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CSG SK-SSL-BOX-23 Raymond Gomez 01/04/19 14:29 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: OR14472 O'Reilly # 3020 78846879-1806582178 <br /> 309 W Dr Martin Luther King Jr Blvd <br /> Stockton CA 95206-1705 <br /> PHONE 972-555-1459 <br /> GENERATOR USEPA ID. CAL000392820 GENERATOR STATE <br /> MANIFEST#: 006687010SKS FORM CD: 1D SHIP# 227383625 <br /> TRANSPORTER 1 TXR000081205 SAFETY-KLEEN SYSTEMS, INC. <br /> 5050 SALIDA BLVD <br /> SALIDA,CA. 95368 <br /> TNSP PHONE: 209-545-1011 <br /> TRANSPORTER 2 <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 1 TYPE DM WT/VOL P SKDOT 7872676 <br /> CNT#: 181231778927 SZ: 55 GAL/205 L CONTAINERS QTY: 250 PROF# 156033 CA CAT CODE:G <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 /> Signature <br /> CUSTOMER / GENERATOR: jesus modesto <br /> O R14472_SS_78846879 157 <br />