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pease punt of type. (Form beKne4 for use on e+Ite ( Iz-Pnr n <br />UNIFORM HAZARDOUS I Gueraax ID NOmter <br />WASTE MANIFEST CAR800262303 <br />I --s-ratof5 NaTc• air Var%3 address <br />CVS (5IS) N16223 <br />ER31 41111' <br />2 Page 1 of 3 Emergency ReS Eose ;'r. a Minlh <br />1 8009246804 <br />2098333494 2800 Naglee Rd, Suite B <br />Tracy, CA 95304 <br />ra spaerTLamoany an* <br />Stericycle Specialty Waste Solutions Inc <br />?t•NarrsardS,terSairess General Ehvironmmntal P1gx, <br />11855 White Rock Road <br />Rancho Cordova, CA 95742 <br />F sPhp+a 714J.71p7aP <br />y, 8o U S DOT Dws9trr rr }Lyvrg Prior Sngpng Na•ro, Hazard Class. ID Num <br />HU anaPadurgGrorpIdarsr)i <br />X' UN3249, Waste Residue Last Contained, <br />o Medicine, solid, toxic, n.o.s. (Warfarin), <br />a`S <br />691,PG II ERGN151 <br />tz X z UN28111 Waste Toxic solids, organic, n. o. s. <br />(Chromium, Selenium), 6.1, PG II, ERGR154 <br />i <br />4R@f@nt lh r r i-r:d?SSi <br />CV3 (SIS)M16223 <br />2800 Naglee Rd, Suite S <br />Tracy. CA 95304 <br />10 Car�larer=_ <br />No TY; <br />i I C <br />MNS000110924 <br />CAD988884 <br />Cuarary <br />.Yr ^; <br />00801 <br />P <br />1 i. 'r4p5EC C r?lr.: <br />311 <br />P001. <br />31110007%0018 <br />.101079(Residue weight does not exceed 0.0436 lbs) CNT:11 2. <br />wpy <br />108196(RX Toxic Solids ) <br />! S GfNERATOR'$'�FEROR'S CERTIFICAnoN: 1 twroey �Ot'?wa UWI the sa�lenr� cl Oli6 Gonepmrenl aro !uPy and a:curalc'y dexritdd abo.^ or d� p1OGl� shippn9 name: arxt are ,iassiti•d, . <br />manuj av:-:Sr�!,c+aca�snc .x5 � ar�n �r• ar resUsie in proper cM]dKr+ ta+ 71n_sport actorOmp to applcaNe nfomae4wl and iaiuna! govm�+w*rtai !egJaior�. h ayiat efipmart ar*! 13m the Pinery <br />Ettw' I tvmfy Nt Me tmkUa nt MK t{e�WK nl aAkwm 5j the *m's d me ar.ltrW EPA ACAWafodtpnenl 01 COMM <br />I :may M the may* mr#UZ&4on yakwent aen?ffied n U CFR 2W 2?{al (rt I am a large gaanbt gener.. it I ;m a drna!i goan.9y ;,�rrr;,tC;r :s Ir ie <br />Pfnledt7ped N " a.�re Y Year <br />f <br />r <br />L� <br />Phil Marciel <br />Itt+pat n U S. <br />!E G4uuE08rK,y <br />I Be O�anparxy Irrdtatbr 5tux:c• <br />? BA, Nbrrtate F•pWY r:p i <br />J <br />V <br />�+' rerr •Na PhurK <br />Syna:?re of AMe+na4 Faciey ft <br />Z <br />y! 9 Hazardws 1WaMe Repon 189 <br />W <br />1 <br />D <br />2v � Faoky Deur or OP <br />MYK <br />' &A Nime <br />EPA Form 87Q0.22;Rev. 31 <br />451 Prey <br />❑ � !Til•. <br />Mr�R `� 1 X019 <br />,a.ENVJF�ON��C <br />__1 E>tFat trcm U 5 Pre cg <br />' d <br />en:rr:@nl <br />Dam �arr>a u s <br />❑ Resm��r. <br />f <br />RJT��. ,/�LTH <br />MeaAod Codes ?� 'de wast9 !rne+rt disposal. and retyriny iys?erngl <br />2 3 <br />Certkalw. C � rVCCfP4 A IWtdK Wa 11iaKrc115 C:; iefvj try Irar ma rlkyt a Cepl as Mal a' Ile+n 19a <br />edltxrns are obsc�?ete <br />8700-22_12v3 CAL20090641 <br />S41026023 Q40785874 M <br />❑ ParSal Rego!' <br />4 <br />02� 07201 <br />02l 071201 <br />Fue 2ecc5on <br />i`�_:IINMTF�r (-C+r i;: �'r TO C.}E5'•l�1Artl(]�i STA,"+F uF PECU!n't�� <br />PD020717 SD020717 <br />