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1212112607 12:15 <br />2095453680 <br />3S ' � 1 �nrriatttt'e u� <br />� re n n rtt^ei. <br />SAFETY—KLEEN PAGE 03/04 <br />"FiElfe� Rlil W O l� <br />!'partmentOF Toxic Substances Ccnlrol i <br />Socnamento, Cali{oniio <br />Manifait Dacum�nt',No: 2, Pope. } lrihwin'ati6s In the shaded areas <br />.is not ro4uirad by Fedaral low. <br />e <br />DF <br />13. Total 14 Uefl <br />Quantt wt/Vol <br />T S. Special Horrdl;ng Insleudions and Additional Inferraallea MF S T R /T # 10 6 918 4 5 7 0003-0296-27 <br />EMERGENCY RESP 800-468-1760(24 HR), IF UNDELIVERABLE RETURN? TO GENERATOR. <br />SK CORP AUTHORIZED TO DETAIN LICENSED SUBSEQUENT CARRIERS AS NECESSARY, <br />SKDOT*Ai 5!1991 B• C D <br />Id. GENERATOR'S CMIFICATION: I hora6y declare That the contents of this eeaslgnment are fully end accurately desalbed abave by proper Alppmg name and are closs;Red, packed, <br />marked, Arid labeled, and are in all respects in proper condRian For rraMporl by highway according is applicable imernolionol and nationod gavernmont reguloriarv. <br />0 I am a forgo quantity generator, I uerIlly that I have a program in place to reduce the "luma and roxieiy of waste generated to Ike depren I have delermined to be economically <br />prdeticable and 166 I have sefeclad the pro<tica6le melhad of traaiment, storage, or disposal eurrenity a+aila619 ra re■ Wh1A m;nlmizes the present and Futuro threat to human hwilh <br />and the onvironmsnt; OR, if i am a small quantity generator, I have made o good foith effort to minlml:� ste genarotton rmd snlnct the bwt waste monegemont melhed Ihel 'IS <br />avoiloble to me and that I can afford. <br />>rrrned/Typed Name Signature Month Day Year <br />C Q <br />_j� <br />1 y, Trans orter i- Aeknow ■meal of Racel 1 of Materials <br />srint ed Marne Signaler Month Day Year <br />(Zj AgLml-G-T.G dIg <br />19. Transporter 2 Ackriowledoement of Rneel t of Materials <br />rrinlad/Typed Name" SIGMonth Day Year <br />1 I I I r <br />F <br />19_ Discrepancy Indleallan $pace <br />-_ <br />A <br />C <br />1 <br />L <br />1 20. Foellfth+ Owner or Op"tQr Cerli6eation of rncelnt'of haaar <br />T I Prinlod/Typed Name <br />Y <br />PR¢, <br />SNi L 0040128365 <br />SC 0022AIJ10002289766 <br />k 8700=22 <br />Man$ Doy <br />J- I- i <br />DO NOT WRITE BELOW THIS LINE. — <br />Wh4w TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS,. <br />Tor P.O. Box 3640, Sacramento, CA .95812 <br />.,2 <br />STOC XTONCA <br />,9, <br />95204. <br />A. Generalorei Phone 1 09 3 7— 5$ 0 1 <br />S. Tr6mowtb'r' 1 Cempaey Neina' <br />6. US EPA 1D.Number <br />SAFTY—KLFEN SYSTEMS, INC <br />T ' �0 O 50. 3 <br />? <br />7, Teaniparrpr-2 Company Name <br />8. US EPA ID Number <br />9, Desiynal,d Faeihly Name and Silt Address <br />10. US EPA ID Number <br />i <br />050122 <br />DEMZNNQ f KERDOON <br />T <br />2000 NOR H <br />,ALEMEDA STREET <br />CAT08001Jr352 <br />COMPTON CA 90222 <br />C+ <br />! <br />1 1. US DOT Description mcludin Proper 5hl n Name Hazard Class, and ID Number) <br />P� f• 9 P FPI g � <br />1 <br />1 <br />o, <br />R? WASTE GASOLINE MIXTURE 3 UN12,03 PG <br />11 <br />( D00 j (ER.G# 126) <br />_ <br />IN <br />b. <br />E <br />R <br />t..A <br />0 <br />R <br />DF <br />13. Total 14 Uefl <br />Quantt wt/Vol <br />T S. Special Horrdl;ng Insleudions and Additional Inferraallea MF S T R /T # 10 6 918 4 5 7 0003-0296-27 <br />EMERGENCY RESP 800-468-1760(24 HR), IF UNDELIVERABLE RETURN? TO GENERATOR. <br />SK CORP AUTHORIZED TO DETAIN LICENSED SUBSEQUENT CARRIERS AS NECESSARY, <br />SKDOT*Ai 5!1991 B• C D <br />Id. GENERATOR'S CMIFICATION: I hora6y declare That the contents of this eeaslgnment are fully end accurately desalbed abave by proper Alppmg name and are closs;Red, packed, <br />marked, Arid labeled, and are in all respects in proper condRian For rraMporl by highway according is applicable imernolionol and nationod gavernmont reguloriarv. <br />0 I am a forgo quantity generator, I uerIlly that I have a program in place to reduce the "luma and roxieiy of waste generated to Ike depren I have delermined to be economically <br />prdeticable and 166 I have sefeclad the pro<tica6le melhad of traaiment, storage, or disposal eurrenity a+aila619 ra re■ Wh1A m;nlmizes the present and Futuro threat to human hwilh <br />and the onvironmsnt; OR, if i am a small quantity generator, I have made o good foith effort to minlml:� ste genarotton rmd snlnct the bwt waste monegemont melhed Ihel 'IS <br />avoiloble to me and that I can afford. <br />>rrrned/Typed Name Signature Month Day Year <br />C Q <br />_j� <br />1 y, Trans orter i- Aeknow ■meal of Racel 1 of Materials <br />srint ed Marne Signaler Month Day Year <br />(Zj AgLml-G-T.G dIg <br />19. Transporter 2 Ackriowledoement of Rneel t of Materials <br />rrinlad/Typed Name" SIGMonth Day Year <br />1 I I I r <br />F <br />19_ Discrepancy Indleallan $pace <br />-_ <br />A <br />C <br />1 <br />L <br />1 20. Foellfth+ Owner or Op"tQr Cerli6eation of rncelnt'of haaar <br />T I Prinlod/Typed Name <br />Y <br />PR¢, <br />SNi L 0040128365 <br />SC 0022AIJ10002289766 <br />k 8700=22 <br />Man$ Doy <br />J- I- i <br />DO NOT WRITE BELOW THIS LINE. — <br />Wh4w TSDF SENDS THIS COPY TO DTSC WITHIN 30 DAYS,. <br />Tor P.O. Box 3640, Sacramento, CA .95812 <br />