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SSL W, SHIP# 23@895665 <br /> 307;3l22SsK3 <br /> F;ormiii wed.OMB No.2050-0039 <br /> Please Ara l t#type. 2,page!ar 3. Phan° Maneeet Trading r w ' <br /> UNFORMHAZARDOVS i. ertaalolDNumbx TXR000881205 1 -468-1760 \V <br /> wAsIE MANfFEST Ga vxatole S 1a Address(d tl gored elan meting eadreas) <br /> 5.Germra es Now aid Mai noAddreas SAFETY-KLEEN SYSTEMS, I NC- <br /> SAFETY—KLEEN SYSTEMS, INC. 5058 SALIDA BLVD <br /> pLBOX 55i5 CA 95368 CA 95368 <br /> SALIDA <br /> Generator's Phoncem y���—S4S-1�11 U.S.EPAtD Number TXR000081 P@5 <br /> Nam <br /> s. $gFETY—iiLEEN SYSTEMS INC u.s.EPA DNwt" <br /> T.Ranspater2CompamlName MRD039322250 <br /> CLEAN HARBORS ENV SVC INC- u.s.EpA lO Nun bar <br /> DeagnaoadFad4N maandSUAddress SAFETY—KLEEN SYSTEMS, INC- <br /> 6M 88TH STREET CA 95828 <br /> SACRAMENTO + CA0000084517 <br /> 916-386-4913 <br /> Fad' s Plana: 1p,Carrainara 11.Totw 12.Unh 13.Wank Codes <br /> 9a. 9b•V.S.DDT Oesaipboe gndudins props Shipping Name.Hazard C196%ID NOW, Type amety Wt1Vd. <br /> HM and Pacmno Grout fd am')) <br /> oe <br /> 2 AQOATDERSTIONID IZ <br /> p1q ti134 <br /> (AQUEOUS PARTS WASHER QLU <br /> 4. <br /> 14.Spa oal HandFng nebundons end Addltinnal lnfomtabon TSD:SCA SAL CSS: <br /> 84" EMERGENCY#800-468-1760—CH/SK/TFI—Contract rod by generator confers a °racy authari y <br /> ete n <br /> IaFMy acalatety describetl by the properaMppin9�.ad are dasslfted,padmged. <br /> 15- GENERATOWSFEROR'S TNFICATION:1 hereby dada°del rite wMerds of gds oweipmadere ane na5mv,govemnww re9'da11m.w erpcd dipmem and I am the Primary <br /> marked and Iebdadtpiwardad.and are b all mspem in vow cwd w for trarmpat somrolm toappl m*I <br /> Fjgalrkr,I oatlly tliat the canteMa d dis mmjgrm� w the kme of One atoned FPAAdmovsed dConsent. �P gwmrw is Gua, <br /> I oadfythaf the x3ste minimmAmt staharrera ida�0ed in 40 CFR 26227(°)(9I am a large quill"WWI ( Month Day Year <br /> s posed7yped Nan S <br /> 16.Intemedonal StaWants �Import b U.S. ❑EtpoAfrom U.S. port o"Itryl t -- <br /> gene AP9 US.: <br /> ZTranspu10rs re(forezpa6aNyl. <br /> 1T.Tmr>9pona A*wwWre toNN °f SigreMe MOMh Day <br /> Tra 1 - yped Name <br /> Abr+<h pay Year <br /> yped Name o <br /> 1a <br /> 11----�tT ❑Residue <br /> ❑Perbal Rejection FW Ra)ectie" <br /> 183.I�orePerwY Indication Specs �CarardkY U TPe <br /> Hest Referarrce tMar4>en <br /> U.S.EPA IO Numb <br /> 181.Alt We Fadlq(m Genarawr) <br /> Fadl'dl/s Phone: Month pay veer <br /> 16c.SipreWe of Attamete fadd.1(or Generator) <br /> nrgntMasad Codes 0•e.,cadeafor hamrdous x3310 aeabwK deposal,ad retying syetems) <br /> 19.Nenadars Wawa ReporN Manage 3 4. <br /> 29.DesigWed Facgf/Owner or Operewr:Cergbcatbn of recelptdiarrardws materiels covered by die manifest a Plas noted In rem isa h Year <br /> p Name rr� � t <br /> MANIFEST SYSTEM <br /> EPAFmm 8700-22(Rev.12.17)Previous edibrnts are obsolete.4444GKrMlAft-3- <br /> DESIGNATE#FACIL T PA s <br /> 2)14941/15W3 <br />