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SSL. SK SHIP# 21897642E IIIIII�III�III'II'I�IIIIIIII�INII�I� <br /> 0 0 5 3 2 9 4 3 1 S K S <br /> Please print or type.(Form designed for use on elite(I20Cdt) er.) Form Approved.OMB No.2050-0039 <br /> UNIFORM HAZARDOUS 1'Gerrerator ID NumberPage 1 of 3.Emu chop nse Pthone 4.MandW Irmaing Nranber <br /> WASTE MANIFEST CAL000226285 1 1-8�0-468-1760 00 2. 5329431 SKS <br /> 5.Generators Name and mailing Address Generators Sita Address(8 diverent Can maing address) <br /> Consolidated Container Co <br /> 75 W Ualpico Rd <br /> TRACY CA 95376-9129 <br /> Gernratars Phone. 209-836-2151 <br /> 6.Transpmar 1 Cor�ripea Name U.S.EPA ID Winter <br /> SAFETY—KLEEN SYSTEMS, INC. TXR000081205 <br /> 7.Trdrsporler 2 Company Name U.S.EPA ID Number <br /> Aarro— A4----- <br /> 8.Designated Faoity Name and Site Address U.S.FPA ID Number <br /> 1340 W LINCOLN ST <br /> RHX AZ 85007 <br /> Facitye Pone. 602-2258-6155 A Z D049318009 <br /> 9,. 9b.U.S.DOT Description(Inducing Proper Shipping Name,Hazard Class,D Nurber, 10.Conuiners 11.Told 12 Unit <br /> HM and Pad rg Gray(d rr0')) No. Type Quantity WINd. 13.Waste Codes <br /> 1' WINE NON RCRA HAZARDOUS WASTE SOLIDS, DM fir^ R 2c^3 <br /> 00 (ABSbRBENTS, RAGS, OIL), WA (�(JlJ <br /> ag <br /> w <br /> z z. <br /> W <br /> U <br /> 3, <br /> 4, <br /> 14.Special Hanarglnwumonsad Additional lnrmrim°n TSD:PH E9781277 C099768 J `CSG: <br /> H- <br /> 24 HR EMERGENCY #1-800-468-1760 (SK / TFI) / LFA d <br /> 15. GENERATOWSIOFFEROR'S CERTIFICATION:I laneby declare li Ca contents of this corhdgrrsrrerrt are fully deetrbed abo a by the proper sloppirg nwrre,and are ttasaied,pacl�ged, <br /> maned and tawadtoawded,and are n at ms"In proper conhdlim for bsropod aaondig m appliable i�(bI <br /> = d national <br /> Exporter,I�Y Cal Ca conkns Oft"ansignart mnfmn b Ca tars of line allKtW EPAAdwowtedgne �reguutlorro.C upon a°nb I am tM Primary <br /> I md4 tial die waste minimization statement Iden tried n 40 CFR 262.27(x)(d 1 am a urge quwuy geoenator) (if l a smart quarroty gvwator)is Ewar. <br /> a Pridw176yped Name <br /> fl v1 lSo, ' V1T <br /> J16.init,,,ati6neishipmarls <br /> i Import to U.S. ❑Export frau U.S. Pat of entry/erit <br /> Transporter signature(fa exports anly): Date leaving U.S.' <br /> W 17.TranspMaAdnw,kdgmeit of Receipt of Matenab <br /> w Tra1 Prihled7Ty <br /> 011A <br /> Q Tom✓ Y� Signa Day Year <br /> Ir <br /> J 7l <br /> 16.Discrepancy <br /> 18a.Discrepancy Ind' 11 Space ❑Q.my ❑Trip, F�L I Residue ❑Partial He)e6m ❑FJ RgKbon <br /> 18b,ACemetu Fad a Genera Manhitest Reference Number: <br /> �'( �) U.S.EPA 10 Nurber <br /> J <br /> U <br /> LL Fedlays Phare. <br /> r18c.Signature of Alternate FadCy(or Gerheralor) Mcrgn Day Year <br /> Q <br /> Z <br /> U5 18,Hazardous Wasle Report Maragenegn <br /> nt Med Come 0.e.,codes for hazardous waste Ireeln+ent dsposd,and recycling systema) <br /> 1 <br /> 1. Y� 2, 3, 4.20.Designated Facility O�or operator:CwC6cation of remit of hazardous materials covered by Ina mend w except as noted in Item 18a <br /> Printedfryped Nane <br /> S�nasa-s�fd..s� hue y Year <br /> EPA Form 8700-22(Rev.3-05 Previous editions obsolete. DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br /> 1)7479378/80942 <br />