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L0 <br /> cv <br /> L6 <br /> :6 <br /> 0 <br /> O 1 Shipper's US EPA 0 No�If Applkcabl,) C <br /> IBILL OF LADING/MANIFEST P.,,,, W <br /> cA <br /> 3.SJ�,-Dpe r s-N. Arid Ma-1119 Address "a r7,, I v I I 17-3 L I-i C <br /> 4E,* tient, <br /> s t o c!-(t,)n 0 <br /> 0 <br /> Trainsporier 1 Carripent,Nare <br /> US EPA ID Number A T--1,-1.1-Prinn'. <br /> SnF'ETY-KLEEN SYTEMS, I N7. I-X Ft o la o 0 a 1,�o Fj <br /> 'transporter 2 Company Name B US EPA 1D Number <br /> �9.Designated Faraf.ty Name and Site Address L V G 10. US EPA ID Number C Facility's Phone 0 <br /> SAFETY-KLEEN OF C-PR-IFORNIn, INC. � <br /> GQ80 SMITH AVE. <br /> NEWARK CA 94S60 -4 10- 4,?100 <br /> 11,Shipping Name and Description 12 Containers 13. 14 4- <br /> Total <br /> Unit (A <br /> F-HKTJ No Type M <br /> jal INON-REGULATED LIf-,1U1D (VQC-Q"fL WATLR <br /> " -0:.r I <br /> SLUDGE) (NOT USDOT/NOT USEPA R BLIL-01h)) <br /> rt (NOT CA REGULATED) <br /> b <br /> V) <br /> H <br /> P <br /> E <br /> P <br /> �dj <br /> (L)Ll (j FqC <br /> 15 Special Handling Instruction and Additional Inrouration L-. U <br /> SK 9H I Pit 21 1 <br /> 24 HR EMERGENCY #1-800-468-17eO (SAFETY-KI-El---N) C:) <br /> si( AUTHORIZED TO RETAIN LICENSED SUBSEOLJENT EfARRIEkS l-)„ NL--Ir I Ire) <br /> 0 4-- <br /> ---4 0 <br /> l7d <br /> DOT/PRFL A. 3299/150451 B. C- D. tA 00 <br /> 0 C\I <br /> A) NONE B) C) 0) (D <br /> V1 <br /> 0) <br /> CL <br /> Hr41, <br /> � <br /> 18a.US 130T HAZARDOUS MATERIALS SHIPPER'S C ERTIFIC 4tTION:2n� ..... <br /> - - ch. P­yd a-l".4 ai,--d -z94d <br /> L� kf�,Ih 1-4 <br /> PrinlediTyped Name Signature require <br /> here it 40, <br /> US DOT negutated <br /> 16b.NON-REGULATED SHIPPER'S CERTIFICATION; I caftify the malarja3 de=rbad above on fjh,$form are not subject to federal regulaWs IN Transporlatial of 0 spaSal <br /> PrintedlTyped Name <br /> 5—�2e k-t,C,-L) Cd <br /> 17.Transporter I Acknowledgement of Receipt of Matenals Day 9 4-4 <br /> Pril t ldtTyped Nam* Signa 0 <br /> Signature <br /> 741 Tra�aporto,2�Akl.du.:2n,�of —ipi of materials <br /> printediiTyped Name <br /> w-...pE c,Indication Space <br /> erilitcalion of receipt of matenals covered by this form except as noted in Item 19. <br />