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2-28-08: 1:29PM:RVDER TP.UCK STOCKTON :2099433340 # 4 <br />I'll rill, cuu�, lr;:,;� `t4b4a3.j�'�5; SAFTYKLEEN 61P � ; <br />}-- -- PAGE 01, 05' <br />7 -185 -OI -_— <br />P)oase print or pe. (Fom1 !8:111 <br />31 nod far use on elite (12•pll h typewriter-) Form roved, OMS No. 2USD 003g <br />UNIFORM WA7JIR001. �neraWr ID Number 2. Pago 1 of 3, Emergency Response Pflono 4, MAnlfeet Tracking Numbor <br />WASTE MANIFEST CAL000260645 000240672 SKS <br />S. t36not31or3 Meme Anding rnn" GonaraWPs SilaAMmSs (if df(oront Utar1 mailing oComss) <br />RYDER Tis 1071 <br />3633 DUCK .CREEK -DR <br />STOCKTON CA 95215 7953 <br />Generators Phone: 209-943-3218 <br />6. Trarrsponcr 1 Comoanyma <br />SAFETY--KLEEN SYSTEMS, INC VS. EPS ID Number TXR000050930 <br />w <br />uLu <br />EPA <br />------SAFETY-XLEEN SYSTEMS, INC, 000618 U.S. EPA IDNumbor <br />1722 COOPER CREEK ROAD <br />Fuc;Rb's Phone: <br />940-483-5200 DENTON, TR 16208 <br />t T X D Q'77 F, n "3 4 71 <br />ga, <br />HM <br />o <br />RC. U,S. OOT Oi7scilplibn Qndudng Proper Shipping Name, Hezard Claa9, !o Numbor, <br />orad Packing G ou'p (N s ryJj" <br />1r1. Cantn)nor <br />11. Toje! <br />auantdy <br />12, UN( <br />wt.Nol. <br />13. <br />13. Waslo Codeq• <br />No <br />Type <br />X <br />�Q WASTE PETROLEUM DISTrLLATES, N. 0, S. <br />DIESEL FUEL GASOL HE <br />a UN1268 POif (DOoI (E G 128) <br />DM <br />7 <br />P <br />D001 <br />D000 <br />D016 <br />213 <br />211H <br />2. <br />Q i.t.�*s`i`{ �7 c�9 C- /its M/.F �L� f <br />10 1J-1-1- <br />. Z <br />o <br />T4. 3perlN <br />Hnnmine 1n9Wcaone ann nnmtnn,r rnrnnr. n,rn., <br />SK T �8244I12 0009501786 <br />GENEROA RPS/O FEROR'S CFI2TIF AT14 ; f herabY CCGarO U111 m, C6nionts of N s ra pnmenl oreh lly and anal, oly a oDovo Uto pmpar 01pptng name, erd am clo5elf ed, paekogr <br />merkad end Ihbeledlplaeatded, and am In oll rrmpoot, in proper conation for Iransoon according In appriceblo WomaGonaland netl000! governmental requfgliom. Mexport sttipmcAl and 1 oro the Prfmary <br />ExPertor. I cerllfy Nati flo mT s pnsgnment ivnform to the long of Uto'attached EPAAr:hnowledgMcnl of Conson't <br />I conlry trial mg waste In 40 CFR 262,27(x) to t am a t.,rgo qunnUcy gtl wNrx) p% -4N (if l pm a sma't e n n raver) Is trio. <br />a id it fer1t31I nal Shipmonu r <br />hapon 0 U.S ❑ Export from U.S. Port of entryfexit: <br />Tmnsponor cignah)m (for exports only): 0:116 Wivino U3.; <br />17, Transpenof Advmwgedamard of Receipt of Matedals r t <br />o <br />a. <br />R <br />TWGPOVOr2Pnhtedl ypod amu n <br />18. DISCItAlicy <br />ilia. Dlscrepaecy Indlanllorl Space <br />ouanUty ❑ ryp6 <br />18b, Allomale Facility (orGenewor) <br />Q -. <br />V <br />Fvrllfy'r, Phone: <br />ou IUn SignaluroofAhomalaF9ofity(or Generaler) <br />19. H?EBrdaUe Waale RopoR Managomanl Method Codes (I)a,, wdns for hazy dais woeto tmatm6nt- d5posal, and <br />_7 % 2 )4/ <br />20. Orstgo,41ed Facility Cwnera Openmr; CeAficatim orrgce)pI i nazardous maldnale cove ed by U e manliest of <br />nn ped 8 e <br />1 <br />EPA orm -22 (Rev. 3-0S) Previous edi o1Tns are obsolete. <br />I)CO19012 2)-0170700 3) 4) <br />!) 200085347/013027$-1-'z�Z.Z 9j-LZ7�yt�j3 p2,�sl�� <br />❑ Rnsidrra <br />as nned h Itom f o <br />❑ Partlat Rgedon <br />10 Number <br />Monera Dar <br />a';'lnI <br />❑ full ReJacuon <br />DESIGNATED FACILITY TO DESTINATION STATE (IFR <br />