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Jul -21-2004 01:59am From- • • T-252 P.008/009 F-348 <br />51r1a m.ic—EmbenmemslPrd.dlanA9 Owl 7—lwl:�'J; Sao Instruction on back of page 6. Dep.nmemofT.AcSub.mna.Ca <br />039(5* <br />Y odOMINO.2050 Svoramom., Wifamia <br />Fleasc print n type. Tnrm dasipmd for m• en rGt. (12•pikhl yprwAbr. <br />'s US EPA ID NO. Mifnt pecum.nl No. 2. Peg. 1 Information in Ibe.hado br.o. <br />1. Cvn.niwmi <br />Is mrregeirnd by Fd.. low. <br />UNIFORM HAZARDOUS CALaQ01y4? ,30657 1 <br />WASTE MANIFEST of <br />3lG.mramYa Name and Melting - /'h=' - r-• 'A"SWF'Mbriif..l: Deerim6nl, j/wafw!'iirI��..rF�� q p��77 {{77 <br />PRtlNT OF OFFICE/SHOP...:.G,G.5!105996 <br />OF <br />A -jT� _r.. TURNED. <br />1 CA GSnh; <br />c _. v., I <br />vi I. Gonernld's Phem 12 N091 333^5651 ': l':; ;;ti'.'::, ;:r b' :. '. .: •: <br />� <br />6. US EFA 1D Nmnb.r <br />Ci''SkiH;Tru�.NFm4fF`1o!(8�i�d ' .:.. . . . <br />T <br />N. <br />SAFETY—KLEEN SYSTEMS INC <br />I <br />LC!Nin%Sfast3t�in—e4J� S.1hL1 <br />2.raHR. <br />I. Trompsaer 2 Company Nem. S. U5 EPA ID Nrmber <br />•E., sM:..11at.ge.N.1"e.ID.ILhnEf <br />,.:, ;, �>.:.:: .. ...: •:. <br />A 3287 R C D <br />Mm ao <br />. <br />�a <br />I%d HRFTld VtCS SJfAfV rniQ Sf:. r� Ir 10. VS FPA ID Num r <br />o� p�ci�Iydd <br />.�; S'�+ KOai <br />CC) <br />X21 RERRYESSA RD <br />CA 951:33 CAC65 <br />d <br />Pi <br />Lf70 <br />SAN JOSE. <br />viaesYry ,'::: ` .:F3.OQ .x.45-3358.: . <br />N� <br />12, [anminers, <br />13. Tent <br />14. Unit <br />N U <br />I i. US DOT Dnvipliun fincl.ding Proper Shipping Name, Hoard C1,,, and ID Numbed 'I <br />No, <br />T e <br />Ovnnli <br />w1/v.1 <br />J. Waft Mare6.r. <br />z <br />° NON—RCRA HAZARDOUS WASTE LIf3UIG \ <br />0 <br />T:T <br />G <br />. : 222 <br />"Maher.' . <br />01 , WATER, SLUDGE(NOT DOT 4EGUL AT'£D) <br />� J J <br />1 <br />�$ <br />G <br />6 <br />Btme <br />Q <br />X <br />d. <br />rL <br />EPAMOW ..', . <br />J."AddlfierldUwdripFigM'fgtlfeliiig417YM'�4^;!/':. <br />• h camNnb <br />:':\.. ..'�:lµ;• ;'K�NG.t=ddee <br />fpnV/gtm <br />0.yd:ebwi:., . <br />N. <br />LC!Nin%Sfast3t�in—e4J� S.1hL1 <br />2.raHR. <br />.`alk AUTHORIZED T13 RETAIN L..ICENSED SUBSEGUENT CARRIER, AS NECESSARY. <br />A 3287 R C D <br />d 1 bat the of this coni mown are felt' end mawraml deNnbed aba.. by proper shipping name and ore classified, pocicd, <br />la. GENNaAkla •j CEgnnMT1ON. I e,ehy ea.nt gg qI Y o app�leAhle lnbrnbaonol vnd rwrionol dement I r n <br />Q m.rbd, vnd labeled, and ore in all rnpecn h proper codliian fpr ton tt aY h' vccoMin b Bar raga <br />V <br />If I am a large quanlll gem ew. I a.,nfy that I home a Prrpram in plea m fore• the whore and —icily of —11 gemrabd la rhe degr.a I hwe da1•rmimd le <br />h p ecii"w. end Ihal 1 M�'. 6crd she pratticvble melbd aF trmleen,, poop, or dispa.ol crrrmdy wvilvbl. h me which miMmi•ss the prmrem and luryre threat <br />and the anoipmmny OR, if I cars o ..all gaanlily gmr•mbr, 1 hwe mode a good faith dfort b minimi. my watt. generarian and nett the bent waleman.gemm <br />PC aroi661a to me and that I can .Hord. <br />O 5t Month <br />} ins . ypad, r—.'1 _ / ee . I I.E <br />T <br />T <br />b. saanbmlebN <br />b human hoalt�i <br />a methd that is <br />20. P.d11 cs•awrbro rmora-anmm,mn orreen aroo:•.rwa .............. <br />p,i ma dwn.d Nam. Sigma,•Month Day Year <br />C�O � ��- R IQ I in 1 f7 1 _ IY <br />