Laserfiche WebLink
07/13/2011 06: 29 2095453 SAFETY KLEEN • PAGE 06/08 <br /> 7.-185-01 <br /> P AA9e nl orI e.(FDM doalgned for voter aide 12 Itch IppawrUec FomlA rovedOMB ND.2060•D03B <br /> UNIFORM HAZARDOUS 1.Oanoslol ID Number CAD981675093 2.Papn lot 3.F.mnlalr Reapdmo PNoml /. epe}l Tmak n9NUm of <br /> WASTE MANIFEST _A - - X0 L773639 SKS <br /> ' a.GomeAIDY'Nme and MelMp AddfelA Oenargle/eSile MdreYpldlgerenl[lien matlhp Atdlael) <br /> SAM JOAQIUIN REGIONAL TRANS <br /> 1533 E LINDSAY ST ATTN TRRANS�IT05DISTRI <br /> TOCKTON CA <br /> Generators Phone: 209-946-5566 1 1 <br /> e,Tlanipaner 1 CamPmly Name U.5.EPA ID Moment <br /> SAFETY-KLEEN SYSTEMS, INC. TXR000050930 <br /> ?.Ira napoOar any Nome U,S.EPA ID Number <br /> e.Dos neredyncnynamonna9ueadaua SAFETY-KLEEN SYSTEMS INC. 000618 Us.EPAIONumber <br /> 1722 COOPER CREEK ROAD <br /> LEE 00-4133-5200 TXDO77603371 <br /> aPNDON <br /> r� <br /> am.US,DOT Descopeon OneRmiMp Pmpor51,1000D Nome,HOUR$Coma IO Number, 10.CanlAlmos N,Tmel 12.Und 13,Wnslo Codon <br /> 11M and Puklnp gratin theny)) No. Type Ousnliy WI.NDi. <br /> + WASTE SOLIDS CONTAINING FLAMMABLE DM P DO D01 213 <br /> o LIQUID, N. O. S. (GASOLINE, BENZENE) 4. 1 <br /> g UN3115 PG I 111 1 74an409 <br /> NO 7. <br /> c� <br /> UN2794 <br /> a. RQ WASTE. AEROSOLS, FLAMMABLE 2.1 UN1950 DM P DOO1 D03 COO <br /> (DO01) D00 343 OUT <br /> Ant <br /> r0002) <br /> 14SK CKA1 04990 0000371161 <br /> 1)ERG$133; ; 3)ERGt126; <br /> S AUTH' TO USE SUBSEQUENT CARRIERS; 51038, 87585 81681 82739 85399 <br /> I5. OENERATOMAIOFFEROR'S CERTIPICATION:I Mr/by deaore IM1lhecwlenlaefvda wnelgnminama NNy end aeanatNydlocnbedgbove bylno DmpAremlDNnp nnme,enlelo coealMd,paoyApk, <br /> marked eDd[nbeladNecNded,endnre[mill rahm in pmpimmillon forlranspodaomrdag k;ODDIiubma AlonalhNl end nWanalpavemmemmmpnlAlione.It nlpen IMpmenlend mom the Ninety <br /> EepoN/r wdlly Diel the(GnMmd dIMI eenolpnmenlmnlorms the momsefNl alledtAd EDAAaWlewllapmek ofConokag <br /> I sorely Ilial mewotle mMlmomlon ealemenl Ioeniggd Indo CFR 25227(n)lif(ane oNe gaentrrypaeeomQq 00) 11 am.m amend quanoligomared4 lame. <br /> Oenenloh Ibrn@Penmd7Iped Name Slmnptur Month Day Ye <br /> J 16.lolo9 amen. Imp Io US. ❑ErpaA lrafl U.S. Pelteffory/04111 <br /> 7mrnpenenlpne apoAeanl : Oae savinp U,9.: <br /> � 17.iin aAdmewMtl9m nld Rewlpl of MAlmlaN - <br /> Gire Dona 1 PAMaallY ems � 9 tlwe month DAY Year <br /> 13. <br /> rn Tranapoher2 of ype Name Slpne with Do Y r <br /> ( y <br /> c y ` ti1 G•Ct'p' r � �1. I t � I on <br /> } 10.Dlaarapnnay I--t - <br /> 1AaDhoropengnaRGlan9pnw E) Duenuty L;Type hl Rmlduo ❑PeNq Rotation <br /> ❑Full fte)edlen <br /> Moi RefaanwNu o. <br /> 191).Alkmnk Feeley lar Genorsto9 US.EPA 10 Number , <br /> J <br /> U <br /> PO<IIIrylPhpno: <br /> ape, int.SlpmplUm tlAt,Ma la FacINly 10100 Mglm) "DESTINATCYU10 <br /> w 19,HAVri wAlN fteped MMa96MON Nllhod Cools De.,MOOS III nenerde8wlila holmam,depooll,and meyeRmg ayeom <br /> 9n p ae meskkcovemd OylAemenY oaeapl ee flood in <br /> T- <br /> F <br /> YP Name rePFauGMOwrernrODemor•fnRfdalon ofmal ItlbuarE Fe7 DV •09 rve tet II 1 )200069847/ D10740 _ _ .)350138631. 2728DESIGNATED <br />