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' . . . <br /> SAFETY-KLEEN SYSTEMS, INC. <br /> CALIFORNIA CONSOLIDATED MANIFESTING <br /> ADDITIONAL GENERATOR RECEIPT INFORMATION <br /> SERVICE DOCUMENT #: 51 CUSTOMER <br /> MANIFEST DOCUMENT <br /> ' <br /> GENERATOR COMPANY NAME: <br /> GENERATOR CONTACT NAME: <br /> CALIFORNIA STATE WASTE CODES <br /> LINE ITEM <A> : <br /> LINE ITEM (B ) : <br /> LINE ITEM (C ) : <br /> LINE ITEM (D) : <br /> ` ^ <br /> TRANSPORTER 01 NAME/ADDRESS: <br /> .- <br /> 7\ <br /> TRANSPORTER #1 SIGNATURE: DATE: <br /> GENERATOR CERTIFICATION AND SIGNATURE <br /> I HAVE ESTABLISHED A PROGRAh TO REDUCE THE VOLUME OR <br /> QUANTITY AND TOXICITY OF <br /> THE HAZARDOUS WASTE TO <br /> THEPRACTICABLE. <br /> GENERATOR SIGNATURE: C DATE: y[/ <br /> COPY 1 - GENERATOR RETAINS COPY 2 - TRANSPORTER RETAINS COPY 3 - OPTIONAL <br /> K577GF-R6564 PRT DATE: 02/10/10 <br /> ' <br />