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P se print or type. ���"��"'����' <br /> UN Number <br /> mh Ph" <br /> c <br /> �UN�:IFORMM S Form <br /> age Ematgerny _Appmved,OMB No.2050439 <br /> =ES�S "POM Phone 4.ManOest <br /> WASTE MANIFEST CAL000427616 <br /> 5.Cwvratoes Name and kb1irV Address 8775772669 5RA F9LE <br /> maa) <br /> Bath & Body Works -;,510 <br /> Bath & Body Work's#1510 <br /> 2094729339 4950 PACIFIC AVE, WEBERSTOWN MALL/ SPACE 4950 PACIFIC AVE <br /> G—Wmm—ws ON, L il 7 ji <br /> ------------- c <br /> 6.Tram"I Nam <br /> U.S.EPA ID NLMr <br /> T Transporter 2 Compaq Marne <br /> U.S.EPA ID NuM>ar <br /> 8.DeSignaWd F ' Name!&"�WjAddress f <br /> Yuma Yes, LLL US.EPAiDtYumber <br /> c730 E. 13th Street <br /> Fes' s Phow A Yuma, AZ 85365 <br /> qa, 9b,U.S.DOT N=O-(s Wmil Proper SNPON Nam,Hazwd Class.ID Number, <br /> HM aW PamGroW(I any)) 10.Containers W TOW 12.Unit <br /> Type Quantity WUWA 13,Waste Codes <br /> IN 12LI010654 <br /> RCRA hazarclous waste, llqUid (Soaps, DF P 331 <br /> Lotions), <br /> Z <br /> W <br /> 'Non RCRA hazardous waste, solid (Soaps, 1 DF 00173 P <br /> Lotions}, <br /> 331 <br /> 3. <br /> 4, <br /> E—--- <br /> 14,SpeciarH"WV t 41ructions nc!A—fttiate!kft—rcaaffan <br /> 1. 110902 <br /> Solids) . 1 0 02(State Regulated Liquids) 2- 110903(State Regulated <br /> 15. 1,1411:11I)IF EIR(IF!1:1 CERTtFICATIDN=I thereby declare G>et the corteria Of ft CM84nment am fuly and <br /> nm*Ad am lawwpiam"Itaw we in al Mp"In p"W"'MW for ft"'PonaccOI&V to aPPOUNe Ogern8fiDnOland natiow above <br /> by"Proper name,wd are CIRSAW,padcam, <br /> DPWW-1 ow*OW the ax*ft Of ft oonKnmant owform to the W"of ft aftched EPA rent of consent W—W rewboom If sjqxn shipment and I am ft Primary <br /> Gene 1081*&M the waste minimmutten statement kienOW in 40 CFR 262.21(a)(N I am a WO quardy generator)or(b)(0 1 am a small quantity 9wevor)is thee. <br /> Are SR 0 mom Day Yew <br /> 16.Intematbnai Shipments - <br /> ------4� <br /> import to U.S' f..U.S, Port of entry/exit <br /> Transporter SQViefin f"exports a, <br /> IX 17,TMRWorterA&wMo*WofRecelptcvfMgm& <br /> Data kevirq U.S.: <br /> � ransporter I Printadityped Marne <br /> 0 SipnaWre <br /> CLMrxrGn Day <br /> Year <br /> Year <br /> ;& I <br /> Type ❑RvAue MpaiuRapdon ❑FW RWfi. <br /> C— 18b.Afternate Facility(or Gene r) Manifest Re�rarue Number <br /> U.S.EPA ID Number <br /> Facilily!s Phone: <br /> 0 18 <br /> w C-SignaftreofAftemaIa Fa Sity(or Gen MW) <br /> Day Year <br /> 19.Hazardous Waste Report Vement A%MW Codes I <br /> (i.e.,codes far hazardous wastetreatment,drsposel, <br /> UJ I 2. ancl recycling systems}e) <br /> 20.Designated Fa*y, +hL41 4, <br /> PrintearTypedName OF OPemWr Certification Of-W of hazanious maWj*oqveW by the ITUNOU except as now in 188 <br /> Day Year <br /> EPA Form 8700-22(Rev.12-1 PWAOUS ectitions are obsowte, <br /> SIGN TE ILITY TO EPA's O-MANIFEST SYSTEM <br />