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SSL SK SHll 629169013 �,7 JT[ 9I1III'IIINIMININ111111 <br /> pleaseptlr'tappe. O 0 7 1Fam� 7�ved. Bo.2050x0.39 <br /> UNIFORM HAZARDOUS 1.Gmerelorpl NYmSm TRR00B®81205 2Pa911 of 3.Eripmyyy Fasp�e P,llpNa ANanMM irxltlnp NumLer, <br /> WASTEMANIFEST 1 tltltl 4btl ] vb007181794 SKS <br /> 5,Gedameem Nameame Meill Md. Generala'nSMAtltlrem(if aperea non mapirg aaereml 1�{7 <br /> SAFETY—KLEEIpP SYSTEMS, INC. SAFETY—KLEEN SYSTEMS, INC. <br /> PO BOR 555 5050 SALIDA BLVD <br /> SALIDA CA 95368 <br /> reramwSPhdam 209-545-1011 SALIDA CA 95368 <br /> a.TWL eI P SYSTEMS INC Us,EPA ID Number TXRM0081205 <br /> I.Tml 2Umpmy Name U.S.EPRIDNumbm <br /> &N,MNtl PaGlay Nemd.,d EbMtlress SAFETY—KLEEN OF CALIFORNIA U.S.EPAIG Number <br /> 6880 SMITH AVE. <br /> NEWARK , CA 94560 <br /> 510-795-4400 CAD980887418 <br /> Feul' Pfmne: <br /> ga Bh.GS.DDTDescnptlon(Intlurirg Pmpm Shipping Name,Hmakgam,MNlmbar, 10.0.1aeam 11.Trial 11 wit 13.Wesle Odds <br /> HM me Packln90mPCtlanvl) Nd. Type Gumtlry W1.Nol. <br /> ad 1. NON—RCRA HAZARDOUS WASTE, LIQUID IT G 221 <br /> o (USED OIL) <br /> O0 ( �� <br /> al <br /> w <br /> 0 <br /> 3. <br /> 4. <br /> 14.Snanal Handal plan,tDanemtlAdtliGmNl 5m TSD:EVG SRL CSG: <br /> 24H EMERGENCY8800-468-1760—CH/SK/TFI—Contract retained by generator confers agency authori y <br /> on initial transl to add or substitute additional tanS <br /> 15. GENERAnd adelOFFladame all m DAIIOM. Ih pme,mpminemnlmbal Wsmng R,a are(inlemeamvalerytlmcnbeeabamnttlmpmparshipP.n9 nam,eM xe Uessifiad,package], <br /> manxtl end IabNaNpRaNed mtl are in ell reapemb pmpx wntlNon NVmeyanaaaming to mplksNe inRmalionalaM nepmel goremnenR regl.nmyonshipmmlmtl l am ne Primary <br /> E.vpMer, certlry dine mnlenR dela mla9nmmlwMarmb tle Rims of Na Maden EPAAckmMetlgmnlWgm <br /> I®mrynazne weeb Mnilmetlsn sRRmenl'WenbYetlln 406R'1ffi9(al lalame6ryepuaMy gN'gaM]m(h)[iil aal <br /> qumsry 9emreerlb me- <br /> Genmab aPnpddl Seel Mann Dry Y. <br /> r I joicall <br /> M mm6 ❑ImPonb LLs. ❑Dpmfram U.S. Portalanhylau[ ___.- <br /> Tmm,,lansi9nallee(brmyonsmNr. Dela Ill <br /> rc 1t.Trerepmmnclv�u.leagnarrtaN�pmmerenas41 <br /> xnspmhr 1 P N l SgneRre FallDov rax <br /> Rall <br /> 9 <br /> N r2 2Pn Noma <br /> ,,mmma MaM Dav r <br /> t18.DI.mamy <br /> 18e.Dlsaepanry inanatlon Spam ❑ XPi, 11 Type ❑Rmadum ❑NNhw Rejded, ❑Fall Raladion <br /> Nall Refemce Namm <br /> 13b.P1Mmam Faalirylpr GenmalpD UZ.EPA ID Numbm <br /> v <br /> rQi Fadil EPh. <br /> aS, 19¢Sepabre dfNtemme Faded,Or Genmalx) Mmn Day Yqr <br /> S <br /> 19.XaiaNws Wade Reptxl Maiagamml Mmatl COAes i.e.,mtl¢br AauNous waam Vmbmrin tliepasal,aM mmtliig syamnel <br /> G1. 1/,) 2. 3. 4. <br /> 23. esignal�Fadlity Cwneror DpemW.GergapGon olrecegt bM1 malmlals mvcretl bytlx mmibanemapt asrgetl In Ilam l8a <br /> PnnW,mend Name Sipnabre �r <br /> L/0 1 <br /> G7 <br /> EPA Form 82000.22(Rev.12-17) Previous eSNms are obsolete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br /> 1) 11249/156017 <br /> Received on 12/09/2019 <br /> EHD - CR <br />