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111111101101 FCrMko roved OMS No.2S!$(,0039 <br /> A <br /> a5C pent Or[}'� <br /> UNIFORM HAZARDOUS G ra�r!p N f 2-Paget 3,Ernetge xy Response t'h orie 4.�6Erdlestkang Numr F EE <br /> C". <br /> WASTE MANIFEST <br /> 5.Gererabds Mame and t ai i y Acdress Ge eratots SAC R4C�s 0 dTferirl I nu3"address] <br /> Hath & Body Works 1510 Rath R Pod ilor•ks�151�b <br /> 094729339 4950 PACIFIC AVE, WFSERSTOWN MALL/ SPACE 49 <br /> STCfC1i�C3�t,SCA AVE <br /> 95207 <br /> Geneear�rs Pnore: 5T[]C�iTC3N CA 95207 U.S.EPA 16 Number <br /> £�rtYr�por&er i tympany Fr![3 ` <br /> Ster c cialt ante 5 tions Iris MNR 24 - <br /> 1j.• PAS 11W <br /> r EFAI <br /> S.ue!�Vated FBdAy am a: c-^�idGas lSf a es, L <br /> 273Q E. 13th Street <br /> Yuma, AZ 85365 AZR000515924 <br /> Fadr 5 <br /> St.U.S DOT Baser pt pn tindudvtp P ssper Name:kin a d Lass.tO lk�r a ?0.ia-�we* tt-Tota[ 12.Unrt 3-Waste Canes <br /> - ho Type Qvan!ity VVIklVd- <br /> and Padang smug(e any]] <br /> 1 F 00062 P 331 <br /> a o f i RCR� hazardous waste, liquid (SOa�3s+ ___ ............... . _..y................ <br /> a p ons , <br /> r <br /> LU <br /> Q <br /> � µl <br /> i <br /> 3. - --.......... <br /> i <br /> d <br /> ,a Sq"t iaand ing instrtec4a s and additional 4nfor 16n 1. 110902(State Re g u 1 at ed Liquids) <br /> 95. GENERATOR SrOFFERORIS CERTSCATION:I temby SAF Shat ftoofltenis of to runs gnmenl are t*an4 acro alety dostra ed aWye by the presser sn pprng namC.a'tf are c1355 ge 1.packaged, <br /> raked and laDeiee p a ardad-adw arenas+aspects k1 Pr* coed tion for transport a=ordksg to�enWaa&xialand na bonat povemrnentat regLialms,IT exWftshiPme A a d t am Irre P"wy <br /> xpwter.I ex tAy that tm G;raersts of this�gnment M4wrn to�jwM of trg~MEP+1Ack�oT COr -nT <br /> cert fy that tm waste maia�stamimnl idenq*d in 40 CFR 262.27[a](K 1 am a laV quantity gawaiory or{b+t81 am a sme quantity generarx7 is true. <br /> 5 marl I}aY Year <br /> GeneraWr'sr(3f MesPnntedTypatl Name ''%RCL rep he 1 f Of 0 N z u E <br /> IA Is 110 1 q <br /> 6.trt'rrna im a �lnvoet to U.S 0 or e`entryiext . <br /> 2 Tran nature Itw <br /> U c <br /> expmh onkyl' ata e>av ng <br /> ss�srkes seg <br /> [� i r Twspaeter Adoomtedgmam a RecaiW of. wily, lay Yea: <br /> 'ranspvrter t Prgstr °fypedHarne gsgrfah:ra <br /> r <br /> r <br /> O <br /> ?&ante) ©ay Maar <br /> rat; yPad N 5' <br /> 1E.piscrepan Y <br /> �Pamai Pmywbn ElFuti Rete:An <br /> 'Sa.❑i5rs arty Inrkcatxsn Space �{�'n�'""� IJ T iJ 1�e&idue <br /> Marks,'Reference Numoe <br /> U.S.EPA Ip Number <br /> r 'Ste.Atiemate Facdq(DE Generator) <br /> r <br /> U. Fat-'ft'e Plrorre' Slant t Dar Y8 <br /> 2 ats <br /> t S-Ssgnxe of kernae FaoAety iar General) <br /> w <br /> 4 <br /> � Yriirg ys: <br /> t9,Raza'@�u&1Mresle Report A48nag�nent trte34md Lades{i.e.,cvd&s for tsaza�vs waske ireaG-nesft.disposal.arW roc s ems <br /> 4 <br /> 5. 2 <br /> 20.{?e$Paled Fadii<y gw.um5catioa of rt+C 3M o!ha2alt3Eu 5 n aterial5 o merod by lite rawnAest excel} ed in riein 18a oto S Eay Yea= <br /> ... $ignaturn <br /> Printedd'Tym Name �. <br /> _:ir i1. ...:�-I�7+ .t.Y:ts�.-r; ?rii:,s.���i•:�C:!i'Stt,'. <br /> 6700.22(Rav 12.1 Previous edilims are ab kele, <br />