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SK SHIP# 236321117 IIIIIIIIIII IIIIIIIIII I III IIIIIII <br /> 0033145645 K5 <br /> ease print or type. Form ApproCi OMB No.22050-0039 <br /> AZA <br /> UNIFORM HRDOUS 1.same Ion lO Number CAL000392916 2.vepeld 3.Er lcy� nsl2eIXre Aoao°p'I!T x04 SKS <br /> WASTE AMINIFEST 1 �btl O <br /> 5.Gareratoh Neme and W lovas Ackel Gersrea(a Sae Ad.Iil meant,men came,aetlreeal <br /> D Reich # 3501 <br /> 515 E Yosemite Ave <br /> MANTECA CA 95336-5837 <br /> omema re Pram 209-239-4188 <br /> SO —'AMMSYSTEMS INC us EPA ID Number TXR000001205 <br /> 7.Transadmrz C mp m,Neme u S,EPA ID Number <br /> CLEAN HARBORS ENV SVC INC. MAD039322250 <br /> e.loresaradedli.1111,11finalmodSel CLEAN HARBORS GRASSY MOUNTAIN us.EPA ID Mamba <br /> 3MILES EAST, 7 MILES NORTHKNOLLS <br /> 840835 EXIT 41, OFF 1-80 <br /> 435-884-8915 KNOL ° UTD991301748 <br /> FaG sPNIXe: <br /> 9a 90.U5.OOT pewpOpn liMW'mg Pmpa Snipping Name.HassN CIeu.ID NumLa. 10.Ca^relnen 11.Idea 12.UN ,3 VNfa 0aEes <br /> HM ad PaWHO <br /> 9aptal ll W_ Tye, O.armly Vk'Mrk <br /> : 1a10F1E NON—RCRA HAZARDOUS WASTE, SOLID, DM I �\ P 181 <br /> o (ABSbRBENT AND OIL), *t* �J <br /> d Cf <br /> z z. <br /> y <br /> a. <br /> 14.Spepd HaMlmg lnsmamrs aMAdeiXprellndemed' TSD:GM 88279962 OR14365 SSG: <br /> 24H EMERGENCY#600-468-1799—CH/5K/IFl—Contract retainetl b Oa <br /> y generator con ers a ency auvhorlt <br /> on initial transporter t add or su65t itut atldi "0 1 trans ort r on e r behalf, <br /> 15. GENERATOR'SIOFFEROR'S amal all ma: minpopereWlmem^eWdmamrapinarlae plMadecmrand na ambgoabme Yyeieprpaa Nlppvgnarre,allaral Iam ded Provery <br /> moose and IabeleNpWurtletl.am all In all reapeclS In proper mnEiYon brVanspanaccoNirq 1a ep[IIubN iM¢maAanalantl nalgnel gpvemmmdl repuWtiO^sllemal Mipnmlerd I am Me Pryrary <br /> I mmneratte wa mnimeanlaamamemdman in <br /> melem^aoif Iam a acnN EPAAdrwendera (41a.m <br /> ceNly matte wasR m�nim¢abpn statement denLlwtl in<0 CFR 1fi221a101I am a lege euanOtyganereblIX(n11XI am a small puanllty gernraNr)ro from <br /> GmadW/i�O'llwLvle PrmaMy}¢5eal ,Halal DryyM <br /> rff� <br /> 16 radeneYwal Simipeane <br /> F Ll mod,m us. ❑Eamn more us. PYNaalMeae _ _ _ <br /> X Tarew+s aenabn lereawe wyl: one b.seg us: <br /> w n.Taraponer AtlmdMmgnel,la R.mrotd WeeMa <br /> o T 1 Pn N.m moral ` 2 l rem <br /> a <br /> z Trens nee ypeU iulure lil Dry Year <br /> c1 cS <br /> 1 1e.oledaw y <br /> 1Ba Isommency l^EMbban Spam ❑ DuaWTy ❑Try El Real ❑PaLLl Real ❑Ful Remedial <br /> Maaesl Relerare HmNar. <br /> 1Eb.AYemae FearM for Geremmrl US.EPA ID NamYer <br /> U <br /> LL F.dga Rare. <br /> 1Bc.SpnamredNerma FadMlIXGanreW) Mori Day Y. <br /> 2 <br /> 19.Haremme warn Remo Maagemanl MdM00oeee ll.e.,maeslw laaermawarn trevenml.emmul.am recywgayswal <br /> C 1 2. 1. <br /> � L <br /> zo.Davpaiea FaolM O..aewOpaamr Cerlaluumdraxpldnarelmus malerule mreiee by me manifesleawpt as metl In allea <br /> 1 rmed ypee Nam gnaWre mm Dey ea <br /> pppplmn yp L3 ZL <br /> El)7361257%4055 2 Orejwus Wool are obsoete. DESIGNATED FACILITY TO EPA's e-MANIFEST SYSTEM <br />