Laserfiche WebLink
09726/2003 09:23 940-48257 SAFETY KLEEN DT•.. PAGE 04/04 <br /> •TD(AS NATURAL RESOURCE g <br /> COB( ATJIONCOMMISSION 7-185-01 <br /> " P. 130* a <br /> AAin,TeX47e711.3087 y <br /> gefee wit"ertype Farm oosialrod bruw on silts 12-0lch WPIWIler, Lerma L <br /> .Oma ,.2050-0ada. <br /> UNIFORM HAZARDOUS 1.Genarauces U5 EPA ID No, Manlefaasl 0 2.dr Page 1 Informallcr In tna.shadod areas <br /> WASTE MANIFESTRalfAAARPis not raaulred by Federal law. <br /> 44 <br /> 3,Generators Name and Mailing Address AMT£X CORP <br /> 550 CAR14EGIE <br /> ATTN JASON Rml- <br /> I <br /> MANTECA CA 95336a,GaneraloesPhone 209 239-9095 <br /> 5,Transporter 1 Company Name 6, 'US EPA ID Number0" k <br /> T.Transporter$Company Name 9. US EPA ID Number - J r <br /> 9.Designated Facility Name and Sae Adtlres$ 000618 "a US PA ID Number .. ,+y+h PPPP,rt1" z �. I�j V-- <br /> SAFETY—KLESN SYSTEMS, INC. G <br /> 1722 COOPER CREEK ROAD <br /> DENTON, TX 76206 <br /> 11A. 11.US DOT Description(includin Proper Shipping Name.Hazard Class. ID 12.Containers 13. <br /> 9Total unit ;�i-- <br /> HM Number and Packing Group) N° Type queldi 1:�Mcl '' •6 <br /> e HASTE OIL AND ABSORBENT MIXTURE J ) <br /> (NOT USDOT HAZARDOUS MATERIAL ) �dZ DM civ <br /> e b <br /> T <br /> cl <br /> •z _ i, f' �t +,�'rf• fift <br /> I,hP'�r, t'. rd' {F3.SbRN �B <br /> • �Y v •�r��� >✓�!:i{{';i�'�^� � c�>�'�R,+� Cv' �� �� [II 1!k'�s� .G *_is"t� <br /> w <br /> IS.Special Handling Instruciiorla and Additional Information riIF lenN <br /> SK£CORP AUTHSD TO0USE6SUBSE UENT( 24 R�ARRIERSA£81FST 300,40355, 4 015,110582Eb4E15 <br /> KDO16,OENERAmows eERTIFICATION:i hereby declare"I the°amana,er a,is r/lnslgnmeM are tulhy and ad,:,[,wit,daeefibed ibm by me pn.l,er ehlpping hamf Ard arc. <br /> Blest tm,paaked,marked,and Iahalu afplacarded,and are In ell mepecle in prdner Cxlndimn for trans°on by highway according to aopllaeb i Inlarr nal end nailonal <br /> gm rroant mgvta0orw,mrluarl Applidablo etele ragvlAudas. <br /> if I am a itevo qua whi govione pr.I coaly that I have a p+epram In plow b reduce the volume end toxicity orwagte generated Ip the deal ee I nava tlenmirrd to be <br /> economiUl%y plaollesble end fiat I have selected the praWi,-4bla maitlod at Ifulhlent.ererage,o,djepdAel Currently avallebla 1e me which InlalmlzeA Na present and <br /> future Imae1 ho human health and tee erwbenment OR,it,am x small qum%ty%eneraler,I have meas a good film alien to minimize mY ras[e geronadn and ealect <br /> the boat wealo management method WI is"]]able to me and'hot I can axord. <br /> P6irled/rypeid Name Signature Moran Day Year <br /> _ 8 2.7 <br /> T 17,Tra 1 AgknI7A1adGernert of Receipt of Materials _ Data <br /> A d ed Name / Signa MpMh vay Year <br /> g (] Z G _ r. Z <br /> 0 1a. ransponar 2 AdmaA4ed amen of Receipt of Materials <br /> T Printeorryped Name Signature Month 00Y Year <br /> y. <br /> 79.Dlscrepeney Ifidleaborl Sdaice, <br /> F <br /> A <br /> I <br /> 20,Facility Owner fir Operator C00catlodof receipt of hazardous matanals covered by This manifest except as noted In Rem 19. ' <br /> T Data i <br /> Prinadrryped Name Signature Monts Aa!^�' ;ear' <br /> White-original PTSOFac%ty Yelrow-Transportar Green-Gene•.eAesfirstcopy <br /> TNR.(`tQf)�j1 L(R4yi T nrs , a: ./a-t1f <br /> 2 [i20 ' d 0490602 Ol 089E SLS 602 I0S8IL—>iS dA Sb : 60 6661 02 1233 <br />