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H1111110031.. Fam Approved.OMB No.205 U�39 <br /> Please print or Z. e t m)1 3. Ptmre 4.Man&o Tracking Numbs <br /> UNIFORM HAZARDOtlS 0124,94-B F L E <br /> WASTE MANIFEST �� <br /> 5.Gennraror a Name and pSait reg Add Gererataes sae Address(d ddtpt+yst7 an�o o y��I e r k s#151'A <br /> nth & Body Works 1510 <br /> ,n94729339 4950 PACIFIC; AVE, WEBERSIOWN MALL/ 5PAGF 4950 PACIFIC AVE <br /> STOCKTON, CA 951107 7 STCCF(10N, CA 95207 <br /> Ger araWr s Ptxx e: U.S.EPA IO tkmber <br /> S.Transporler1CiWaIT-ycle Specialty Waste solutions Inc <br /> 7 MNS000I l tih9L4 <br /> r.Trarrspatar 2 Ccunpeny tinr re U.S.EPA ID Mionber <br /> Worldwide Recover Svstels CRRtt�...... 4�.i <br /> B.Desoated Foo*y Name ant Site Andress Yuma Yes, LLC US EPA tD tltardter <br /> L7:�ih E. 13th Street <br /> Yuma, AZ 85:365Fad' 's Ptane <br /> ga gb.U.S.DOT Desix00(InCW rg Roper Stdpperg Nmre,Hazard Cess.IO to htiber, 10.Cadaaun i t Total 12 U61 13.WA510 Codes <br /> HM and P®dery Grow(t any)) No, Type t]—"t "A" <br /> a '-Non RCRA hazardous waste, liquid (Soaps, 1 llF' 130072 P 331; <br /> _.__.. <br /> Lotions), <br /> s z. <br /> 1 <br /> 3. <br /> t <br /> 4. <br /> 14, tlandfng lnsvthcttrnrhe and Addl*ret 1*M111ao 1. 1 109 02(State Regulated Liquids) <br /> L t5-it I L.t <br /> 15. GENERATW&WFEN n CaffiCRTMU .i thereby decfmm the,fro contents d ft oarkai(phnherd are frilly and described afore by the proper SI'VPKg name.AN are aasww,pact vw, <br /> ntWW and WxIedfRlaonw,and we in of revKft in voW mrAtdoat for trarhsport daotdxg W rppbwMe kdarrhatiorhat aW rhe govemn*r'W regtdatra's.t eegcxt ahipmant and 1 am the Primary <br /> E>;porbr,l arty trot tta ca+Wa d tltis coatsgrnent=*an to the temps of the MadIed EPAAmer t Of comm, <br /> I otoify thal the r aft IdwMad m 40 CFR 282 27(a)(t I tgn A latae y gerwrM)Q(b)(i!1 ant a ural mpiendty gene(MIX)a twee. <br /> GenoeloesOiarore P&Iwypw "e S R' rep o n -of L i e i t e Month Dar Year <br /> 18.klStenatiarml shTffefmt ❑�rtpon to u.s ❑Export from U.S. Pon a enuyfe,iC <br /> Dato le np u s <br /> Tr gnpaier s gr acral(tor expomx ow: _ <br /> ac 17.TtarmpwwAaW trVW"Of RWWof anaaenw <br /> matssp m t rx�Typod Name S Sn r a Morin Say Year <br /> I Kristopher Almanza 07 Ifd 2 <br /> 0V I <br /> y. rorhspc4er yped Name so aboo t lorkth Day Year <br /> r �-- <br /> L 101-11 11-61 <br /> 18. - <br /> t8a.Dwnpency Indcatiah Space ❑{2uem1 tY ❑Type ❑Readua ❑Partial Rgeceon ❑Full Rejet7ion <br /> Mardfest Reierme Nurrdrer: <br /> 18b.Alternate FaciRy(a C—47) U,S EPA tD Nwriba <br /> is <br /> way year <br /> 18t.3W*We d Aitemafa Favky(at Gwtermot) filo xh D <br /> 14.Harattkus Wane Repcxt Nfanapanre,d Metthod Codes(ie.,odes fa hazardas waste"*w^disposal,�recorg systems) <br /> t L 2 3. 4 <br /> a <br /> 20.Dasgrwtad Fatty Ovrrmr a Oparakx�Cerk%ra8ort of rece;tx pt hazardous matert3k mrered by tie rthanrfesi except as tgted ar per i8a <br /> Prxaedrfyped Name n Sigrtautre k Day yea? <br /> EPA Form 870QQ2)(Rev.12-17) Previous edifionsare obsoieta ; 5:s' C'Ci FACI.L ITY TO EPA's e-MANIFEST SYSTEM <br />