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FOM proved-DA4S No-2050.6039 <br /> Pml�se print o;type• 2 Pie 1 of 3-Emergency R-jx- Phone 4.Manlfost Tracking xumher F <br /> ecax I D Number L E <br /> UNIKH 1 11 1 1 11 ARDOUS <br /> 1.GP[tt <br /> WASTE MAWFEST - ' <br /> erode a rens i derenl man tnaiing adaessi <br /> s Geratur s Ptama ard!ti3air g <br /> Pai:iT Rpd W riks�l�s1� <br /> Bath & Body works 1510 a�#�,a �t�i. .t-�1 �►�'r <br /> rk"47C u3'x 49bO PACIFIC AYL, WEBERSTOWN MWAJ 5POCE <br /> TUCKTC31d, C A `35 7 STOCIfTIIh� CA <br /> Generators Mrne u.s.EPR❑ r�r <br /> 6.Transporter 1 Campas+Y t3amr� <br /> 5ter1r t11e 5 erialt hCaste 5olutians Ise u.s.epn3Qr+w 77 <br /> r.TransparW 2 Company Name <br /> -5-EPA 1❑Nurnbw <br /> a-DesgnatrcdFarlry Name and SiteAdd€riSYCta Yes" <br /> Li.0 <br /> Yuma, r•� <br /> Fwli s pwr*928642 .38 ..%;.G:zta'^•yrs 1i-Tutor 12.Unit 13.Wase Codes <br /> 9b,U.S-DOT Osst�ipiian(�ROW 5l�ppirg Name.Ftaxard Gass.ID Number. (qua" WAW, <br /> HM and Packing Group(dam) 000,71 p <br /> 'Ion RCRA hazardous wast, liquid (GoaPs, - <br /> 0 Lotions), <br /> Q <br /> u� <br /> C7 <br /> 3. ------ — <br /> 4. _.._ <br /> 14-S�yt} ngltsftSOrGardAddtOralGtYXmraLor 1. 11 +C( ae tfBqulated Liyui[ts) <br /> 15- G£DiERAYOR'SIOfFEROR'S CERTIRtCATIbN:I t areby declare that to rantents of lnis cord grsr em are"and a=rately desmbed above by the proper sh+PPrng rare, are dassrWr pxkaged. <br /> Wr <br /> rnarked a sd labRWM 'ded.and are in A resyem p dition blrarrsporl acmrdm9 90 app B <br /> inter 8 xxnaiand nais04 gmammentaJ regalaoons.If export A rlsmi and I am the Primary <br /> Exporter.I oertiFj Ebel the cantertss at tNs consignment cdrsklrm W the terms of#*atlxW EPAAdutoNWV Of Case a s quantity general }s true. <br /> I cKtgy that the waste Mtr.knizat on&at�nent identified in 40 CFR 252.27(aI Sd I am a targe quant&f generakx? fb)f � �y rear <br /> Generstoece(ors Pfir.W(Typed Noma 5 SIRCL € @ l3 ❑ -h ❑ 3 ffi 3 y r <br /> U.S.:of <br /> 16.inlemaWrun SNPments LJhmpw to U.5 ❑ExyM hom t1.5. DMIentryl .. <br /> IIase feavklg U.S <br /> Transporter signature[fw exports onW: <br /> f7G 17 Fraltspo[IBr ArJNOyAEd9Riar#Pt ROC�PS�Malerieis MAnSt Day yvw <br /> Transprxler 1 PhinEedlTypad Nana Shur& <br /> 0. .!ared {*arc i e l M" Day Year <br /> y Transporter 2 P€irlladfTyped Name 7 3 <br /> 16.DiscsepaY ❑Residue L-1 7arF of Rslers on ❑FuIE AelBCEs�n <br /> 113x.OjsveIk ty indication Spate L�! ChrariGty `�Type <br /> tttar*sl Ratere Ice Number <br /> U-S-EPA Ftum>Cer <br /> I b-Alternato FWrty to Generator) <br /> a <br /> d Wrath Day Year <br /> w Eacrl+tY's ahone <br /> W i&.Signature atAltemaie Fa Sk2y{or Generamr) <br /> a <br /> 19 Ha�tous 1Vas�e rtepocF t,4anagamant 1Aed>aG Cc6es[.e.,miles for hazardous waste heatmam,dispoSaF,and revyding systems a <br /> A. 3 <br /> .pesrpraied Fac I v borne+w OWfl!CA tification c1 recaip'o!naxardaus materials covered Oy the mraraiestaxcept as noted in Itern 183 ltkntn Oar e2t <br /> SrgriatrBa <br /> f'nntedlfyped Dane <br /> TE <br /> 7(10-221Rev.12•'t7) P€evious editions am obsolete- D GNATED FACILITY I U I=P -%I <br /> A's eA IFE T SYS <br />