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S5L 5!i SHTpIk 227418566 <br /> 1I11I1tAi111111 <br /> 0067t653S8K0 <br /> ?Vease nrlt or INP@ Form Appro%w.DMB No.2850.0639 <br /> UNIFORM HAZARDOUS I Geo w,0Number CATWO61396$ z age1ol 3.�— R —F3a�8 4. (� ( c <br /> Nufntw <br /> WASTE MANIFEST O O V V <br /> S.Ce Name aM Mali Adder Gera,ra�ri SMAdal06t ddlrerlri Bten mBl1��edt*e�1 _ <br /> 13TY-KL'E 5Y$TEM5, INC- SAFETY 4M SYS MG, INC. <br /> PO BOX 555 505e SALIDR BLVD <br /> SALIDA CA 95368 <br /> Ganaa&sPhme 209-545--1011 SALIDA CA 953f,$ <br /> e.T'�"f r�—�tf°M SYSTEMS INC <br /> i Us EPAONwnbe T%R00dIA812e5 <br /> 7 Traneparler 2 Carr A !lame U.S.FAA ID hixMer <br /> CLEAN HAI�BDR5 ENVIRONMENTAL SVC INC. T4:aD039322250 <br /> BD,r;",M Fx-.li;y Nana a rd Si-Adaress SAFETY-KLEEN SY5TE1RIS, INC. J.S.EPA ID Number <br /> 6000 98TH STREET <br /> SACRAMENTO , CA 95828 <br /> 916-386-4913 CA00000S4517 <br /> F 's Phare <br /> 4i <br /> 9h.U.S.DOT Daj,6w(;ndwlir9 Proper ShIp*q Nemo,Kan CAm ID N xnw., 10.Catainm 11 T0181 12.Urn 19.WWI!.^.odes <br /> Ny a'.d Patlgn9 Glow Cd anyfl 'Na. TypeARA "Ai 111150 <br /> 7 <br /> 0 <br /> x z N4N-RCRA HAZARDOUS WASTE LII116ID PM "L�� 6 134 <br /> (WOEDUS PARTS WASHER Sb UTION) a'f <br /> 7 <br /> 4. J77 <br /> 13-SPttlat Hmditg jrdt&Wtl ad Addtimral H.mAon TSD-SCP C567 <br /> 24H EMERGMY*a@O-468-178$-GHfSK/TFI-Contract retained by generator confers aggenvy authori y <br /> an initial transporter to add or substitute additional transporters on eneratar's behalf. <br /> 15. GBWRATDR'SWFFEROR'S CERTIFICATICN:I W94 dedar!Btat Ara a m rds Or rhic wnsi gnmenl ars Illy endbN deao1W atOVe by <br /> the pmpa shippn2 rQne,wd are da6eHW paa#agad <br /> tnarick anb IaodaC�aiaarted.anG ares an re NM In Paper tandidm tar r~acobrding b appLratle nmry Illyd r 1pvammaatal regulations.M mmarl shipment and I am the P�krary <br /> E><pormr.I=*that tta cOAMM d this sone w,"-*m to Mc lanr6 Of Ne adedrad EPAAskrwaiedgs^snt r» sent. <br /> I oMVN that It[a�akP nanimcalian st3lemenl d.ridfad N d0 CFR 78227(aY IB I3m s:arga quenmy gaftarmm)or{pl ld am asmal gteritry ganeralarj Is tole. - <br /> Gererarc�si08erarsPlnfedrTypad- gme- L�LLt-�1 e3! SIR <br /> _j 16 Irtamaliwtal Shpments <br /> U Import 40 U S. Eayo.1 aam U.$. Pwolervywt_ - <br /> Trdnsp..,ter swaura(iar mpoAa any: Date as-g U.S.. <br /> Oe 17.Yraneporiw AckweladQ11en1 of ReaniP d Wmials <br /> ltarlapptler 1 PritlD Yaw <br /> edflyped"'a" 1V /v� a x ��' <br /> Q <br /> AJ <br /> a <br /> i Trmlapmtr2 Name sig IAonR 6a Year <br /> 1 18 Dsaq-" <br /> 18a.Discrepancy I o-&n Spars C 6uema'y ❑Typa LJ Re�d� ❑Podia!R,,Cirar ❑t'W Rep=n <br /> li Al whsl etaerr.E humher. <br /> tEh-Atlemala Fadity(a,Generator, U.S.EPA ID Hunou <br /> V <br /> ea. F.NVi Ph— <br /> Ilk.Sigmue Wli—h@ Faofly Ir"Generator) AIarM ear <br /> t <br /> z <br /> 19-HlazvdC WasteRapodMa gementM.&cdGABalie.,woesinrhmrdomxastatW*%arhdmpe",and racrU%syslerns) <br /> I JiLNdQ,r z H 141 3. 4 <br /> 2P29.Designated Fa 11 tj Oaras a Operdbw..Ceiftatw d mmt d h=rmus malermis w"ed by cre mai1All exr>Ipl Med n Item 183 <br /> ry Alotllh r <br /> mW Mame <br /> cp pvti��sa�.��.�„�. .• r. -, DESIGNATE ACII_I O EPA's e-MANIFE6T SYST A7 <br />