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07/13/2011 06:29 20954530 SAFETY KLEEN • PAGE 07/08 <br /> Phase prinlor type. Form dealgned ler useen Own(12• Ion)lypewrlten) Fore Approved.OMB NG,2060-0039 <br /> 1.GMArelar ID Numlmr 2000x00 O.EmNdeAty ROnpDAAD PAane e,Manlmbi TAekIAR Number ' <br /> UNIFORM HAZARDOUS CAD981675093 001078489 SKS <br /> WASTE MANIFEST _ <br /> SGanarnlor':Nnme and MNIAg AOUIOno Generale/e Silo A roti 61 different then Mond nAdro,:A) <br /> SAN JOAppUIN RFGIONAL TRANS If <br /> 1533 E LIMDSAY'S'T ATTN 'TRANSIT DISTRI <br /> STOCKTON CA 95205 j <br /> � Oaernofephann:203-948-55G6 � <br /> e.lyonapoder 1 Coan Nmnn U.S.EPA ID Nutter <br /> SAFETY—KL �J SYSTEMS, INC, TX9000050930 <br /> T.Tmnepp0m2fAmpom/Nnme V, . ID umbo <br /> p <br /> Sem Atmews U.S.EPA IO umber <br /> .__.. .,. b,0a0neW Fi <br /> SAFETY-KLEEN SYSTEMS, INC. 000618 <br /> �m. ............----1�72�2—COOPER—CREEK—ROAD---------------- -----------------------� <br /> DENTON, TX 76208 <br /> FacuNyn Pnane. 940-483-5200 TXD0776 0 3 371. <br /> i <br /> 0a. Bb.U.S.DDI Dexdplmd(Inchift ProOar%depNp Now,Heior$Clot.ID Nomber, 10.0enmdAlm it.land 12 poll <br /> 110 And pooling Group 1111001 No. Type ousney 110,01111. 13.WMIOCOdee <br /> X FQ WASTE AEROSOLS, FLAMMABLE 2. 1 UN1950 JDM 1 12 P ID001 P0.1s 0005 <br /> D006 43 4UTV <br /> 2,W ESoL�a.L Co�n/7r}l+v/�^�, ^"��� 0110 fJolB i <br /> ��Q` tat• C ' cr�� wz�,w� y, 2s-0 <br /> � Yrq <br /> 3. Ov RCS+ tj*Z.V—oc)(a w4al wo <br /> SQ�3�t�r (� 2/0 3n <br /> a. <br /> a.9paeim lmnnplp lminlNona Andadadanenn!ormaeM SK CK#109805074 0000371161 <br /> 1 ERG#126 <br /> WG I*133 <br /> SK AUT 0 USE <br /> °U CR41 8 '81 B 0 <br /> IS. GENERATDR'210FFEROR'80ERTINUATION:I WHY declare lher thewrlenlnof mer coAllinmbnl are kill,end MMIIIydxcdbed nave by Ilia pmpmkppSy nerve,dr NecleeAlead,pncknpe0 <br /> me , <br /> ted Not nberedlpmrwdird,and am In all roepods n proper for hanepm0 euoroing t0 amilAlbm inlemmlanel nndniWNl govemmolual regulations.110000 ahlpmMlohd l em the Primary <br /> Ey'"Or,l ttnly that gu mnlanKOf Nb mnelgnmenlr4nfdm b the 101111(alUm ebbe EFAAtkwilergmeni of Consent. <br /> I only Nal Na waste mnlmleanan elommOM 000117000 In AOCFR 291471x)(Illpmnlegs pubnby ganaramQ Or @1 pll BmeemAllRu Iyden rl to INC, <br /> Geml%Ora!DOaW Pd lwyOed Nemo 61pne Oq Yaee <br /> Z /ZG <br /> _u 16.memeuonel 6N Mm <br /> c ubmcRIOU.S. ❑EXportfmm U.9. Phil of Mbyletll: <br /> $ Tnimmanarg Aetum!for anode only): Deb livi U.3: <br /> 17.Ttommoder AOACaIOdamem ofRi tof MAlf <br /> TrDKpMor m9(fyped Name 31ei'nlule, uonlh Day Yewr <br /> g /� � Oz / ZUcl <br /> Trane mer 2 FllmnalrypedNeme ur y n <br /> K <br /> Ib.Dbcmpamy II��II <br /> 19a.0lxropame,Intention Speae 0owl ❑ryps URx'in ((�� <br /> ❑PoNDI Aepmbn I,—I roll RAIen'm <br /> MOnIIeR OmMB Nu bo: <br /> lab.AhemAIR F101y(v G.vMIOr) US.CPAIO Numbnr <br /> ogJ <br /> it Faclown phone: <br /> W ISO.9lpnelum At AII)MRln Fatally lot Dnnetadeg Month City <br /> Year <br /> ��Msil <br /> y 10.Haaemous WRNn ROOM Naneplmord Mended Cadx(la.Alda for heLelowswtlla Immune,dpcxl,and Al itzend) <br /> 20.061pnMld FadDy Oxmm aOpemlm:Cenmmdipn ofal of hbe euamRiagam waded by to moveltacopla M046 In Rom loo <br /> •rememiypl Nmne- ....__. —...._. _ ......_ _...—._...___._.--_._lIIgE01Y_ _ — ._ -_ . . _MA __Db—_. ar._ <br /> R <br /> XTO.ClES <br /> — . . <br /> AAFFgr 8700:42 v • 5 e �qcpoIy M ._._.. _ _ <br /> j" llrl fmU9Uly .� .-- - S7 4)--- - - <br /> —a.�iorlRssv,.3�r.1��;.2.:sa.n.6 2��cr�'/69BYi-/—k7✓d����)�t7o/o•sY�/—Y� nNatrEtip�TATE. ui <br />