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OF LA��NGIMANIFEST 1• Shipper's US EPA ID No. (if Applicable) Document No. 2 Page 1 <br />..BILL of <br />3r:$hipp&s Name and Mailing Address MC;NE I L.US TRUCK AUG 0 7 2O <br />3100 .N Ad Art Fid <br />�. Stockton CA 95215-221B ENVIRONMENT <br />4. Shipper's Phone( ; 212191931-42-82 U,i _ <br />5. Transporter 1 Gofiipany Name 6. US EPA ID Number A. Transporters Phone <br />7. Transporter 2 Company Name 8. US EPA ID Number B. Transporters Phone <br />9. Designated Facility Name and Site Address 7221 1 10. US EPA ID Number G. Faclllty's Phone <br />SAFETY--KLEEN SYSTEMS, INC. <br />6000 88TH STREET <br />SACRAMENTO CA 95829 CA0000084517 916-'-386-4913 <br />11. Shipping Name and Description 12. Containers Total Unit <br />HM No. Type Quantity Wwol <br />a UN 1950 AEROSOLS FLAMMABLE, 2.1 !� <br />X (UNI VEhSAL WASM DM. � �V P <br />b. u <br />S <br />H <br />P <br />P: ' <br />E <br />R: d, <br />15. Spacial Handling Instruction and Additional Information <br />1)ERS#126• <br />SK:,SHIP# 207305674 10007042 <br />' . <br />24 HR . EMEAGENCY ( SAFETY--KLEKN — CONTRACT #94138) <br />SK AUTHORIZED TO RETAIN LICENSED SUBSEQUENT. -CARRIERS AS NECESSARY <br />UGIT/PRFL A. '19038/12400 B. C. D. <br />A) NOME H) C). D) <br />16a. US DOT HA7ARDQUS.MATERIALS SHIPPER'S CERTIFICATION: co ldi, a tocerafy that the above=named matodels am propoey dasstRed, descrlbeg packaged, marked and Iabelad and am In proper <br />contlltlon for trans nation aceordl to eta amicable cable re ulagons or the ee hment of TT.ns onaaon. <br />P'nritedfTyped Name + Month DDaay" Year <br />6b. ON•REGUI MATED SHIPPER'S CERTIFICATION: I cad y the materials described above cn this forth ar r at stibJept to federal ions far Transportatlan or Disposal, <br />•' ' PrintedfTyped Name Mortth Day Year <br />BMW <br />T 17. Transporter 1 Acknowledgement of Receipt of Matertais <br />R <br />A Print yped Name _ Signature Month D�aYear <br />^y <br />N t' Lf ay S <br />P <br />0 18. T porter 2 Ackncwledgemenfbf Receipt of Materials <br />R Printedfryped Name Signature Month Day Year <br />E <br />R <br />19, Discrepancy Indication Space <br />is <br />F <br />A <br />C <br />I � . <br />20. Facility Owner or Operator: Certification of receipt of materials covered by this form except as noted in Item 19. <br />T <br />Y dfTyped Name S}gnaiure Month Day Year <br />r — <br />v <br />:11 .1 <br />O 01-90291'((}41.11) <br />DESIGfiATM SAC.1L1 i <br />