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SSL SK SHIP# 228049860 �IIII III���lIIINI�IIIIIlII�I�IIII� <br /> piaase rintortype. 0 FormA prod OMSNo.205HO39 <br /> UNIFORM HAZARDOUS 1.11oneralorlDNumber a Os�ra� bar <br /> 2 O SKS <br /> WASTE MANIFEST <br /> 5.Ge n�raNe nd#Aae Rnnereia'sSiteAddress(ilAHorenllhenmallk�gaddrassy <br /> D sfgY1r2 <br /> N;ege St Inc <br /> 38 1 Buck Creek Or PO Box 31086 <br /> 5T CK (]N CA 95215-7956 <br /> Gonoramr'a Ph" 9if1-857-1000 <br /> ""MVffV:&y9MSYSTEMS INC U,S.EPAIONumher TXR0000Hi205 <br /> "'Iffi pN� ANN AS ENVIRONMENTAL SVC INC, U.S.EPA ID Number <br /> MAA039322250 <br /> g.Dosignatad wliiy Name and site dress CLEAN HARBORS SAN J13SE U.S.EPA ID Number <br /> 1021 BERRYESSA RDAD <br /> SAN JOSE " CA 95133 <br /> 408--441-0962 CAA059494310 <br /> Paplillrs Phnne• <br /> go. Ob,U.S.DOT Des#lianlindw:ingProper StfppingName,HazardClass,IDNumber, 16.Cdrdainers i1.Tafel 12,unil 13.WasteCodes <br /> Iiµ Bad Pack"g Group(Jany)) No. Type 4uandly vftm. <br /> t NON RCRA HAZARDOUS WASTE SOLIDS (USED DN P 352 <br /> OIL AND ABSORBENTS) " } <br /> 2 <br /> 3. <br /> 14.Specia lig Instr0knsard Additional Inloiroallon TMgSSJ 79517438 DI21596 CS81 <br /> ( o ve � Patith <br /> 2414EMERGENCY#800-468-1760—CH/514/TFI—Contract retai by genera or confars a envyri y <br /> an initial transporter to add or substitute additions trans nrter6 an enera or"fi behalf. <br /> 15. GENERATOR'SIGFFEROR'BCERTIFICATION:Ihereby dacbrethat thoconlantsddrlsmagnmentanfully an nwratelydescnWdubmbyihepmpershipping name,OWivedimsified,paduQw. <br /> marked andlabelaoawdad,and are In all respects 10 proper asd1donfarlranspodo caadhVtoapplcaMa3ntom6lfmaiandrdmialgovemmento(regulariwo.ItexpottsNprmlendlamlheWmary <br /> ExpuJer<I eart'tfdrol Iho conlenis of chis wnsNnmenl w 4orm tog lens of IN oRched EPAAcknowledgmaM of Consent. , <br /> I cerlifythat Me waste mnimlzabon sL0montldunt'e8ad In 40 CFR 252.27(6)(111 am a largequangtygmakod er 3 y Is We. <br /> Gewratwf fferor's Pdntodflyped Name igen MonF Da Year <br /> 3 f I <br /> 15,IntarnalkaralShlpments <br /> F]Import to U.S. LJ ExporthanU,S pottefeniNfea <br /> TronWorler eignalure(far exports only): M lemming US.' <br /> tis+ <br /> It.Tomppierkhmn iedgmenlofFlacelptofMatenuls <br /> Tmns 1 Prinlud?ypud v v Slgnalura _ I Ar <br /> ra <br /> re mmlh Day Ym <br /> r <br /> 18.0weponcy <br /> 18a.Diwepenay Iwlta5m Space ❑ouo'k ❑Type ❑ 'Rasidrnl ❑Pedia9 Rejerbon ❑FuN Reladion <br /> MardfostRefereiveN r. <br /> 18b.Aaafaste Fatity(of Genemlor) U.5.EPA IO Numhor I <br /> .a <br /> U <br /> 18aSigna olNtemalaFarally{nrGenera[ar) Mmm ov Ya r <br /> r <br /> 11 Hazardous Waste Rappel Manggemord MOOM Codas(I.a.,u rdss for hmwdms wo3W"otmaaa,disposal,and raayding systema) <br /> i. 2. 3. �. <br /> FE; <br /> igrraredFa0myONMor pa twCodiMhgonofrec000f wmalodelawvomd 8remandasleacefd 10V IfTyped rregnamra <br /> EPW&MAWeY,449drous oditlons are obsolete, DESIGN ACl CO)�E's MAIFEST SYSTEM <br />