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2.P e 1 pF UN HAZARDOUS DMG47233. <br /> .WASTE MANIFEST . <br /> Jrn S SKS <br /> ' 5.Generators Name and Melling Address.. Generators SaeAddress(ifdKeremMan malting addreds)"'T'y 1Y`. <br /> FXP14FSS MARKET <br /> 419 S MAIN ST <br /> MANTECA CR 95337 <br /> careratcraftra .209-401—S18i <br /> 5 9UYSVT OSYSTEMS, INC. U.S.EPA 10 Number TXR000050930 <br /> 7.Nrapmpany.Neme U.S.EPA IO Number <br /> EAd � mxyloo QKh 9?1 7ji 1 <br /> 8.Designaled Fealty Nam and 9peAd ress SAFETY—KLEEN SYSTEMS INC. UWD Number <br /> _ _- 3'7COWR CREEK <br /> Feclilty's Phone: DENTON, 7 , TX 75208 <br /> 940 483-5 00 TXD077SOM71 <br /> 9a. 9b.U.S.DDT Deecrlpdon Ono WN ProperShlpplrg Narte,Hazard Gass,ID Number, 10.Contalners11.Tch 12.UNt 13.Waste Codes <br /> HM end Packing Gmup(rfemy)) No. Type Ouantly WtN,. <br /> = X ' WASTE GASOLINE, MIXTURE DM Q� P D001 D008 D018 <br /> 0 3 UNI203 PG II <br /> 212 OUTS <br /> w <br /> z <br /> w <br /> 4. Pal '` OUTS <br /> 3. <br /> 4. <br /> 14.S;Mal Mridling murvurclonsanaAddifana aeon SK SHIP#20449106t 545485611610779515 CSGe:, <br /> 1)ERGO12_8; <br /> 24 HR EMERGENCY #1-800-468-1760 (SAFETY—KLE N — CONTRACT #94138) <br /> SK AUTHID TO USE SLMMWJENT -4 7 <br /> 15, GENERATOR'SIOFFEROWSCERIIFICATION: I hereby declare that ere contents of this 7g ment aeI` antl accurately described abevebyNe Proper shipping name,andare dae@Iged.pa&wed, <br /> marked end lebeledoacanied,and are b all me"In Prgper cordieon forbansport according t applicable inbmadmel and national govemhedal regulalore.Nexpart shipment arid emNe PAnary <br /> Exporter,I artlfy set the contents of this consignment conform"a lame ofere atfadad EPA algment of Conant. _ <br /> I certify that the waste minimization statement idanlleed In 40 CFR 26227(a)(a l am alarga qwn generetor)or(b)(@lamasm flquantltygere tw)ishua. - <br /> GemeratoeslDeereraRlnteNlypetl Name Signature Month. Day Year _ <br /> x A Y1 L AV) 1 O,�IO(p tt <br /> -z <br /> IS.International Shipments ❑ I <br /> Import to U.S. ❑Ergo mU.3. Portofentry/exR <br /> Transporter signature(for exports only): Deb leaving U.S.: . <br /> 17.Tnvapatar'Mlmowledgment of Receipt of Materials <br /> Transporter i PAmedlTyped Name S Month Q� ODay <br /> Yew <br /> TrenspotXL(In*iyped Nan I Month Day Year <br /> ` AmCS �Aj�c <br /> } a.01suepam <br /> ly <br /> _ <br /> 18e.Discrepancy Indlcadon Space ❑ puentlty ❑Type ❑Residua ❑Paliel Rejedkn ❑Ful Rejectlon <br /> Manifest um - <br /> 18b.A0emateFaculty(or Garamt)r) U.3: PA'IONumb9r ' <br /> J <br /> LLFacluYsPhme: JUL ,1 1 2014 <br /> 18c.gVeturre ofAltemete Facility or(enembr) Monte Y Year <br /> H19.Hazardous Waste Report Management Method Codes(Le,codes for hazardous waste treatment ot posal,and recyding ryatems) - — <br /> 1 2. . - 3. <br /> L <br /> I20.Designated Facility Dwneror Operator.Collficetlon of recelptafhazardous marenaacavaetl by the largeltexceptasnotedin Item laa <br /> 90tedriSDad me gn a Mon ry as <br /> ,.tet ,. -v �{��.-4... d <br /> EP(�F �4s �A�2�(fEev43 P v a i'o DESIGNi:iED FACILITY TO GENERATOR <br />