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^ <br /> . . <br /> _---~ SAFETY-KLEEN SYSTEMS, INC. <br /> CALIFORNIA CONSOLIDATED MANIFESTING <br /> ADDITIONAL GENERATOR RECEIPT INFORMATION <br /> . � <br /> �ERVICE DOCUMENT #: ^�� 7 13 CUSTOMER <br /> 'LN52LIDATED MHNIF=3C LICUMENT k <br /> e-s 7�—'al 6,ca <br /> GENERATOR COMPANY NAME: <br /> GENERATOR CONTACT NAME: ru <br /> ' <br /> CALIFORNIA STATE WASTE CODES <br /> LINE ITEM (A) : 10311 ^ <br /> LINE ITEM (8 ) : <br /> LINE ITEM (C ) : <br /> LINE ITEM (D) : <br /> TRANSPORTER #1 NAME/ADDRESS: <br /> ZSD <br /> TRANSPORTER #1 SIGNATURE: DATE: ' <br /> GENERATOR CERTIFICATION AND SIGNATURE <br /> I HAVE ESTABLISHED A PROGRAM TO REDUCE THE VOLUME OR QUANTITY AND TOXICITY OF <br /> THE HAZARDOUS WASTE TO THE DYGREE TO BE ECONOMICALLY PRACTICABLE. <br /> GENERATOR SIGNATURE: DATE: / 7 <br /> COPY 1 - GENERATOR RETAINS COPY 2 - TRANSPORTER RETAINS COPY 3 - OPTIONAL <br /> K577GF-R6564 PRT DATE: 02/10/10 <br /> ' <br /> ' <br />