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SSL SK SHIP# ?29968025 111111111111111111 <br /> 0073100403 KS <br /> Farm ved.OMB No."ep54.0039 <br /> Please pritd or type. 2 3 R�appppa q�p I ManNa'Tra " C <br /> UNIFORM 1AUNI[D011S 1 G'n am IC hkrmber TKR000081405 4btl-1 1b10 1�u8ar V�� <br /> WASTE YANIFESF <br /> S.GerreraFers Name sad kW inp d4dre� Gereram�s Ste addraae(H diHww+drew ad�aesY <br /> SfiFET`i�SLEEH <br /> SYSTEMS, INC. 5050 8ALKIERSLV INC. <br /> P[] BOx 5 CA 95368 <br /> SALIDA SALIDA CA 95368 <br /> ee„araaxe,�n�ar �fflA SYSTE299-545-101 i <br /> 6_TnMSYSTEMS INC u. Na�Cer 7x9000081205 <br /> 7 Tr .pWw 2 Carwe Nam U.B.WA ID N-bw <br /> CLEAN HARBORS ENV SVC INC. MIAD039322259 <br /> A.Dmgnated Fadaly Hama end Sae Address THE RNO FLUIDS INC us.EPA ID hake <br /> 12533 <br /> 3ASE CARPENTER DR � OR 97815-03"503-789-46th ORGOM25197 <br /> Fadill+s Fhone: <br /> 9a. 9h.U S.DOT ewmptim C^,h,^9 Shv^9 Name.Fkm d C4�ID Number, 10.GanmY s 11 Tots] 12.LYit 13.Wa!Ee Codas <br /> HM and Padang COW(If any)} No. Type Ouentlh' WINd. <br /> NON—RCRA HAZARDOUS WASTE SOLID DM P 223 <br /> a (DRAINED/UNDRAINED USED UIL FILTERS) <br /> Lu <br /> c� <br /> 3. <br /> 4 <br /> 'd.Spaitial liardkng krsliuciiorc and venal lnfmnaUm TSDaTPO SAL CSG: <br /> 24H EMERGENCYOSOO--468-1760—CH/SK/TFI—Contract retainedby generator cn,i::rs a Qncy authori y <br /> or 5u 5titutB aOditio"l t, <br /> 15. GENERAT6ICS�OFFEROR'S CER;FICAnON'I hereby dedere ffalate cm[ents d oonapmMM aro NIy ea�d emrralely desa6etl shoe by Ne P'opv sF"PdNB ad are dasdFed.9%�8�, <br /> marked amt IamieWFiawrded.and are in&Bspar7s in Paper c[Mam im sane M amxdiN n appielbW ymnational end nebanal govananmhal repdatid'e.H axpnn sFipmerr.aM t am the Prerag <br /> E,m ft.,I cvdh Vat the caaert d this aorre4nmeni cmfarm m Hn lem+s a ft al.ranW EFAAtl.W09dgmerd a(CeranV. <br /> eta tlra waste rnvn matin srs emen idsntW V 46 CFR 2M271e1(I t ar e oq�.q�arlty o @){d I am a wr W qu k)e n <br /> ay aar <br /> s Prtr�6e6ri <br /> q// `L <br /> al ShipmB�de ❑I've to U.S. ❑F a1 Irf1m deneykxR <br /> rranapc+r>err sigr�atre(Inr eVaft mryt Date IaeNng i3.S.: <br /> 17.Tra�OaEr A.tlmvaledgmNad RecerPldMadia6 rdorrd. pay Y-1rare 1 Pnntad7F <br /> �L r <br /> r klnsh say Yaa- <br /> ALE <br /> iB.Disrsapany <br /> lga DWVpan lndkabon Spate ❑puaftf ❑Type ❑Rmw— ❑?ardai Rw*n ❑RW R*Mm <br /> Aendpbt RdERMS NjrtW. <br /> U.S.ERkiD Nurnber <br /> 1$a.Aaarate FeoGty for f�eneralnrY <br /> U �] <br /> IQL r,,j Ph.... ()ay Yea! <br /> tBc SignaNre df AAem9Fe FaoFly(a Genefatarl <br /> 1e F1an*Ws Yim%Report kb'�eQereetY Moftel Ccdw(te_ far hamdous+raste 1reelmere,dnponal,end 105004"m) <br /> 02 <br /> 2d.0emgnetea FeoBy Orwaardr Operate:GteficabmdnreipF of nezardra metetlaleao+sred by are m 1 <br /> Pm6edlF <br /> Simon Mitzi: <br /> EPA Farm 9700.22 gm 12.17}Preuiouseddlons areobsdeFe DESIGNATED FACILITY T4 EPA's—e-MANIFEST SYSTEM <br /> 1)7872676!156933 <br />