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Jun 01 04 OG: 24a NEWARK SIERRA PAPERBOARD 2U9 464 9215 p . 14 <br /> 05!31/'2004 109:48 94b 3835 SAFETY KLFFN CORS' [-rage r}Ctr c1J <br /> &f6(XS NATURAL RESOURCE <br /> CONSERyA71ONCOMMISSION 7 185-01 <br /> AusttT9,Texas 78711-3Q87 Farm on IOVsd DMO hv.2050-00U. <br /> �irnse Pnr.l yr lyp■,IFon+r oesgped for utGanviuo o 2-orr1i Lypr—I I IntprrnatiDn In the st,edell areas <br /> UN�FOR FiAT.ARDOUS n.Generatofs US EPfI td tyd. poc�ume st 7 f 9B t not rnqu9rrX1 by F dell <br /> law. <br /> WASTE MANIFEST <br /> state nr,c tLSOCurttentNumhor <br /> 3 GRne+atoMa Namt►and Maa3ng Addrea5 NEWARK SIERRA 9 5 <br /> 8p0 Wss? CHURCH ST. <br /> CA A 95 7 O 3 B.SWTe G9nprstoCt;to <br /> STOCKTON 000of- <br /> a reneratOr'6Phone 209 466-7088 <br /> Name 5. US EPA 10 Number G $[aT2 TransppricT�a 117 — <br /> 5,Transporter 1 GOmpany D nansponers Phone <br /> T.TfInapbrter 2 Company Ota ma US EPA i❑Nurn�er F Slate T+2r19f7Ortl7r i IO U <br /> F.Transporters Phone <br /> I peslgnaled Facilily Nome and Site Addre95 OQ 06 16 14, U$EPA F©Number (3SU 5 Le rodLity 10 <br /> SAFETY-XLEEN SYSTEMS INC. H.FacpltysPhonp <br /> I1j722 COOPER CUM- RQ D <br /> 6208 <br /> ' 12.Cnntetrtere t4 <br /> 11R. 1 t US DOT 0e%crlptlon(enetudlr p Prorw Smppinp Name.I'Iet2rC Gass.ID NP. Type Toiar Vnit Vla�ta Nn <br /> Qnatttl! W Wol <br /> HM Number and Pecking Group) <br /> e <br /> WASTE OIL AND WATER MIXTURE f1 QIP P OUTS2051 <br /> II t NOT RII RElOULATED I ! - --- <br /> F <br /> p I <br /> n <br /> T <br /> 4 <br /> A G <br /> d <br /> lK Handling t odea IDT We91es Uswd Above <br /> a addiu0nd!nosuipllons For 1Materlats egad AbOra <br /> TA) NONE <br /> 15.Special H;)nstint}lnslructeonsBndAde3 t rHIin[orrnminn Mr ST R ©392587 <br /> 2# tIEtp02-8246-44 <br /> 1 N TO GENFRATOR, <br /> EMERGENB 46 <br /> CY RE $00- 8-1760(( )) I tJNDE�.T !2A <br /> SK CORP RUTH 'D TO USE st}BSEQUFXT Ch R�ERS: 61300, 9tQ35S, 91015, 40582. 84815 - <br /> r deacr�hM chore dv th0 prapaa Ht�CPI"9 name Ind are <br /> ` 15.Gfltle f QR's CER71P1CA nON:t heleny uotfdro Thar the Oontenw nt tht3 poniiH"TCnr are 9UltY pnd acs+J1nly <br /> Il �i■br tied.pecked.marked.and 4091fedlplocarded,®rid err In all rtiBl>er1j in proper emdltion for tranepa i�y hlAhr'OY+�rdlnp 1n ria^aver <br /> �PPIIcn61T sntnmailanel end <br /> y0vecnm■nl regal■lia�6 inci�ntna aFDIK-raa n171A rqg araUan11 <br /> It I am a large qurnrty genvminr.I certtly U,at I h■v■a Pra9rem in <br /> t:dace W reduce 1h■vdUma sad[dx dty of W ens penal Bled ry rhe d■ m f 1+?ae geto-nod to be <br /> no <br /> e[an9rT,lCBlly pr5L114ab1a Jnd rho[I have aelecw I4P pr■ct1eS016 mulhod of lre9ttrlant.Sr01990.6+dk$Pdsal Carranlly aYe�la4l8 to TB WF,y mini genie aha n srid t end <br /> economically <br /> callfeat p human heind and the envlrohmenl.RR.It l ora a 6mPa qu■nbty rFo"e ator,I hev■made a 9aod radh elrorr tv tnlnlrt+-7A my vrasl9 Qenarraunn 9nd sale <br /> alth <br /> the begt waste monagemanl method That ll;available to me and thal can iford. - iyrorlth bay Maar <br /> sig ure <br /> PnntodlFypa6 Name <br /> Date <br /> T 17 TrarvspaMer 1 AelrnOwledgemeril oTReeai tai Materials I I I I I I I I I IMonth pay Year <br /> !, x l"ArIndfTyped Nara® Signature <br /> " Oats <br /> t 9 rgngpdrtar 2 Ac n061iledgemen rc4 Receipt 0 MaI fiats r AAonalt (Jay Year <br /> i Sipa®cure U <br /> f print ypcd Nam a.7) <br /> r <br /> n <br /> T@ �;air9panty IndiC2tlbn Spr a <br /> SEP <br /> C <br /> e <br /> 7d,Faclilly aWner or Operator Cenlrieatlon e(rneelpt of haxan36ug rtrnto'♦910 mvered by th^mantrest exccapr A9 Hated to Vern pale <br /> T <br /> slgnaturo iv9onlh Qay Year <br /> pNn y a <br /> fl RR o".r+-Trans C rreen-(3enerwofti T1rsFt�copy n <br /> _ Whiie•flrtglo®1 Pink. S Y a <br /> TNRCC-0991(Fay.p7fI9Tr57p <br /> i PPr),T.i A1rt,7+lr1t11'7�ri1 .. _ <br />