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S <br />N <br />P <br />P <br />E <br />R <br />0 <br />15. Special Handling Instruction and Additional Irtt enafron <br />SFC SHIP# 2527541525 MC22499 <br />24 HR EMERGENCY 41--800-468-1760 (SAFETY-KLEEN) <br />SK AUTHORIZED T© RETAIN LICENSED SUHSEUUENT CARRIERS AS NECESSARY <br />I)C)T/PAFL A. 7369417/42170208.3 D. C. D- <br />A) NONE P} C) A):5,5L,r-5 �' (D <br />149. US OOT HAZARDOUS MATERIALS SFI'.:'PER'S <br />Prltntedrrvded Name <br />CERTIFICATION: I cert:ry the meterl9la es -gibed 9170- Ge this form ren not <br />Ti%intedlTyped <br />s ar 1 AcknaMedgemerd of Receipt of Materials <br />Signawre <br />t ad Name 1 <br />L{v� nsporter 2 AcJcnlx+letlgement of Receipt of Materiels <br />tedlTyPad Namegnature <br />pancy Indi�tlon Spam <br />dlity Owner or Operator: Certification of receipt of materials covered try this farm except as notediRItem19.SueintedlTyped N e I�—"� <br />ORIGINAL -RETURN TO GENERATOR <br />Page 50 <br />fa Transwrrerlon or ObwxA. <br />LI,Vh Day Yew <br />ua� f �� hr <br />.", Day y*w <br />FORM NO. 01-90281 (04111) <br />1. Shippers US EPA ID No. (is APOl rab* Document Nv. <br />2. Page 1 <br />BILL OF LADING/MANIFEST <br />CAL000276412 <br />2+0262 <br />as ) <br />3. Shippers Nance and Mailing Address Cn f3 1 " fruck <br />;3100 N Ad Art Rd <br />Attn: Ralph Cortez <br />S Qn CA g521�1-2c^ia <br />7 <br />-)93i-4�8� <br />Slipper's Phone( E4194a82 <br />DEC4. <br />V <br />5. Transporter 1 Company Name & US EPA ID Numbef <br />A Transporters Phone <br />SAFETY-KLEEN SYSTEMS, INC. TXR41W08 205. <br />0 <br />972-265-2000 <br />7. Transpnrtet 2 Company Name 8 US EPA ID Number <br />S. Transportats Phone <br />0 •` w 2m <br />9. Designated Fecilfty Name and Site Address US EPA ID Number <br />C.'Fadlilyys Phone <br />CLEAN HARBORS SAN JOSE, LLC <br />RDAD <br />�^ <br />1021 BERRYESSA <br />SAN JOSE CA 95133 CADO59494310 <br />405-441-09621 <br />�.N <br />t <br />C08QT,NMENTA�. <br />11. Shipping Name and Description <br />12. Cotnainels <br />No. <br />Type <br />13. <br />Totat <br />Quantity <br />14, <br />Unit <br />VdWol <br />a. <br />HM <br />AEROSOLS , (EACH NOT EXCEEDING <br />DM <br />� <br />P <br />JUN1950 <br />X <br />2-1, <br />� <br />(UNIVERSALTWA�TEUNIAEROSOL5ASTE), <br />! <br />15. Special Handling Instruction and Additional Irtt enafron <br />SFC SHIP# 2527541525 MC22499 <br />24 HR EMERGENCY 41--800-468-1760 (SAFETY-KLEEN) <br />SK AUTHORIZED T© RETAIN LICENSED SUHSEUUENT CARRIERS AS NECESSARY <br />I)C)T/PAFL A. 7369417/42170208.3 D. C. D- <br />A) NONE P} C) A):5,5L,r-5 �' (D <br />149. US OOT HAZARDOUS MATERIALS SFI'.:'PER'S <br />Prltntedrrvded Name <br />CERTIFICATION: I cert:ry the meterl9la es -gibed 9170- Ge this form ren not <br />Ti%intedlTyped <br />s ar 1 AcknaMedgemerd of Receipt of Materials <br />Signawre <br />t ad Name 1 <br />L{v� nsporter 2 AcJcnlx+letlgement of Receipt of Materiels <br />tedlTyPad Namegnature <br />pancy Indi�tlon Spam <br />dlity Owner or Operator: Certification of receipt of materials covered try this farm except as notediRItem19.SueintedlTyped N e I�—"� <br />ORIGINAL -RETURN TO GENERATOR <br />Page 50 <br />fa Transwrrerlon or ObwxA. <br />LI,Vh Day Yew <br />ua� f �� hr <br />.", Day y*w <br />FORM NO. 01-90281 (04111) <br />