Laserfiche WebLink
SSL SH 218734581 lY 711` <br />PI0009prod Or 1pv.(Form W for onpINb(IZ�p <br />O 0 lNll pOx'MM. <br />l��31� 5 IMI (III III <br />53 2 8 2 0 5 S K5 <br />F.OMB No 2050-039 <br />I f 11849/ Ift411 / P^ l"M. ereOhtleb DESIGNATE A LITY TO DESTINATION STATE IIF REOUIR O) <br />SEP 15 2017 <br />ENVIRONMENTAL HEALTH <br />DE'D!'.RTNIENT <br />UNIFORMN 130Uq ,D°^+wal '^^°° CAH111001844 <br />]Pyald <br />if—m LmL <br />WALTE WANIFEST <br />1/ 0538205 SKS <br />S <br />San J.l DagaGM[rdb'uagu MLptt t b]I6[ .IEp1Ma11 Nn meaged]N[[I <br />in DMnty HHN Facility <br />7850 RR Bridgeford St <br />STOCNTON CH 95206-0000 <br />209-468-3066 <br />e r� SYSTEMS, INC. US FPAJDNm TR11000081205 <br />1 rienyanutfempnr Nerre US.F AIDMmW <br />a DaM1a�lPwlryxanen wuenw SAFETY—KLEEN OF CALIFORNIA, INC. .EMIDXuIEeI <br />6880 SMITH AVE. <br />NEWARK , CA 94560 <br />510-795-4400 CAO980887418 <br />FeaR/t PMn. <br />y, <br />W US O D.."M kdNP SWppkgxYn,HvuE .MNul . <br />10 fnWlln <br />11 TolY <br />12 UM <br />HM <br />°Ia Pe1WGwV(IIM')1 <br />�Y, <br />wBi <br />1]Wrb Cedes <br />TFes <br />' NO'�nCORALHAIARDOLIS WASTE, LIGUID <br />TT <br />G <br />221 <br />x <br />'—` <br />/WJ <br />] <br />a. <br />° TSD:EVG 69807761 00103943 LSGI <br />AUTHRAS -FOR"BBV <br />AAGGEEN <br />"AGENT-FOR"GEN TO RET8-1760 AIN/LIFCENSED SUS CARRIERS AS NECESSARY <br />B CARRIERSNECESSA <br />1! OEXFRxlOX69{RRM'l DBITFlDATpX: Illaexr d,axe tllelM nrMA dNeml{[Xe11ew Y lwla. to ore bwlM,peaptd, <br />.,bMWlbbdNorebirwpethNpvpr mrdYm IwlmyM emnyb{abtl,V1[IeppwwlatlnWMpwinpywpWlyn IleywllxplwA wtl em NeWmry <br />Egvr, I <br />F pal OnmrMet OIW[mn°IplmrA EIMNbbMetlon <br />me mQC RP°YlndNeM1NM <br />IG'prrtlatlX xYX11MInpeM tYYmaY1MHbInWCiX]1311(dlMlmehNe OIUTAIMYen°ohlly Wl Al anu PYIIAri WnelYll)• <br />M, (JIM <br />reroabh'OPaxa PtnaMIPMlume 1 „y <br />I{ <br />� L5 <br />< <br />❑I ❑EBw1YmuS <br />U.l Po"d- <br />Tlwgewtlylwelbralgpm Dela WMq U.S.: <br />1] nncwlwxcbe,xs�r,.ualbabldr.YYw, <br />Tm RiM:Trywlx+ra _ SgYlwe MXN DW YW <br />O 113 -117 <br />r wr] , yex . sq Yme !Mann Dn w <br />1 <br />1N Iodlwlon!pew ❑Ooanry ❑iXa ❑Re11M ❑Paex RwP ❑FNR*ft <br />MYf ypplO�ww NunLw. <br />Ilp /,Ielnlb fiYf,'IO �iPM➢'b US EPxq NUMY <br />V <br />LL <br />rw flM1wa <br />1 - hA MNNN spYflw I Ab'M Dal YW <br />0 Haablu WwY Raped Ye.N°Ilwa Ybad Coda 11 °., e]N, lar IawNaa[xggeeel]X[nl, dlyp[I,and ng3q[,eYm( <br />1 <br />dl DenpmMgF OenwwOpsidw CwlrmllenalaXPldM1callou[nablbY mlwtdp, Vamen4yelnaet MalYXmlle <br />nd w <br />1 <br />I f 11849/ Ift411 / P^ l"M. ereOhtleb DESIGNATE A LITY TO DESTINATION STATE IIF REOUIR O) <br />SEP 15 2017 <br />ENVIRONMENTAL HEALTH <br />DE'D!'.RTNIENT <br />