Laserfiche WebLink
SSL SK.SHIP# 00 � �I��tI��� � ���IR,. ' <br /> D0413237.0 $ K <br /> Please print or type. Foran designed form on elite(12- itch' titer.) AA Form'Approved.OMR No,9,080.0038' <br /> UNIFORM MANIFESTS 1. anermar ID Number : 2.Pie M 31.. 4.%aiBeW <br /> WASTTE MANIFEST (: 1 <br /> 8e4� !s�'1Ar" � Ganara0or'e - )Ws Phons: -1-44i <br /> Ot <br /> a .. <br /> l�6` a3Sa°y .R <br /> SYSTEMS, INC. TXR000061fp5 :r <br /> 7.TrmpwW 2 Company None <br /> e.geagnamdFec4lyNemeendSieAddaes CLEAN HARBORS 9UTTONOLLOW, LLC VAUWAIDNurnber ` <br /> ": 2500 LOK'ERN RGAD <br /> BUTTONWILLOW a CA 93206, <br /> 661 ^762-6233 CpD991aFt71$�' 4 <br /> Faci Pldne: <br /> ga, . 9b.U.S.DOT Deso p0on(Including Pmpm SMpping Name,Hazard Claes,ID Number, ..10.Con 41} I 12 UPR <br /> HM, and Paddpg Omup(IfanY)) Unit <br /> t31 1grOdd,Y; <br /> z <br /> 2 MbAlf A16W F"* 4kLw' <br /> hk— <br /> A6w, Vft W 1� ., . <br /> 4. ikd;S.; ✓.. . . <br /> r <br /> n 7777 d _ <br /> 'a <br /> 14.Speed He Immudions and Adtlitan .nkrmatlon "TOOiBL <br /> 24 HR EMERGENCY #1-ee0-46$=1760 (SAFETY-KLEEN) <br /> 6 <br /> ENE5 <br /> TOR'SIOFF5 <br /> lOR'Ta NET <br /> SCIR11IFICAION:Iherebyaadare tnetOre oaNenls afA�aonst�Imen(are My tnd ydeedlEod above pyge pmprraNppinp'n�,etd aredaegXlbtl, <br /> mNkedard Mbefedlplearded,andam In az respdto M proper candOlon fortrenypn mording to appNcehkinbamd a na8odm govemmerael regulerbna'NaYgdteh mNNmldt <br /> BWOr i cw*that M 00111ensg <br /> te of this connm otconform to the tome of 8e attached EPAAdknowfedgmmtofCemem. <br /> ,.Ica�Bty'Brai FreweeM mNmhatlon etetemm�t ideptgeQM40 CFR 282,27(e)(Flama Mrga§uantllygenetatamb dlemaemdl ' <br /> aPtlnmNTyped Name a ) ()(' 4uwpk/AenerPtbr)k6ue. <br /> ki <br /> 6.M o <br /> ❑ImponM U.S. ❑EgroN boo U.S. PodofeMrylatu0 ' <br /> 1YenepatePeRnaaue(far exports.mty): Data Wm 4S.: <br /> !!!K 17.TWOP06FAcknoMedgnyntofRe*taf MaMdals <br /> �i Tmn 4 r Prin ams rere1 <br /> nowmil <br /> apPner tlnie 'v <br /> T18 Dwropency <br /> 10s.DlsorepancylndketlonSpsoe QOuantlttl ❑TYPa OReddue El"I sale" ©FugRsle�aan <br /> 18b.AINrnata Fedlity(or „r) Manfred Re ree <br /> a US WNumbu. <br /> WR Faod ys Phone: m iyi <br /> 0c. nmme of AlternateF (pr Generator <br /> i10.HOiartloue Waste RePPnManegemeni Meerod Codes(i.e.,Catlee farhazenkue waslotmmmetd,dkpoesl,arm wAlk g atxrema) . <br /> 2. / 3. q <br /> 14e <br /> 20.Daelgnated FAWKY pamt)r Cedfg*W Of receipt of ha ua mdenalscollered by the mmaMm aw Nae how In Item too , <br /> s,c <br /> 0- 5)'Previaus adrete. DESIGNATED IPACILITYTO DESTINATION STAT R D) ' <br />