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total above an <br />statement. RECEIPT ONLY - THIS IS NOT AN INVOICE <br />I have established a program to reduce the volume or quantity and <br />toxicity of the hazardous waste to the degree to be economically <br />practicable. <br />Signature <br />CUSTOMER / GENERATOR: dennis cink <br />Signature <br />TRANSPORTER: Shane Allen <br />-------------------------------------------------------------------------------- <br />CSG SK-SSL-ROX-24 Shane Allen 02/11/19 14:32 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: GI11412 Gigli's Inc 79200655-1900675704 <br />12333 5 Manthey Rd Ste C <br />Lathrop CA 95330-9799 <br />PHONE 209-481-4145 <br />GENERATOR USEPA ID. CALOOD265098 GENERATOR STATE <br />MANIFEST#: 006952790SES FORM CD: SD SHIP# 227663852 <br />TRANSPORTER 1 TXROOOO81205 Safety Kleen <br />SOSO SALIDA BLVD <br />SALIDA,CA. 95368 <br />TNSP PHONE: 209-545-1011 <br />TRANSPORTER 2 <br />US DDT OESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND TD) <br />NON-RCRA HAZARDOUS WASTE, SOLID <br />(ORAINED/UNDRAINED USED OIL FILTERS) <br />FEDERAL WASTE CODES NONE <br />STATE WASTE CODES 223 <br />TOTAL CONT 1 TYPE DM WT/VOL P SKDOT 7872676 <br />CNT#: 190207484630 SZ: 55 GAL/205 L CONTAINERS QTY: 300 PROF# 156033 C <br />DESIGNATED FACILITY NAME/AODRESS: <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 IU NO <br />GENERATOR STATUS <br />0-220 lbs/month <br />Signature <br />CUSTOMER / GENERATOR: dennis sink <br />Signature <br />TRANSPORTER: Shane Allen <br />