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SSL SK SHIP# 222768698 11111111111111 II�III III VIII 31133333 <br /> 006100793 S K3 <br /> Please print a lype.(Form deli ned forum on elite(12•pif wMer.) 9 A�mr�w9me Form Approved.OMB No.20509039 <br /> UNIFORM HAZARDOUS 1,Gm eret«IDNumNer TXROOOO81205 2.Fie 1 of 1�E ry4W 1/bt0 a.Mam,¢ar Trak. xu <br /> WASTE MANIFEST l 006160793 SKS <br /> s.Crwarai Nairn of Ma W,Accrea9 GermNoh SMPdtlrewlXdMemaenrtailagatldress7 <br /> SAFETY–KLEEN SYSTEMS, INC. SAFETV–KLEEN SYSTEMS, INC. <br /> PO BOX 555 5050 SALIDA BLVD <br /> SALIDA CA 95368 <br /> G,,araa,pbaea; 209-545-1011 SALIDA CA 95366 <br /> SSTr V–'RM SYSTEMS INC U.S.EVAIDNumb« TXR000081205 <br /> 7.Treeapa%r2Company Name US.EFAIONani <br /> 0A a <br /> e.oedgeaka Fe airy xameaM SaeAddeu SAFETY—KLEEN SYSTEMS, INC. Il.3.EFAlDxumbm <br /> 6000 88TH STREET <br /> SACRAMENTO , CA 95828 <br /> F«ili sPhone: 916-386-4913 CAOCM84517 <br /> 9a. 9b.U9.00TOea«ip5on 11«maM Amps SNPoi^9Name,Hamm gaw.IDNumber. to.Cwminem 11.1ml 12.Unk 13 Ylasla Cotlea <br /> HM aM Pda'r9 Group ltleaYll No. TM OwrlNy WIAU. <br /> rc DF <br /> 0 <br /> ou <br /> ou <br /> 2'NON—RCRA HAZARDOUS WASTE LIQUID DM �O G 134 <br /> (AQUEOUS PARTS WASHER SOLUTION) <br /> �i <br /> a. <br /> 14.spear HaMar9lruac9ona.MMdAgealldama9w TSD:SCA SAL CSG. <br /> 1�1 p2"1(CO=� 1'70 321 2-IM <br /> HR EMERGENCY #1-800-460-1760 fAUTH AS "AQPNT—FQR" BY GEN TO I / TAI) C 1 '1 2'1 0 <br /> N LICENSED SUS <br /> RRRTi <br /> 15 GENERATOR'&OFFEROR'S CERIINCall msI nanover mndaerionsfa aiac«ngnmenlare allyaM mwnbl r ibetlagniiinomators.lWnBnamianaer lin, d,Form ed. <br /> monad am lab¢ktllpbwN¢n,and are In all respeas'm proper wndAan lortrareyonaewaing a apalwble imma9wdaN na9wm govmmwkl regula9ma.xexlwn ela«rl«aaM em ae Prerary <br /> Fi.(gkr,I wrOfy Nara¢wnl¢nk of aia wnsgnm¢nt«Mwm b rM1e krms d ae atlddlatl FPA Ackrq W¢tlgm¢m N Gnwnt. <br /> I wNh Wl aev95k minimvnlbn atatmentitlen9fwtl inb CFR 28227(al l3lmelarge auanuy gensala«(bl l3lmaamellqueneh9en¢rabNu�rue. <br /> Cepap�C sPrmWVFY�d Name sgreare M«gM1 Dal. Ann�JA ` 1 –7ll l <br /> ifi.lmemational Sbipmenu <br /> 2 ❑Iagodb U.S LJ s. F«Iaerarynnot <br /> Tmnsponersvarurruf ¢amnsoNyl: was Mwar9 U.S.: <br /> K 17.Torr/slpe}ra.'krAarnwleagmam aRecddd McWWs <br /> 06 Tq�pol "h�, ypetl Name s re Mma oay Year <br /> rill 1 <br /> '7I 1 <br /> Tmnep«kr2FdntebRYped sore Nora Year <br /> t8.Deaepano, �i r7 <br /> 1 18a.Da eam,elromwa Spew ❑ Oeani ❑Type El Rai ❑PaNd Rgemu ❑FIai Agai <br /> Mana Ra«er,w NmGr <br /> 10b.Nmmab FmlOy(a Gerarear) Us.EFAID Num ar <br /> U <br /> u FetitiyaPMre: <br /> Maj 1Bc. da <br /> sq.W.afAAan.Faa•(«C+earebrl <br /> f MorM Ory Ywr <br /> 2 <br /> w19andmWolysy&ms) <br /> H141 3. :1— 4. <br /> 29.wagnaka Faalry D,,,arorDcermo�c¢mrw nmrereiganawmws maleneNwreree nrm¢mannana.wq asraaam lwn,ea <br /> ill Name MOM Yes <br /> E1 0700-22 previous itimsare 02 T FACILITY TO REST ON STATE IF REQUIRED <br /> 1�3-2)14941/156023 3iii94-Hf56023– ( I <br />