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SSL SK SHIP# 221707034 111111111111111111111111111111111111111 <br /> 0059479763KS <br /> Please pmtor type (Foran desgmd for use on elh(12�pilch)typewrder.) Form Approved.OMB No,20511-0039 <br /> UNIFORM NAIAROOUStGenere1pr 10 Number CAL000352832 -Pa9elld lErravenr. R ��se RnnreO d.ManikalTndmO NUmbr <br /> WASTE MANIFEST 1 tltltl 1�6 05947978 SKS <br /> 5.Gereramh Name arty Maifeyy PAOnss Gene'aWs$il¢IMr¢ss(i1d11ereN tlan maifug a]@essl <br /> Gardner Trucking/Classic Sales In <br /> 2577 W Yo Semite Ave <br /> MANTECA CA 95337-9641 <br /> wewmwe 11nna 785-690-0109 <br /> c itS'T EYYCO°IPS". 'Ff SYSTEMS, INC. US.EMIDNumbn TXROW081205 <br /> ).Tnnspon¢r1Lwnpeny Name US EPA ID Nut o <br /> CLEAN HARBORS ENVIRON SVCS INC MAD039322250 <br /> e Desyeaum Fadury wame arm srtePAdeu CLEAN HARBORS OF WILMINGTON LLC US.EPA ID Number <br /> 1737 EAST DENNI STREET <br /> WILMINGTON , CA 90744 <br /> 330-835-9998 CRD044429835 <br /> Faei 'S%qiK <br /> 9a 9b.U.s.DOTDesmpho (l WPWRaur Sh W,Nan'e,HanrOClaz DNumoe rO.L ibas 11.Taal I f2UN1 <br /> HM arA Pawrg GmplildMll �, Typ¢ ��, mNd_ IJ.WdSe GMea <br /> 1 NON—RCRA HAZARDOUS WASTE, SOLID DM P 223 <br /> o (OIL FILTERS) I { Sb <br /> z I <br /> w <br /> z 2 <br /> w <br /> v <br /> s <br /> I <br /> a <br /> id 3pedal HaMNplrm9uagnSa MMoyulln1 m . TSD:WI BA15065 CS6: <br /> 24 HR EMERGENCY 91-800-468-1760 (SK / TFI) <br /> AUTH AS "AGENT—FOR" BY GEN TO RETAIN LICENSED SUB CARRIERS A5 NECESSARY <br /> 15 GENEMTOR'SpFFERdt'S LERnFlLAnON: Inweby tlmlare Net 111econNAN dN�s mrsgmrenl are hNy arm aaunlely tlesmhm aboveb�Ne proper sNeging name.aNan dassNM.paukagM, <br /> mahetlantl NUeIMMamrLetl,aM are in ell reslcma n premr wMNon Mhanµvl ecmdilg baplMir b¢nlematipWard lulmal ywBmmenlal nyulaLonx.Xevppl EM1iprenl aN I am Ne Pnmay <br /> E�mnpr,laNy bUl tlC MCMs oI111¢ansgnmenr mildm fONe Wmre Ol Ne atlaOM EPAR[argMN9menld CavenL <br /> I mnMy Na 1M wam mbdmvalgn sNlemenl kenTlfM vl CO LFR]61.Sila)IR I am a Mrge puantirygereralprla(b fAI am a amap eumNRygawralw)is We. <br /> Genentora'Cflads Prmrel ,00l Name Sipmture Monty Day Yew <br /> o _ c <br /> 16 Inlnmalawl56gmm6 <br /> i ❑Impwlro US ❑Expat A¢m U. . =WA,sUS, <br /> innsp¢ner sgremrellwealwrl5auyl: pam leaMrg US: <br /> w 11.Trans lAG,.Wdy td R�ldMoLL <br /> OTr Mer1Pe retl?Yp¢d me Sgn Mont W, Vesr <br /> a oa a� <br /> Q TranspCnCr2Rprktl?Y1Hd Ndme dere <br /> MwaA Day Year <br /> FlijrepaayepamrylM:cawsloo ❑ Qanbry ❑Tw ❑Rove. ❑paN lRaKdlm ❑Fup Rejx9m anF lq lw Gare Aa ) US.E IDWmber <br /> PwQre:name dAnernale Fabliy lw GerenlwlOdV Yew <br /> mms War@Relnn Management Mallotl 3.}d1U\ <. <br /> 9na JFttilry gwDp nlw MdryM Name <br /> W1eatA 1ic1S<l IrR 3'qw. Mmµ NY Yea, <br /> EPAFeem0700-22((Rev 3-0%,evious ediLbns are obaolele. 3 l� )1 <br /> I)7E121D03/156777 DESIGNATED FACILITY TO DESTINATION STATE(IF REQUIRED) <br />