Laserfiche WebLink
I �_1 AS_f21 <br />UNIFORM HAZARDOUS renefolors US EPA ID No. Manrfeel Decun. <br />0 `'WASTE MANIFEST CAL000221947 <br />:p C..°V ;afarf,Mpalp aNj q1q�J ap <br />D(J}( Jlbi3sddratr <br />STOCKTON. CA 95213 <br />A. Generator's Phan, ( 2 0 y 4 6 0- 6 0 21 <br />NS. Traroporter 1 C—Pomy Nome <br />SAFETY-KLEEN SYSTEMS, INC <br />S <br />m7. Transporter 2 Company Plo— <br />r <br />Q <br />6. US EPA 10 Number <br />SCR000075150 <br />/1111111 <br />9. US EPA 10 Number <br />r r � <br />` 9. Designated�Faelliy No,n. and Sih /►ddross <br />a SAFETY-KLEEN S 000760 10. US EPA ION umbar - <br />Z 6000 88TH STREETTEMS, INC. <br />o CA0000084517 <br />SACRAMENTO <br />CA 95828 <br />Q <br />V US DODeriprlon (including Proper Shipping <br />Name, Hazard Class, and 10 Numbers 1 <br />f <br />NON RCRA'HAZARDOUS WASTE LIQUID <br />ETHYLENE GLYCOL SOLUTION (LESS THAN 50%) <br />G CA -342,343 <br />E <br />N b. � <br />CO0 <br />E <br />R <br />14 A <br />C. <br />00 O • <br />R <br />oc <br />I d. <br />Z <br />W <br />V <br />J. Addinonol Descriptions ter Material' listed Above <br />Z <br />e• 2. Page 1 Information in the'hoded onm <br />1 is nes required by Federal law, <br />of <br />A, State Manifest Ooculnent Number <br />AA . <br />1.1-11-11 . <br />.iu.LG+1 <br />B. State Generators ID <br />C. Slate Tronsponer's ID Rea <br />u. rron:goner's Phone .800 669-5710 <br />c. arare ironsportar's ID <br />P, transponer'c,ilhane <br />c:srafer' 600084517 <br />H. FaciliVt Phone <br />anta;nere 13. Total <br />T e Quantity <br />DM <br />I'&6z <br />916 386-4913 <br />1 A. Unit <br />wi/Yol I. Walls Number <br />Stole 343 <br />G EPA/Other <br />Stale <br />EIA/Other <br />Slop <br />EPA/Olher <br />Stale <br />EPA/Other <br />IA) <br />342 I K, Handling Cedes for Wash' Listed Above <br />u 14 16. <br />C. d. <br />15. Spedal Handling Instructions and Add;r;onai Information <br />3705-04 <br />ST <br />EMERGENCY RESP 800-468-1760(24 HR). IFF UNDELIVERABLEB12 RETURNOTO GENERATOR. <br />SK CORP AUTHORIZED TO RETAIN LICENSED SUBSEQUENT CARRIERS AS NECESSARY. <br />r <br />SKDOT# A: 651 B: C: D: <br />16 GENERATOR'S CERTIFICA <br />rtrorked, and label nONr hereby declare that the eonwnls of this eons gnm,nt are fully and aeeurafsly described above by proper shipp,ng name end are elcm;Pred, pocked, <br />ad, and an m all tupeeh in propor eandition for transport by h;gh�.oy eaerding ro opplieabls ;nr°rnofionai and national go�rnm.nt requlotien'. <br />If I om a large quantiy ganeraror, I certify Ihat I have a program in plod le redun the voiwne and roscru of .+este <br />procriroble and steel I hay. eeiected Ih. pr+a<litoble method of Ireatmenr, ;taro n' generar.d ro rhe d�grne I have derYrmined so be ewnom;ml�y <br />°"d rhe envlronmenr; OR if I am a :moll aeon6e• a disposal eumnlly available to me wrhleh m�nim;zes rhe present and fvlun threat b human health <br />e.a;bble b me and thof I can afford, 9 y Qeneraror, I have mode a good faith offor1 to minimise my vrasfe generation and select rhe beu vroare manag.eal t method that is <br />Printed/T Nome <br />SignatureMonth Day Year <br />T I) Trans odor 1 Acknowl� J <br />e amens of Rets; t of Malarial' <br />A Pr;Ned/T d Name <br />SS;gnarun Month pay Year <br />P18. v C <br />TaTranfoortar 2 Arknov,led oma l Z <br />Pririnted/Typed Nom° nt of Recemt of Motenols <br />E <br />Y <br />F 19 Discrepancy Indication Space <br />20. Foal Ct—or or O ervror Cartlficolion nf <br />r.d/Tye Nome <br />skL <br />TS <br />� <br />Signature <br />a DY Mrs manilest except as noted in Item 19 <br />1 <br />ITE BELOW 'PHIS LINE. <br />Month Day Year <br />Month Day Year <br />022A (1/99) <br />00-22 whoo TSDF i,NOS THIS COPY TO nTr �tTLJur 'n n.vr <br />