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SSL SK SHIPS 2J3iI?S .. - <br /> eau print or type. V33� S-5 I.0 Forrn Approveo.OMB No.20W 0039 <br /> UNIFORM HAZARDOUS I Gmeralor ID Numb, 2.Pape redAYWteare Numbx <br /> WASTE MANIFEST fAL000344668 I 1-F -4B-1 /60 1377914SKS <br /> s.Gereear(INmeamwar Ames Claremore ME Aede.,W different men mmlrg address) <br /> O' Reilly S 4719 <br /> 15079 S Harlan Rd <br /> LATHRW CA 95330-9802 <br /> Gmerea'e mme: 209-234-1095 <br /> e_TS�i TY LN <br /> SYSTEMS INC us EPAlD nameer TXROOOM3203 <br /> 7.TmnwaawrlCmmm Nmw DS.EPAID Numb, <br /> CLEAN HARBORS ENV SVC INC. MAD039322250 <br /> e.Deapnalel Fader Nama em sNAEOIxt CLEANHARBORS OF BUTTDNNILLON U.S.EPA DNumber <br /> 2500 LOKERN ROAD <br /> Gar.IMsPMre: BUTTONNILLOH , CA 93206 <br /> 661-762-6200 CAD960675276 <br /> In, eb.LLS.MTDssaW (r*l dMPIWa'SIFCBN,naxea ,EN,nbv, to.tanlaiws 'I Trial 13.Und 13 Waste Lades <br /> NM and PacMy GmuPtdmY)) No. Type GpmtlN WtNd. <br /> zo (*PRBSbRBIENT�AND OIL), *11 WASTE, SOLID, t DM }CJO f 181 <br /> w <br /> z 2 <br /> 3 <br /> 14SpaaN Nmdiry lnsvudons am Addilwnal Intonation TSD:BL OR16176 CSG: <br /> ry 1 V �,v r . ... <br /> 24H EMERSENCYMB00-468-1760-CH/SK/TFI-Contract retaieed bytr.generator confers agency authori y <br /> on 15 GENER,ti,eFFFtranaporkar FAnv10ATI011:l tm dd or magma mmmmdmisamse iuriditinnal desn n,po f,r,p,sire rg rU*r,tre WWbed.prteged. <br /> Eroomand IabeleNgaer waMaresassemm�mprgerto1 WImean¢pml EPAAap Wg mcemaSanalaM reMvl�V,nmmidl reguledmz lfe at Nplmnl,a amthvrvrary <br /> EsfuMr,l rarWy Illaltlla mnbrM WNis wnsgnmanl mdmn to are bmx of me ally iced EPAAckmWm9mm1 of Consent <br /> I IXrbly mal me waste mmimRatian sladirem aMalCd in i0 CFR 3fi2 Pa)(d I am a largo euanbry gerYratwl a)bl pl l am a srr311 euanbly gere2t rl Is Sue. <br /> Geremtas1011eNS I'mm yped Name Sh}aN� - Nana Day Year <br /> —TMS <br /> 11 In aromlmb <br /> F Imppntp Us. Eyrod flan U. Oak keviig <br /> TWWam,ea2 <br /> ? Teammate,K.W.sgrwWretlaeapau mryl. U.S' <br /> W 17 Tmemnarar F= <br /> d RmaadMaaams <br /> iransppd,l PdnkeRyrab SNPaNre / Mmm Dar Year <br /> �u< nl <br /> 2 Tornemer 2 Pnntm?ymd Name Sg Mmm Dar rmr <br /> L/e A,1114AF,9 L'V�- Z <br /> IaDeomEen <br /> 18.Docrepanry lndubm Spam ❑ O y ❑Type ❑Resaue ❑Pala)Ra,eram ❑Fal Reeden <br /> Maluhsl Ral,elxe Nwib,. <br /> on AAemale Fayily Sr Cavabr) LLS.EPAID Numter <br /> U <br /> LL Fatilllys PNox. <br /> � lac syreare prNNnele Faamy la(' Nr) Mpnm Der Year <br /> a <br /> 13 <br /> z <br /> y1p.Mazalloua Waste 0.epm Management Metlq]CMni.e.,¢Ers brlaaerhusv251eaP.aAllml dlSWsal,am reryGrg sYsl,^sl <br /> w t4 <br /> 0 <br /> m.DeBignaub FaL;lny owlreraouamr ealmmbmaremrnane7aldppa mamdal.w.,ed drub rrol:laare.mpl av nnae�n Ilam lea <br /> 1 fteadayIad Name SyreNre Mmm Day Year <br /> EPAF��00-b21Rev.12-17 Prav powitbneareawate. DESIGNATED FACILITY COPY <br /> tldd MANIFEST,YOU HAVE RESPONSIBILITIES UNDER THE e-MANIFEST ACT.SEE INSTRUCTIONS ON REVERSE SIDE. <br />