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Jul -21-2004 01:58am From -T-252 <br />P.005/009 F-348 <br />so. <br />Smro el CoFforne—tnriranm•mvl bel•dlen e.�•n•r <br />2050.0039IFlpinr 70-991 <br />7-1E5-01 See instructions on bncK of °'pO Fpciramwnle,caliiemm- <br />FormApprovad OMB No. <br />Nw•. priN er Iv.. F•mr d•rlpnd� nn on alio. (12-plkhl <br />I'iW"nr•r- Manl)ear Daam.nr No. 2- Page, l Infannollan in rhe rhadad onm <br />05 EPA ID Na. .L k rrol r•gabad hl f.darol law. <br />UNIFORM HAZARDOUS <br />1. G rams <br />]( <br />D <br />or <br />WASTE MANIFEST <br />14 <br />3. f�m.ralar'f llama and Molling Add, •• <br />n �� E"—�F� �ti Fi <br />^ • 1 J <br />� <br />W R+1� <br />P 3pR.0amrxl?ri W . <br />dnltl*I, PI <br />b• <br />uS EPA 10 N.mr <br />nb. <br />n 5. Tmmp.ner 1 CamponY Nom•T <br />SYSTEMS IXR000050990 <br />NC• <br />•.r , <br />o SAFETY-KLEEN <br />:5 CLEAN HARBORS 5" •luaa. CADO59494310 <br />�� 1021 EERRYESSA RCA 95133 <br />SAN JOSE <br />J— <br />"10 I dIn P u Shippl.p Nam., Hgnord Clog, and ID W -6.r) <br />�I 11. US DOi dreriplron �c o g iop <br />z g. NON-RCRA HASARDOUS HASTE GIQUID <br />z OIL,iQATER,SLUDGE(NOT DOT REG- TED) <br />3 G <br />o N b <br />m E <br />e R <br />A <br />O <br />R <br />W1 <br />15. 5RGN••CY xrvdl nd 800-468-1760 <br />0- ixkmau ( <br />Mrs R 000 0 <br />SKERE <br />CORPCAUTHORISED TO8RIECAIN2LICENSEDrS BSEQUENTACA&SIC <br />SKDOT# A: 3287 Bi C: <br />'f C!tl)FlGTION: IhanhY d.clanahar do conron»oF Ilii. <enJgn Ian will.. ---- i.,"5=-^"- <br />k6.l i" and IO in ap nuprh in proper condlllen far lranrpon q' highway acwrdin9 ro apfllwbl. ,Aw=hona and n <br />pracllcahl• end dmrn h eannlan.d Ili. Fy IF Wbl 0 p e/ I m ha nll, amw, and p" m rm y avacilabla N m• wAkh m ni�n'lixn rah. "n I <br />.nd rh en+Irenm•nr OR, iF I am a .mall yaamiry g•n•raler, I lime mad. a good kith apex M minimin my wax- "'W"' and NIM hr. bill <br />owilobl• m. and Ihaf I aon afford. <br />�d Nem• <br />5' <br />SfaaA <br />!ENERATOR. <br />.ESSARY. <br />D: <br />m. mld an dnulX•d, paekad. <br />m.al r.gvlrniam. <br />o.,t d•larmin.d a b •mwminlN <br />,,d ll Ihr.ot n fi.. h.ah <br />wen.m ,Inr•nl m.lhod Ilial it <br />Month Dry Yr <br />Monet DvY <br />Y F <br />A <br />C <br />L nr C lhl,.rion d I d hasardaar mar•rinl• ra•r.d I• d f arod in Inm t a. �Y Y. <br />20. Form Ownar aro 51gnWn Abnlh <br />T rdm•d(f Nam. dP �' <br />T <br />DO 140T WRITE B OW THIS LINE. <br />Whim T5DF SP.NDS THIS COPY TO DISC WITHIN 70 PAYS. <br />MX W22A 11/991 To: P.O. Bax 3000, 5ocmnntvl CA 9$812 <br />EPA 9;00-22 <br />