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Jun 01 04 06: 27a HEWRRK SIERRR PRPERHORRD 209 464 9215 P . 17 <br /> 05/31/2004 09:48 9404835 SAFETY KLEEN CORP PAGE 021n <br /> �TEal " ' '4 URAL RESOURCE c1 O <br /> COH R�."TIONCOMMISSION'! � 8`'-U-1 <br /> a P <br /> P.O.Box 130811 <br /> Austin,Moires 78711-3087 <br /> Form a rpucd.OMB Na 8050-ddJv <br /> Plea"Wirt brit n' Foran deaft"d for u:w on eats n2-finch)Wiforbe..1. Manliest 2.Pegat Intbnnativn in 1119 ahadetl areas <br /> UNIFORM NAZAROOUS 1.Ger ereror's US EP41D No µ ¢ <br /> c r• io mol required by federal law. <br /> WASTE MANIFEST <br /> 3.OenePabrsN¢mearldMailingAddrass N t1ARK S. F,Rl3A <br /> 3U0 WE 7; C'puR"11 ST. <br /> 4:T0(,KT(jN i:A D5110)) ya <br /> 4.CabneralbPs Phone <br /> 205) 46f - '70-18 <br /> 5,Trensporher 1 company Nam¢ 6. US ePA ID Number <br /> SJ+,F FT Y-KL.FEN SX.'::'PEy: . INC TXR000.050930 _ <br /> 7.Transporter Z Company Name 8. US EPA ID Number <br /> Yccr <br /> g.Designated Facib�K'LC:lyy Nm <br /> be and Sao Addrass00 N 10. US EPA ID Number <br /> SAI-F,TY- EN SX%,TEM:i. INC. <br /> 1'722 1701 CREEK VOAD a,' <br /> DENT01.1. T:%. 7152[:8 + <br /> TXDO)7gn3371 <br /> R.Conleme•a' Torsi Unt i <br /> 11A. 11.US DOT Description(Including Proper Shipping Name,Wazard Chw.ID No Typo Duanmly W Wo1 <br /> HM Number and Padting Group) <br /> a. <br /> WASTE FL' niiA1493 PrOiII,( ERIGk1.2B ) <br /> g 7 ( ETHANOL ) i- <br /> E r' <br /> F b. <br /> a <br /> A <br /> T ,y <br /> O <br /> P C. <br /> d <br /> g B > <br /> I I <br /> 15.5pecial Ho"tnnglnsuuctionsand Atldi`ional lnlonnohon MFST R/ 04185494 O 2—k'-24y-!14 <br /> EMFRGEI3CY tiE:?P 801:! 968-1.-7GU( 2'i PiR ) . IF UFfDEGIVER &ET--(''C'NC;RA'1'UR. <br /> SK CORP Y IAF ' D 7b VSE SU9SE 1JEt4'C c-ARRIF.RS: 8.1300. 40355, 47 n).5, 40582. r+4f•J.S <br /> oKDU•C 2 r: '- <br /> J6.GENERATCRB CERTWICATIrNI:I hereby declare that Ina Wfibnto of this Cbnnpnmant era fury arM occur+ly dodefted above by the proper ahlppalq rams end are <br /> clew flool,"cited.marked.and Isbetledloprrmod,and are In all mapocut in proper condition for man soon by highway according to applicable international*Ad nallonal <br /> go"mment mguiallone.Including ADMIICYbIa all mil <br /> It I am is large quantity gonomtor.1 certify that I have a progrem Is place 10 reduce the volume and toxicity bromide generated to the degree f have determined to be <br /> CConpMcelly pmclltabls and that I hero selected the OraelleMle me plod of lmNmMt;storage,0r disposal currently IwellabuC to me which mlNmlzea the pre:apt and <br /> lulu re Ureal 10 humin heMlh and the amvi cem.ni;OR,it I am a 91 quantity generator.I hove made a good faith.)fart to mnlmlze my o" to generallon aM mbar <br /> the best..of.management melbod that is available 10 me and that I con a(lord. <br /> Slgnalurp Monrh Day year <br /> PrlgretlRyped Neme r, •*/"-. , 'y r!' <br /> i:../` 6.p'v Dale <br /> T 17. mrnpoaar 1 Ackft�Wladp I t Of Receipt W Materials Martin Day rear ' <br /> R Printad[Typed Nm <br /> ae Signature <br /> 5 ! r r:N" <br /> �I . V r / - Osla <br /> r i ...- <br /> n 18.7rnna15rler 2 Acknbwladgenient Of Receipt Ol Habitats n d Mordh Dey rear <br /> T PrintedlTyped Name Signature , f <br /> 19.Discrepancy indication Spaced <br /> r 19c: <br /> C <br /> 2D.Facility Owner or Operator.CeniRcatipn of receipt a hKard�xm materials covered by this manifest except as rmrsn in Ilam 19- <br /> Polls, <br /> T <br /> '" Signa cP' ; Md." O or <br /> TM =�tR�vt��1 7386224 , White original Pink- Facility V¢IIt1w.TrenapoRsr preHn4eneremr'c aryl cu <br />