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f Please print or type.(Form designed for use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS1.Generator ID Number 2.Page 1 oJ775772669 3.Emergency Response Phone 4.Manifest Tracking Number WASTE MANIFEST AL000426099 011392 7 F L E 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address) Victoria' s Secret 1144 Victoria' s Secret#1144 94761963 4950 Pacific Avenue, Space 425 4950 Pacific Avenue Generators Phone: Stockton, CA 95207 Stockton, CA 95207 6.Transporter 1 Company Name U.S.EPA ID Number Steric cle Specialty Waste Solutions Inc S000110924 7.Trans orter 2 Company Na ��//' �j� U.S.EPA ID Number t? o Al P Po 8.D signated Facility Name and Site AddresaIs t Century EMN, LLC U.S.EPA ID Number 2095 Newlands Dr. East Fernley, NV 89408 Facility's Pho 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. I Type I Quantity wt./Vo. 1993, Waste Flammable liquids, n. o.s. (Ethyl t CF @0025 P 33101 U 02 Alcohol, Acetone), 31 PG II, ERG#128 z 2. W t 3. 4. 14.Special Handling Instructions and Additional Information 1. 110905(Flammable Liquids) 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 EPA Acknowledgment 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 kma qu ityAerator)is true. Genera s ors Printed e a igna Month ay ear L �(P�Tr4h If of Lileite 6 A18 6.International Shipments � ❑Import to U.S. El 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 I- Transporter 1 PrintedlTyped Name Signature Month Day ear O 1mr=Transporter2rryped ame / Sign Month Day Year 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quantity ❑Typej j ❑Residue Partial Rejection Full Rejection Manifest Reference Number: 18b.Alternate Facility(or Generator) U.S.EPA ID Number J 0 L Facility's Phone: W 18c.Signature of Alternate Facility(or Generator) Month Day Year a Z N19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) G 1. �*-A 1 2. 3. 4. 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a Printed/Typed Name Sign re Month Day Year �� 1C' i EPA Form 8700-22(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO DESTINATION STA` t F REQUIRED)