrepan 18a.Discrepancy Indication Space ❑ Quantity El Type ❑Residue ❑Partial Rejection ❑Full Rejection Manifest Reference Number: 18b.Alternate Facility(or Generator) q c 1-C Z0 U.S.EPA ID Number a IVP'u'l0.hc�,S DY• �as-F F�`hI-R-�Y i NV $ q�0$ Facilitys Phone: W 18c.Signature ofAllemate Pdcility(or Generator) ont Da Year a l�Z 55 19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) 0 1. 2. ' 3. 1 4. r + It, l r .Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a ntedliyped Name Signature Month Day Year EPA Form 8700-22(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) 87.00-22�J2y3 C$29.3378__... _ ,54.1047895 , 040904239 ._. M PDOW817 SDO80817