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SG SK-SSL-UMO -01 Joseph R Lima 1r 08/20/19 07 : 44 PAGE 1 <br /> SafetyAleen Systems , Inc . <br /> 2600 N Central Expy , Suite 200 <br /> Richardson , TX 75080 <br /> CORPORATE : 800 -669 -5740 <br /> 24 HR EMERGENCY : 800 - 468 -1760 (,Safety-Kleen) <br /> DUPLICATE TICKET 2095451011 <br /> REFERENCE NBR . <br /> SJC LOVELACE MRF / TRANSFER STAT >T051ER# L024138 Lovelace Material Recycling center 8086270364884 <br /> 2323 Lovelace Rd SRVC WEEK :EEK : 2 2019 -34 <br /> „ ..tea rn 4Sia6 - 9233 SRVC DATE : 08/20/19 <br /> 2323 E . LOVELACE RD , SHIPPING DOCUMENT <br /> MANTECA , CA . ( 209 ) 982-5770 24 IN THE EVENT OF AN EMERGENCY CALL **24-Hr -Number** 1400 - 4684760 (Safety-Kleen) <br /> REFENCE <br /> MON- FRI 7-4 SAT -'SUN 7-4 CUSTOMER#/GENERATOR : L024138 Lovelace Material Recycling Ce 8086270141 0436N4884 <br /> 2323 Lovelace Rd <br /> Weighed . JOSE 8( Manteca CA 95336 -9233 <br /> PHONE 209 -610-2001 <br /> Deposit : JOSE GENERATOR USEPA ID . CAL000289S78 GENERATOR STATE <br /> BILL TO : 0 SI MANIFESTO : 007181761SKS FORM CD : 10 SHIP# 229274808 <br /> PI TRANSPORTER 1 T)M000D81205 Safety Kleen <br /> i6: 5050 SALIDA BLVD <br /> SALIDA , CA . 95368 <br /> 56' TRANSPORTER 2 7NSP PHONE : 209 -545 -1011 <br /> US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME , HAZARD CLASS , AND ID) <br /> Vehicle ID : W NON -RCRA HAZARDOUS WASTE , LIQUID <br /> Reference : 9FO2818 D2 (USED OIL) <br /> FEDERAL WASTE CODES NONE <br /> COMPANY : SAFETY KLEEN STATE WASTE CODES 221 <br /> PHONE : FC 110 TOTAL CONT 1 TYPE TT WT/VOL G SKOOT 11249 <br /> CNT# : 190820264466 SZ : BULK VOLUME CONTAINER QTY : 800 PROF# IS6017 CA <br /> Origin : SALVAGE DESIGNATED FACILITY NAME/ADDRESS : <br /> SAFETY- KLEEN OF CALIFORNIA <br /> DATE IN : 08/20/2019 TIME IN : 07 : 03 : 09 6880 SMITH AVE . <br /> NEWARK CA 4560 <br /> DATE OUT . 08/20/2019 TIME OUT : 07 : 42 : 26 O PHONE : 510 -79594400 <br /> FACILITY USEPA ID NO CAD980887418 <br /> OUTBOUND TICKET Number : 51 -00999284 FACILITY STATE ID No <br /> GENERATOR STATUS <br /> SCALE 3 GROSS WT . 28640 LB CESQG : vehicle <br /> SCALE 2 TARE WT . 22120 LB Ii <br /> NET WEIGHT 6520 LB t, <br /> Gi <br /> * REPRINTED BY * ci <br /> JOSE at 07 : 45 . 58 C <br /> f Signature <br /> Oty Description Amount ° <br /> 3 . 26 OIL SALVAGE 0 . 00 G CUSTOMER / GENERATOR : maria orozco <br /> TICKET AMOUNT : 0 . 00 <br /> I <br /> x Signature <br /> TRANSPORTER : Joseph R Lima 3r <br /> I ' <br /> TRANSPORTER 2 : <br />