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CSG SK-SSL-BOX-23 Raymond Gomez 10/04/19 09:40 PAGE 2 <br /> SHIPPING DOCUMENT <br /> IN THE EVENT OF AN EMERGENCY CALL 'x-24-Hr-Number— 1-800-468-1760(Safety-KI een) <br /> CUSTOMER#/GENERATOR: ST298DS Stockton Rubber Mfg Co Inc 812862264-119OS293839 <br /> 5023 N Flood Rd <br /> Linden CA 95236-9455 <br /> GENERATOR USEPA TD. CAL00019SR940NE GENERATOR7-1172 STATE <br /> MANIFEST#: 007159O215KS FORM CD: 14 SHIP# 229635526 <br /> TRANSPORTER 1 TXR0000S12OS Safety %leen <br /> 5050 SALIDA BLVD <br /> SALIDA,CA. 95368 <br /> TRANSPORTER Z MP PHONE: 209-545-1011 <br /> US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) <br /> NON-RCRA HAZARDOUS WASTE, SOLID <br /> ORAINED/UNDRAINED USED OIL FILTERS) <br /> FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES <br /> TOTAL CONT 1 TYPE DM RT/VGL P SKOOT 7872676 <br /> CNTP: 191002149253 SZ: 15 GAL/57 L CONTAINERS QTY: 50 PROF# 156033 C <br /> DESIGNATED FACILITY NAME/ADDRESS: <br /> THERMO FLUIDS INC <br /> 12533 SE CARPENTER DR <br /> CLACKAMAS OR 97015-SDSS <br /> TSD PHONE: 503.78$-4616 <br /> FACILITY USEPA ID NO ORQOODOZSI97 <br /> FACILITY STATE ID NO <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br /> tore <br /> CUSTOMER / GENERATOR: rick van dusan <br /> Signature <br /> RECEIVED <br /> TRANSPORTER: Raymond Gomez <br /> -------------------------- <br /> I I <br /> I I <br /> I I <br /> Oct 41 2019I <br /> I <br /> TRANSPORTER 2: <br /> LAST PAGE <br />