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S A 1011111 AL r% C ACCUMULATION S' <br /> DATE [41•., <br /> HAZARDOUS D�F � • r� <br /> AT� <br /> 111 A A . I <br /> S T �A� DAr� b' <br /> E <br /> NERAL LAW PROHIBITS IMPROPER DISPOSAL <br /> IF FOUND,CONTACT THE NEAREST POLICE OR PUBLIC SAFETY <br /> AUTHORITY, THE U.S.ENVIRONMENTAL PROTECTION AGENCY, DA11��F—�DAT <br /> JR THE CALIFORNIA DEPARTMENT OF TOXIC SUBSTANCES CONTROL A* l(tDATE- <br /> WASTE <br /> TASTE221 E.P.A. lEENo. NONE <br /> SHIPPING <br /> PERNAM NON-RCRA HAZARDOUS WASTE, DATE DATE r <br /> SHIPPING NAME <br /> 0 LIQUID("USED OIL") U.N.OR NONE DATE DATE M <br /> GENERATO <br /> 4pN.A.N0. <br /> O�, DATE DATE MA <br /> NAME ?5" <br /> ADDRESS <br /> DATE DATE MAP <br /> � �� �- `� <br /> CITY STATE DATE DATE MANI <br /> STATE CA <br /> DATE DATE MANY <br /> E.P � �Q �Z7 cps y <br /> I.D.LD.N <br /> DATE DATE MANIFE <br /> PHYSICAL STATE: I HAZARDOUS PROPERTIES ❑FLAMMABLE QQ TOXIC <br /> ❑SOLID MLIQUID1 ❑CORROSIVE❑REACTIVE❑OTHER <br /> WASTE ACCUMULATION&PICK-UP RECORD DATE DATE MANIFE., <br /> START P1 P <br /> FZ DATE DATE MANIFES' <br /> DATE DATE MANIFEST <br /> DATE DATE MANIFESTO. <br /> j <br /> It ID NO. EPA WASTE I <br /> NTENTS,COMPOSITION:Non-RC Hazardous Waste, Liao/- <br /> It / / / I.T.PROPER SHIPPING NAME AND UN OR Na <br /> / HANEPDW <br /> LIE s <br /> / 1 <br /> III It MA21W "SM <br /> CONTAINS HAZARDOU! <br /> EST <br /> HAZARDOUS WASTE o MAANIF <br /> �A,t <br /> HANDLE WITH CA I 't � t <br /> R E � . 4*ANtI Is r <br /> FOR SERVICE CALL w" <br /> � '•!1-I b1ANIFESr <br /> SAFETY-KLEEN SYSTEMS, INC. ,,,1, I.�J <br /> pc- <br /> 1-800-669-5740 [r-zv 7-2Wi1-Esr,C <br /> ® Rev.0512013 SKS17168 I�.\7F L <br /> \Y\tt <br /> i k11�^��ANIt 65 i <br /> 1M1I 1. Al•tNlfF.�i�. .._.- <br /> � ,t <br /> n <br />