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7RANSPORTER : Joshua Butler 6tiL9 ' ON Wd9S Zl IZOZ aW ! 1 paniaaa � <br /> C!; C SK -SSL-BOX- 21 Joshua Butlor 01 /22/20 11 : 50 PAGE 2 <br /> SHIIN lHE EVENT OF AN &ERCH p� =N � DOCUMENT <br /> r , x - 1760pafoty4lten) <br /> <I)SIOMER#/GENERATOR : HU26010 Honker Cut Marine REFERENCE NRR , <br /> 11500 W Eight Mile Rd $z052Sxa - 20Uoo1z402 <br /> Stockton CA 95219-$704 <br /> PHONE 209-176-0103 <br /> GENERATOR USEPA 10 , CALOOD45289S GENERATOR SYAYE <br /> MANIFESTO : 007275;MskF FORM CO ,: ID SHIP# 230362555 <br /> 7RMISPORYER 1 TXR00008120S Safety Kleen <br /> 5050 SALTDA BLVD <br /> SALIDA, CA. 95308 <br /> 1IIANSPORTZR 2 7NSP PHONE : 209 -545 -1011 <br /> U!r D01 DkSCXlPIION (;kNCLUOINC. PROP[K NH1PPIN4 NAME , MAZAKU CLANS , AND 1UJ <br /> NUN -RCRA HAZARDOUS WASTE , SOLID <br /> O)RAXNED/ )NORAINED USIV OIL FILTERS) <br /> FIAEWAL WASTE CODES NONE <br /> STATE WASTE CODES <br /> IUTAL CONT i TYPE Dr-1 IYT/VOL P SKDOT 787z676 <br /> oNf#: 20010689102(3 S[ 1 55 OAL/ZO5 L CONTAINERS ttiT : 100 PKUF # 156o;if C. <br /> 111K NATED FACILITY NAME/ADDRESS : <br /> -IHEAMO FLUIDS INC <br /> :x2533 SE CARPENTER DR <br /> GLACKAMAS OR 97015 -8988 <br /> •rSD PHONE' S0) `788 -4616 <br /> FACILITY USEPA IO NO OROOOU025197 <br /> FACILITY STATE 10 NO <br /> GENERATOR STATUS <br /> 0 •• 220 lbs/month <br /> Signature <br /> CUSTOMER / GENERATOR : rod karnofel <br /> Signature <br /> TRANSPORTER : .Joshua Butler <br /> TRANSPORTER 2 : <br /> LAST PAGE <br /> 600200' d LZLL9LG60Z(XV:b auiaeW Ino JONUGH 00: £ L 20ZIMS0 <br />