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Received on 12/09/2019 <br /> EHD - CR <br /> CSG SE-SSL-IMO-01 doeeph R Lima Ux 01/22/19 12:31 PAGE 2 <br /> SHIPPING DOCUMENT <br /> IN THE EVENT OF AN EMERGENCY CALL "24-Hr-Numbexii 1-800-468-1760(Safety-Kleen) <br /> REFERENCE NOR. <br /> CUSTOMER$/GENERATOR: .17048 AMte Faxma ]90]2944-19003]3]15 <br /> 14300 S Rabexte Rd <br /> Stockton CA 95206-0000 <br /> PHONE 209-483-2533 <br /> GENERATOR OSEPA ID. CA1000261378 GENERATOR STATE <br /> MANIFESTO: 006]]5839SES FORM CD: 1D SHIP# 227541148 <br /> TRANSPORTER 1 TXROCCO81205 SAFETY-KLEEN SYSTEMS, INC. <br /> 5050 SALIDA BLVD <br /> SALIDA,CA. 95368 <br /> TNSP PHONE: 209-545-1011 <br /> TRANSPORTER 2 <br /> NS DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, BA YARD CLASS, AND IDS <br /> NON-RCRA FA\ZARDJCS WA.9 TE, LIQUID <br /> (USED OIL <br /> FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES 221 <br /> TOTAL CONT 1 TYPE TT WT/VOL G BELOT 11249 <br /> CNTO: 1901221]30]5 SZ: BULK VOLUME CONTAINER QTY: 750 PAOFO 156017 CA CAT COME:A <br /> DESIGNATED FACILITY NAME/ADDRESS: <br /> SAFETY-KLEEN OF CALIFORNIA <br /> 6880 SMITH AVE. <br /> NEWARK CA 94560 <br /> TSD PHONE: 510-095-4400 <br /> FACILITY USEPA ID NO CAD980887418 <br /> FACILITY STATE ID NO <br /> GENERATOR STATUS <br /> CESQG: Vehicle <br /> Signature <br /> CUSTOMER / GENERATOR: rain —rem <br />