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SSL SK SHIP# 227324195 3"0 111111111 1111111111111 <br /> 0067756393 Ks <br /> Pleaseprotortype. Farm Approved,OMB No.2950-0039 <br /> UNIFORM HAZARDOUS 1.GRreratorlo Nomber TXR000081205 P.Page�0 3.IT"810 R2i a.Manifest ThaiNumber <br /> WASTE MANIFEST 00675839 SKS <br /> 5.Generatma Nameand Mellin Addmss Gandhi sits Maress it dimram than main address) <br /> SAFETY—KLEEI� SYSTEMS, INC. SAFETY— LEEN SYSTEMS, INC. <br /> PO BOX 555 5050 SALIDA BLVD <br /> SALIDA CR 95368 <br /> Gerdi Phone. 209-545-1011 SRLIDR CA 95368 <br /> E.T%Wffi}Pi SYSTEMS INC US,EPA ID Number TXROOOOB1205 <br /> 7.Transporter 2 Company Name US.EPA IDNumber <br /> e.Detignatsd Ni Name and Sitenadress SAFETY—KLEEN OF CALIFORNIA U.S.EPA ID Number <br /> 6880 SMITH AVE. <br /> NEWARK , CR 94560 <br /> 510-795-4400 CRD980B87418 <br /> Faduitya Phone. <br /> 9,. 9b.Us.DOT @acriptbn(including Proper Shipping Name,Hazard Class,ID Number, 10.Cd.kthers 11,Man 12.Unit 13 Wask Codes <br /> HM and PCM1ng Group(if any)) No. Type Ouentry YkAmi <br /> 1. NON—RCRA HAZARDOUS WASTE, LIQUID TT G 221 <br /> o (USED OIL) <br /> w <br /> eo I 273 <br /> Z 2. <br /> w <br /> rep <br /> 3. <br /> I' <br /> . <br /> 14special hemline msbucmoa and Addiddal mrormatko TSD:EVG SAL CSG: <br /> 24H EMERSENCY#800-468-1760—CH/SK/TFI—Contract retainedby generator confers agency authori y <br /> on initial transporter to add or substitute additional trans orters on eneratoras behalf. <br /> 15. GENERATORWOFFEROR'S CERTIFICATION: I berebydeclare Nat the winters ti arlagnment are Mail accurately demnsal amass bi proper Nipping ane,am amclassmed.pacFagea. <br /> maM1etl antl labekd101acaNetl andareinall.,MinmWrwndi fatmnsWda=tir toapplieabk iname unaland natio I wwarnmelNl regnations.N weet shipment and l am Ne Phmary <br /> &,We,,l cath(,Nat Ne oonknta of thia wneenon.antorm MNe terms of the adorned EPAAckmMm9menl of Conten. <br /> I cediY Nat Newesk minimbadon sletsmemiderNfiN In a 0CFR2ri2.27(a)(Nl am home qua"peneaddr)di el am a all anhi,90 asrlisbue. <br /> Genemtoi rots Pdntsrdi Name Si mr. Month 0, Year <br /> 1z I ZZ 119, <br /> 10.InternNona Shipments ❑Im mN US. <br /> t— p Send from US. ofetrytU S. <br /> ? <br /> Transport signature pdrerpods only(: tslanrN U.S.: <br /> L- - w 17.iranpdderAfFmMm9men MReaptIXMaledals <br /> L Transpmterl Pd ypm Name Sgnature Mean DAY Year <br /> C. o/ u / 1 <br /> aTrenspoder 2 PmoeMYpad Name Sgnature i Day Year <br /> CF <br /> } 10.Diureanq <br /> lath.DisrreparcylmXamn space ❑ Quarry ❑Type ❑Fees. ❑Faman Revered. ❑Full Reason- <br /> Manidet Rekrener Number: <br /> 10b.retardate F. iry for GeneraNN U.S.EPA ID Number <br /> U <br /> EE FaouNa Phone: <br /> Mi, me Sgnature IXAmamek Facillty(e Geamte) Monty Day Year <br /> 6 <br /> 2 <br /> N19.Hazardous Waste Report Meagemant McNoa Codes g.e.,codes krhazardwa waste tmabnent,Oispoal.am regelNg ryMemd <br /> G 1. 2. 3. 4. ' <br /> 20.Designatetl Faaliry er or Operzbo Cm1fiabon of receipt W hazamous meMdak covered bythe mandesteuapt as noted In Item lie <br /> 11 Prole ped Name Sigradre MwM Day Y r <br /> EPA Fofm 870022 Sfj0e� t3) Previous e0bns are obsolete. S MATED FACII-Iff,%Wf ieo�l <br /> 1113[4Y/ EHD - i <br />