|
ASUU.Y
<br /> OIL
<br /> l
<br /> TRANSPORTER: Harland Gon1ez
<br /> -- --
<br /> CSG Sk-SSI RO1 ?i R,Vmnd Gomez 06/12/18 13:49 PAGE 2
<br /> DE5('nlp;,nb - - SHIPPING DOCUMENT
<br /> CUSTOMER#/GENERATOR: OR14384 O'Reilly#2567 77084290-180[P',
<br /> 1440 E Harding WAY
<br /> Stockton CA 95205-3304
<br /> PHONE 972-555-1247
<br /> - I GENERATOR USEPA ID. CAL000392478 GENERATOR STATE 906001999'
<br /> MANIFEST#: 006520800SKS FORM CO: 10 SHIPS 225723441
<br /> TRANSPORTER 1 TXRooOO81205 SAFETY-KLEEN SYSTEMS, INC.
<br /> TD L 5050 SALIDA BLVD
<br /> cNL�%v SALIDA,CA. 95368
<br /> WASTE DISPOSAL INFORMATION _ TNSP PHONE: 209-545-1011
<br /> �•. N/gSTE,LN)UID(USED LIUMI%ED OIl51
<br /> B',15TE,L10UID(EiHY1ENEGLYCOL SOLUT-11 SW CODE zn TRANSPORTER 2
<br /> TE CODE
<br /> --- US DOT DESCRIPTION'— — (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS. AND 10)
<br /> EMPrvoRUMt: ---- __--- --- NON-RCRA HAZARDOUS WASTE, SOLID
<br /> -- FACILITY:_ _
<br /> - QIRAINED/UNDRAINED WASTE,
<br /> FILTERS
<br /> esC ES NONE
<br /> GENEMTOR WgSTIE CEflPFICATiON(PLEASE CHECK THE APPROPRIATE BO%I -_-- FEDERAL W� COD 223
<br /> .:...r STATE WAS TYPE ON yl'T/VOL P SKDOT 7872676
<br /> TV_ CONT 1
<br /> oil geneTato�•/customer MUST check ONEof the following three boxes) clVl 18060SS39573 SZ' SS GAL/205 L CONTAINERS qTY: 250 PROF#156033 C
<br /> FACILITY NAME/AODRESS:
<br /> a..an.m„s»wm+4r..r„rceUmn e+^iwovn,,,.,mmr..,nm., OESLRMODUIDS INC
<br /> elrwr NM ,nnnv.nn..,m,ra„m„nnr,„m,,,.m,.'°" 'f14 SE DR
<br /> PEN 97015�-8988
<br /> CAR 7ER
<br /> 1ZS33
<br /> i�.a)w�'..vea�n�.y,a'�,.'nWa�nrwn.m,rctwrv,n.�r.,re,nrer �KPtpNE:0503-788-4636
<br /> .u, n,nlvo.r.mew,nwxmmeN.m.r..,wnam�"'"e„M,• USEPA ID NO ORQO00025197
<br /> read thfiYYcW1aty check the assoEiated bokJ TM STATE:1D No
<br /> !wnNliwalnwWeroa.mownMS«mNr„�,,..:.
<br /> ,M�o�.tiR wu'.a.m.cael.nr.,.t9Nm«t9....
<br /> '�e.nn,.,„n.. •�YmN IUI n..e.n . , 7115
<br /> h
<br /> _. D Iirsyrdhnn erkr dt er dal ebrlyd,rd nlAt rr iala n e PrOperl)
<br /> enJ ere iu V-i,e Eondit lr
<br /> ionav9rtet iuf ({i)hn app mel is able reyuLtion➢ of the 11
<br /> trrisl n a of the a ter ial cha ge ha5 occurred
<br /> P,Im 0111—Nam,, /nester is 1, aete/nrterial the
<br /> torrn7 tuand (!l......
<br /> tha above referenced pro,eaa
<br /> and t Yrre9 Net the above tharyn
<br /> and itiens
<br /> + ervsEO Nevis b vrev id vegaratel /AT% in (E) the
<br /> y"' s.2a;ois e05h le.Nu.taller and SK=andY t9�.Nlotner or (b)
<br /> othvuiaa (2)
<br /> 8lpahra —__ �
<br /> USED OIL LOG
<br /> ANSPORTgt:RaPmnJ LNnPa Lfe tr-Kleen S stems, Inc.
<br /> ^""' tore NUmbrr
<br /> fSL St-SSG-AO%23 RaymrnJ Genoa 01/I1/1900:37 PArJ<2 .,.••' , •••,•...I
<br /> •• � , Iabee9 �g d AneM1tex
<br /> SHIPPING DOCUMENT
<br /> nE m .«eweem nm N :a"""'
<br /> EVENT OF enaateaL CALL—24-Nr-NNrhae�•t-BOO-KB-I)60(Saf
<br /> EFFAENCf et Y-L1eeN ":' „'' II ale DO NOT SNIFF ma al Team Member euun,fie oil mlu the Ianw P NYI.LLSTOIIERI/LENER410R:mI11384 O'ReiilY PRODUCT/SERVICES 1 2567 )8955351-190011231fi
<br /> 1110 E nardin9 WaY amrlcts Clem me,me mn„r D n ei:u rmenne,y„ry r
<br /> Iv,men
<br /> St kto Cq-1295205-3304 r '
<br /> PHONE E)2-SSS4) 'mom" y`^'r " Li�/Sta Zi0
<br /> GFNERAIOR USEPA ID.CAL000392478 GENERAM STATE �-. ^.m,° °0s te
<br /> 'ai.TrA�^n�arz
<br /> MANIFfSTi:oo17;1 ,. FORM to;10 SIDPS Z27426145
<br /> mm,rw.rr,.rm,rt ne COOe
<br /> TRAMSPartea 1 DROO 081205 SAFETY-NLED1 SYSTEMS,INC.
<br /> 5050 SALMA BLVO ..-
<br /> r SALIDA,CA.95368 Ff�`.r ma.,. L, r
<br /> TRANSPORTER 2 TNSP PHONE;20-54S-1011 "'rc^••w,m.=ercn..
<br /> %'.US AOT OESCRIPTIIpN([NCLUDINL PROPER SNIPPING NINE.HAZARD CLASS,A!O ID) ,,.L, yi -
<br /> NAV-RprA NAEAnOa6 MAS
<br /> Q7RAlN®711EynaIN131 USED OILOFIL1Ep5)
<br /> FEDERAL WASTE CO[IES NONE .ram„e
<br /> STATE WASTE CODES <
<br /> TOTAL CON 223Y 1 TYPE OM •^ri,gin..:, ', J
<br /> LNTi:190108913589 SZ:SS C P S T6
<br /> YROT)8)26
<br /> GAL 05/2 L CONTAINERS pTY:250 PROFi 15fi033 C
<br /> DESIGNATED FACILIrvAM NE S
<br /> TNERMO FLUIDS IN: /A0pRE55:
<br /> 12533 SE CARPENR:R OR -
<br /> CLACKAMAS OR 97015-8988 -
<br /> TSO PHONE:503-7418-4616
<br /> FACILITY USEPA ID NO ORQDM25197
<br /> FACILITY STATE ID NO Z mn^ S✓e rir
<br /> 0-220ATDR STATUS A
<br /> G ' u✓
<br /> 0-221 16➢/m➢nth d,� - 2 S
<br /> !TZ? LC,cYr,F 7„ SEA c
<br /> lH 17,
<br /> 1.;yrlrA,.;r
<br /> i
<br /> 4
<br /> IDDahfe
<br /> needs tG be serviced or renalred
<br /> P lease Call 7-
<br /> ations Manual Sernon 49 8O
<br /> seln O-b45-35
<br /> CUSTOMER/GENERATOR: roery mej ie 5 for oil recycle guidelines20'"IOU'Call the local dnver or branch hre,tly
<br /> RevAa 5�11
<br /> I
<br />
|