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Jun 01 04 06: 26a NEWARK SIERRA PAPERBOARD 205 464 9215 <br /> 05/31/2004 09:48 9404835 SAFETY KLEEN CORPO rHut rot U� <br /> ' U_ AS.f4A`r ORAL RESOURCE rt °Fj <br /> Coto: tRVATION CC7tMMISSI0N' _ I,:1 <br /> P.o. Box 13087 <br /> Austin,-'axas 76791`3087 Farm a ynd.0ii No.2060-0039. <br /> F•Iaeaa pr1nl`ar R.[Farm deflamra ror U"0"an 4"ate t2•rrach}a ewrNar. Manifest 2.Page i I ntermsiitan in the shaded areas <br /> Mir HA tbOus t.Generatol'S U5 EPA lI7 No. Gump o, of I,� [lot required by Fadarai law. <br /> WAtiir Ell iANIFEST #^' <br /> nd Malo AddressI�;irl�R1' <br /> 3.Genera e2 N",me�� r lE, l' CHi16tC:i! ST <br /> A 9!520 3 ;, ,INN <br /> 4.Generator's Phone 6 US EPA ID Number <br /> 5.Transporter 1 Company Name <br /> SAFETY <br /> •-KL.E41-1 SY7-Tr— . Z Ir C}t�lfy0CJ050 3U <br /> Yy 4 F <br /> g, US ERR I©Number <br /> 7.Transpor r 2 Company Name <br /> � 5.. .j% r T'� `•.. � it. �Rt'N , k A3 :[ may �. <br /> g,Designated Facility Narn6 and Site Address 01106 1 8 1Q• US EPA ID Number s is <br /> SIArETCY-KL.EEN ;,YSTETV. LNC:. <br /> .1722 C�[]OFL;R CTaF;FK A'762 <br /> DEN't'C11`i. TA 7L�2i28 TXA077.603371 <br /> t2 Contstnaru 1a <br /> 11A. 11.US OOT Description(including Proper ShIpPtn6 Nanta•HsXerd Otass.N7 Na. Tye Tantl UnII <br /> Cbaanktty <br /> HN1 Number and'Packinq GMUP) <br /> a. •��,. <br /> WA>'T,'r FLnM14ABGE LIQUIDS, N. d. 5. 1 <br /> c ?{ ( FTHAT'It7L ) 3 UN19�J; FG III. ( TrRG#�1.20 ) <br /> I b. PETROLEUM <br /> ri ri,�iBUi'x' [f�LE L ZCtxU, N. 0. :i. ( <br /> ^ i)t TIL.LA'1E5 ) NA1.993 <br /> T <br /> D Or, <br /> n c. <br /> WAS'T`E l3I[. ANU WATER MINTURE �- •`a C�R4' .� r? '', r� E' <br /> ( t10`[' RCnA RE£GUL�1'CCD) <br /> d. AST- Cil (--t ,0-11/ <br /> f �, f <br /> r,F.; <br /> -C29 <br /> 6. <br /> 44 <br /> 15.Special Handling lnstructton5 and Addit;onel Intormatian Mi'S T it ]t 19,1. °0' 1SE'R A' OIL. <br /> EilIrRGEN�:'X � 4i8- i" 60( 4 HR tE S: <br /> , �:1.RE` 304 4LCi1 •, � 0r� . <br /> To USE CARRTE <br /> CIC CORP AI!TF ' T <br /> the r sttl In name and are <br /> wa accvrdln in r+ flCnhie tnternettonal and nntfon;tt <br /> 16.GENERATOR'S CERYtFICATION!t hereby APORre that rhe contents or tats con pe„mo d are rat t 1M a jj by higccumtotyhway <br /> tlaei amorlogo dingjiove 4y ProPa P 9 <br /> tt1!-f4Red.Packed,marked,and 4ebeltedrpla,:eetled.and areE In all r9!:pectC in proper condition[er innsi�n by nig►, Y @ pp mn t have drlR�rnl�Ad tote <br /> government reliutattans.Induding applicable stare regulnUon+. <br /> IF 1 erre B{Brge duaMtty agneretor•1¢cnlFy that I have a program i'ti >lrra to reduce etre scorn a and toxicity o[westr. givalla le In a etr . <br /> ad railh prFoH to rMmlmize m wove yeneraton rind Weer <br /> economically a l ally pracei of and That 1 have:thacted ti.e precrlcat}ta irAtlead ar4rQatmonl,stef0pe,dr dltpagal currently available tome Whylt minlmlze9lhr p�a9ent en <br /> Ll <br /> lhaUre 1,rbur I eat l me a9$�a it merhnd 0MVsr Ave tibio to me l anti tRul Incon r}folyd.�enerstor,(havr made o 9e <br /> Monkh Day Year <br /> Sig alure <br /> Prinied/Ty ed Name -r <br /> Date <br /> r 1 spo er Acknowtedgemant ut Recalpt of Maicrials fUfonth Pay Year <br /> R Name <br /> signature i <br /> A Pnnted�TyRed <br /> IN ' - ate <br /> R 18.Transp er Z Aekrlowledgement o$ ecelpl of MatQrlals f Month coy YePr <br /> e. <br /> Signaturf f <br /> T Prtrfe yp Name / <br /> 19,olscrepency i6divation Space <br /> 1: <br /> A <br /> 0f�• 9 -C <br /> L 20.Fectrdy droner a -aerato11 r.Certificatlon of receipt of hazardous malerialc covered by this men1fe51 elicl?pt es noted Ir teem 19. pale <br /> rbg <br /> T hlh 09y Yew <br /> Y SignaU.tre <br /> PrintsdlTyped Name •'•" '`' <br /> r <br /> Iu .. r trpana . erten penetBtDr a rrat cot <br /> q 4 'tP. PtnIt 798 4 ill°'� YS - <br /> T IN 3,5 Ct I'5145.. C ::dfl4Qt7.2,d549 .• ,. <br /> 5M1PL;,II:_�4 6r�D3 �' I <br />