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1700 S. Cherokee Ln, Lodi, CA PR0513687 <br /> 04/21/2022 Program: HW <br /> PHOTO 11: <br /> Consolidated manifest receipt is incomplete. Missing state waste code. <br /> A �0 IN THE EVENT OF AN EMERGENCY CALL "24-Hi-Number 1-800-458-117760N(E�E IVALEEN TISIM, <br /> O da <br /> ^.. 87433204- 2105192201 <br /> O CUSTOMER f GENERATOR: 107000 SCherokee <br /> 9Lodi m <br /> ) Ln <br /> Lodi CA 95240-7802 <br /> PHONE 209-340-8608 <br /> GENERATOR USEPA ID. CAL000025654 <br /> GENERATOR STATE: <br /> MANIFEST#: 008150834SKS FORM CD : 10 SHIP# 235444626 <br /> TRANSPORTER 1 TXR000081205 Safety Kleen <br /> TRANSPORTER 2 <br /> US DOT DESCRIPTION (INCLUOING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) <br /> NDN-RCRA HAZARDOUS WASTE. LIQUID <br /> (AQUEOUS PARTS WASHER SOLUTION) <br /> FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES <br /> TOTAL CONT I TYPE: DM WTIUOL G SKDOT 14941 <br /> CNT# 211009406298 SZ: 30 GAL/114 L CONTAINERS QTY: 20 PROF# 156023 CA CT CODE: G <br /> DESIGNATED FACILITY NAMEIADDRESS: <br /> SAFETY-KLEEN SYSTEMS, INC. <br /> 6000 88TH STREET <br /> SACRAMENTO <br /> CA 95828 <br /> TSO PHONE: 916-386-4913 <br /> A. FACILITY USEPA ID NO CA0000084517 <br /> O FACILITY STATE IU NO <br /> GENERATOR STATUS 0 220 Ibslmonth <br /> � AAO <br /> �a�� '7 CUSTOMER 1 GENERATOR: gall- <br /> IQv <br /> oma'' 00 <br /> TRANSPORTER: Gomez,Raymond <br /> 0 0 <br /> Cb .� <br /> v 4Q <br /> r , p <br /> VICKY VANG-LEE, REHS Page 11 of 14 <br />