Laserfiche WebLink
SSL SK SHIP# 233465262 IIIIIII IIIIIIIIIIIIIII IIIIIII III <br /> D D <br /> Please pnnt Dr type. Form Approval OMB Na]050-0039 <br /> UNIFORM HAZARDOUS tG« nn'DNumber CAL000392478 0 d'A ..,I.IIepRunex <br /> WASTE MANIFEST 007577173 SKS <br /> 5.Gererafda Name anC MaN'r�AMress G«wal (s S..Address(if eillVent man rr 1,address) <br /> 0 Reilly # - 67 <br /> 1440 E Harding Way <br /> STOCKTON CA 95205-3104 <br /> Geoerzmra Then, 972-555-1247 <br /> s.Tlff ff SYSTEMS INC US EPA IDN—ber Tx R000081205 <br /> T T.a"Nner z CMmonr New US EPA ID Number <br /> ILERN HARBORS ENV SVC INC. MAD0393::2250 <br /> B.Desgn*Idd F&oM NameaMShAeeresa CLEANHAR80RS OF BUTTONWILLOW U.s.EPA ID Nmncer <br /> 2500 LGP,ERN ROAD <br /> Faoy sPM1«a. BUTTONWILLOW , CA 93206 <br /> 661-76 6200 CRD980675276 <br /> qp 9b.U DOT Deecneudn lintlM"y proper SNpprq Name HazaN Class.ID NumW til.Cenfainen tl Ten 11 UM IL Wmie Codm <br /> HM aM Paakuq GrtuPlnann) Nn. Type ovanon wLnbl. <br /> f NAMErQ —RCRA HAZARDOUS WASTE, SOLID, DM 77�k P 181 <br /> o (ABSORBENT AND OIL), NftYL.w <br /> i z <br /> 5 <br /> a <br /> TSD:BL 85398634 UP14384 CSG: <br /> a worm s%" 4-- <br /> 24H EMERGENCY#800-468-1760—CH/SK/TFI—Contract retainedby generator confers aggency etdthorl y <br /> an initial transporter to add or substitute additional trans .rte's on enerator' s behalf. <br /> 15. GENERATOR'S ITIVtOR'SCERTIFICATKKI: Inereby eewre melme wnMnh Mmis enagnm¢nr are N'ry ane accuraRlYtlescnbed aa«.n by me preper sn'pgrp name,arnareaae4w packaged, <br /> ,,e <br /> E, and'abelM.l GataNee and are n all respeclS In pNIRr aIXNiEMi Iw hnspart a[6NIrgmaapliade intemalKNiand na49nal g>r¢mmenUl rE]uldLQts Ire 5tnprynl Md am m¢Pmmary <br /> E.�pOner.l aenily tM1al me mnlanLa of mis mnsignmenl anlwm to melertna Mme atbcAed EPAAcknowletlgment pl Consent. <br /> I mnn ma'IIx wane mwmizaEw w'emnl panned m tl LFR 1e11ita)P I ams lags Muannly gmerabl«IbI Hl am a MmMI pwnnrygm«al«f rs we. <br /> Generatorvil'emrs Pnrvgd'Tvoa'Name swelene Momn Day vmr <br /> ts.m'emanpnal snlpmems <br /> F ❑ImpMroUS. ❑Erpm hom US. Ppndantry _ <br /> i Tmnsponer spnalure ff«e�porR onlyp. OaM leaprq U.S.' <br /> ,r ti iansp«nAfamppp�pn«itdfleavptd NatenYs <br /> 7,1'k7 erl PlinWl SgreWrc. <br /> O ^ k1arM DAry Ya <br /> al 1 <br /> i TranspMer nteMryW a Sg wre MonM Day Y. <br /> L <br /> iIauNaap«Ky <br /> 18 Lnvepanry Ind..Spee ❑ Ouennn ❑Type ❑Raspy¢ ❑Pa@al RMIecAon ❑FWI R.,I <br /> I <br /> tab Alfemete Facmry(Pr GMneratw) US EPA ID Number <br /> U <br /> LL FapNlys Pn«e. <br /> � tec.sgr.wa Drutema'e Fao'Iry f«Gee.-n«' M«M oar roar <br /> a <br /> z <br /> NIB-Haz ,Wash Repos Marugemenl MMlSod Cpdea li e. adds bM1azareous was'¢treabnerM1 E4pmel.arW cdeg srdemsl <br /> 1 Ll.De,,nn Darn«Operator Ceo.w ni eep M M1aa3dO sm&MnN un dMS a eMareW nedm bm l8a <br /> 5i Wre M« Dp <br /> EPS 5ng?Hfnf gII� p_oue ebibons are pbsdele. DESIGNATED FACILITY TO EPA's e•MANIFEST SYSTEM <br />