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OFETY-KLEEN SYSTEMS, INC. • <br />CALIFORNIA CONSOLIDATED MANIFESTING <br />ADDITIONAL GENERATOR RECEIPT INFORMATION <br />SERVICE DOCUMENT #: /�OOZZo7 / /1 CUSTOMER #: <br />CONSOLIDATED MANIFEST DOCUMENT #: <br />GENERATOR COMPANY NAME: _T ( <br />GENERATOR CONTACT NAME: j���V <br />CALIFORNIA STATE WASTE CODES <br />LINE ITEM (A): <br />LINE ITEM (B): <br />LINE ITEM (C): <br />LINE ITEM (D): <br />I 'TRANSPORTER #1 NAME/ADDRESS <br />I-RANSPORTER #1 SIGNATURE: <br />GENERATOR CERTIFICATION AND SIGNATURE <br />I HAVE ESTABLISHED A PROGRAM TO REDUCE THE VOLUME OR <br />THE HAZARDOUS WASTE TO THE =GRr TO BE ECONOMICALLY <br />GENERATOR SIGNATURE: <br />v <br />QUANTITY AND TOXICITY OF <br />PRACTICABLE. <br />DATE: Al2(y <br />COPY I - GENERATOR RETAINS COPY 2 - TRANSPORTER RETAINS COPY 3 - OPTIONAL <br />K577GF-R6564 PRT DATE: 11/11/08 <br />