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CUSTOMER / GENERATOR: daniel arellano <br />Signature <br />TRANSPORTER: Shane Allen <br />-------------------------------------------------------------------------------- <br />CSG SK -SSL -BOX -24 Shane Allen 01/30/19 16:38 PAGE 2 <br />SHIPPING DOCUMENT <br />IN THE EVENT OF AN EMERGENCY CALL **24 -Hr -Number** 1-800-468-1760(Safety-Kleen) <br />REFERENCE NBR. <br />CUSTOMER#/GENERATOR: TI20710 Tire And Brake Pro's 79131359-1900497966 <br />2800 Auto Plaza Way Ste 110 <br />Tracy CA 95304-7337 <br />PHONE 209-836-1700 <br />GENERATOR USEPA ID. CAL000435624 GENERATOR STATE <br />MANIFEST#: 00695ZB12SKS FORMCO: 1D SHIP# 227591641 <br />TRANSPORTER 1 TXR000081205 SAFETY -KLEEN SYSTEMS, INC. <br />5050 SALIDA BLVD <br />SALIDA,CA. 95368 <br />TRANSPORTER 2 TNSP PHONE: 209-545-1011 <br />US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) <br />NON-RCRA HAZARDOUS WASTE, SOLID <br />(DRAINED/UNDRAINED USED OIL FILTERS) <br />FEDERAL WASTE CODES NONE <br />STATE WASTE CODES 223 <br />TOTAL CONT 2 TYPE DM WT,/VOL P SKDOT 7872676 <br />CNT#: 190128304894 SZ: 55 GAL/205 L CONTAINERS QTY: 400 PROF# 156033 C. <br />CNT#: 190128304893 SZ: S5 GAL/205 L CONTAINERS QTY: 400 PROF# 156033 C. <br />DESIGNATED FACILITY NAME/ADDRESS: <br />THERMO FLUIDS INC <br />12533 SE CARPENTER DR <br />CLACKAMAS OR 97015-8988 <br />TSD PHONE: 503-788-4616 <br />FACILITY USEPA ID NO ORQ000025197 <br />FACILITY STATE ID NO <br />GENERATOR STATUS <br />0-220 lbs/month <br />1A A (��, , <br />Signature 1 %./ i <br />CUSTOMER / GENERATOR: daniel arellano <br />Signature <br />TRANSPORTER: Shane Allen <br />---------------------------------- <br />I � <br />---------------------------------- <br />TRANSPORTER 2: <br />LAGT PAGF <br />