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13e Sionsfure cf Mania Farley (or Genera:3( <br />15. Hazardous Wale Resat Menagemenl Maul Cortes (te, axles kr hazsekos trete eeettnent freposal. ard recycing syslerns) <br />2. <br />/1'292_ <br />1. 3. <br />Mono Day Yoar <br />I <br />4. <br />;7 Year <br />11 <br />Month Gay Year <br />1'2 1211a!) <br />El Pala! Selection Ful Raeclicer LJReedue <br />Month <br />Al'7173 <br />[I] Expirt U Pan of neeynea <br />. Nee inerig US: <br />(3?) SSL <br />pie,. print or tylx• <br />SK SHIPS 231951085 <br />"ttirrii'lnem SYSTEMS INC <br />Generates Phone <br />okiNAMWAIwOusrmmrc hiwber <br />WUTEMAMFEST CAL000230383 <br />Casperstrs Nave and Nailing Address <br />Franck C AJere/Ft g Construction 5100 West Highway 12 <br />LODI <br />209-334-2112 CA 9524P-00001 <br />2. Pagel! of <br />IIIIII 11111111111111 <br />0 0 7 3 1 3 6 9 S K <br />Form Approved. 01451 No. 2050039 <br />31n2W4167111/474° 14575i73196 SKS Generates Sao Maass (d Marne than meilnp edemas) <br />U.S. EPA ID Number <br />TXR000081205 <br />7. Transporter 2 Carpel Name <br />CLEAN HARBORS ENV SVC INC. U.S. EPA ID Nester <br />MAD0393PPP50 <br />B. neevated Fecity Name end Site Miran CLEAN HARBORS GRASSY MOUNTAIN U.S. ID Number <br />3 MILES EAST, 7 MILES NORTH KNOLLS EXIT 41, OFF 1-80 KNOLLS , UT 84083 435-884-8915 UTD991301748 Emery's Phone. <br />Sa 9b. U.S. DOT Deecalplion (lector.% Prow Shipping Name, Hanec Co. ID !ante,. <br />and Pact% Grew (4 any)) <br />t 149NEL NON RCRA HAZARDOUS WASTE SOLIDS, <br />R—IABSORBENTS CONTAMINATED WITH OIL), WA <br />2 <br /> <br /> <br />10. Containers <br />No Type <br />11. Total <br />Our :Sy <br />12. Urit <br />wU 3. Waste Godes <br />It DM 2,03D 352 <br />03080, <br />15. GI NERATOIMOFFERORI CERTIFICATION.. Iheraty declare Inia he cornetts cf Ma osetomeetala tuly and aoctrabely descrbed above by the pmper shipping name, sire are desolate, packaged, monad and labaleckpacareled, and are rall respects in prow condn ler transport accordnaIv appficable intimidate end national gen...meanest Ina/await expert shipment and I an Ito Phmaty Eaporter. I oerWy the Ine axitents ess sorsignmert con'orin to the teems of the attached EPAAcirorMedgrisere of Consent. I or* that the walla state-rent eleiffeld In 40 CPR 26227(1) (illere a ergs getnity generate) or (b) I am a smaa warsty generator) es ha <br />Irsxn D.S <br />17. TreeponetAcisteriedgrasnicf Receipt lAaterba <br />Ttifitte6rilitZN T , ame <br />71>20.c.6- <br />10. Deaseaancy <br />13a. Discrepancy Ir=aro Space I-1 t_j QUirtly <br />166 Alienate Facility (Cr Generator) <br />Fanitys Phone: <br />Itaniles1 Reference Number. <br /> <br />LI S. EPA ID Number <br />14.06 ool lierding Inerixtiorts arct Adononal Info-mann TSD:GM 83782137 FR25159 <br />24H EMERGENCY9800-468-1760—CH/SK/TFI —Contract retained by genera or confers lency au orit on initial transporter to add or substitute additional transporters on genera or's behalf. <br />Genereio14, PrinierTyped Nene <br />16. <br />Tra-aporter sii:tports arty): <br />EPA Form 3700-22 (Rev 12-17)_Prev s are obsolete. 1)8886211/2030602 <br />20. Designated Natty Caner or Operatr. Certfcalacin ol recept td ha materials covered by the rra-test except as ncted in Nem 18a- b2,00C.3,1?,1r- Pnntedryped Nano <br />&wage Monet lay . Yew <br />I <br />DESORTED ILITYTOEPA'se-MA WESTSYSTEM <br />5