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`�� <br />RECEIV <br />JUL 23 201 <br />BILL OF LADING/MANIFEST <br />1. shippers US EPA ID No. (if Applicable) <br />T Doamam No. <br />2. Page <br />rC1,0QUAQU2%AR,-�A7 <br />10 N <br />3. Shipper's Name and Mailing Address Sw i ft Tran s p O rt at i on Co <br />901 Darcy Pkwy <br />LATHROP CA 95330--8764 <br />4. Shipper's Phare 209 858-7027 <br />5. Transporter 1 Company Nam 8. US EPA ID Number <br />A. Transportses Phone <br />7. Transporter 2 Company Name 8. US EPA ID Number <br />B. Transporter's Phone <br />9. Designated Facility Name and She Addreu E V G 10. US EPA ID Number <br />C. Facility's Phone <br />SAFETY-KLEEN OF CALIFORNIA. INC. <br />6880 SMITH AVE. <br />NEWARK CA 94560 C9D960887418 <br />510-795-4400 <br />11. Shipping Name and Description <br />12. Conti <br />iners <br />13. <br />14. <br />_HM -1 <br />No. <br />Type <br />Total <br />Quantity <br />Unit <br />wwol <br />a' <br />NON-REGULATED LIQUID (VAC--QIL WATER <br />SLUDGE)(NOT USDOT/NOT <br />USEPA R�GULAT�D) <br />(NOT CA REGULATED) <br />j <br />PT <br />pp <br />G <br />b. <br />8 <br />N <br />I <br />P <br />c. <br />P <br />E <br />R <br />d. <br />15. Special Handling Instruction and Additional Information <br />SK SHIP# 221337087 <br />SWIO083 <br />24 HR EMERGENCY #1-800-468-1760 (SK / TFI) <br />RUTH AS " NT -FOR" BY GEN TO RETAIN LICENSED SUB CARRIERS AS NFCESSAR'. <br />#72305836 <br />DOT/PRFL A. 3299/156097 B. C. D. <br />A) NOW S) C) D) <br />1" US DOT HAZARDOUS MATERIALS SHIPPER'S CERTIFICATION: o r b.wy es l d@.a.a s.ae.a prdp.a,.. re e,e cr,re bW We pea <br />PrintedTyped Name <br />Mdse t veer <br />18b. NON-REOULATEO SHIPPER'S CERTIFICATION: I co * the materials dsealbW above an Tis bm an not subject m srei rewwdons far Transportation or Dispoael. <br />Pfinte&T Name <br />�J dr'. tY.. `.21 <br />Mash pay Year <br />J.1L <br />R <br />17. Transporter 1 AdcnoxjedgameM d Receipt of (, aterials <br />APri <br />yped Natne Sig <br />Month pay Year <br />P <br />1 1 <br />O <br />18. Transports4Admowiiidgerneint of Receipt of milliterials, <br />TPrinted/Typed <br />Name- <br />Signature <br />Monts pa Year <br />Y <br />B <br />at <br />19. Discrepancy Indication Spade <br />F <br />A <br />C <br />I <br />L <br />1 <br />20. Facility Owner or Operator. Certification of receipt of materials covered by this form except as noted in Item 19. <br />T <br />Y <br />PrintedlTy me Signature <br />Monro pay vee <br />r. <br />`�� <br />RECEIV <br />JUL 23 201 <br />