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ASUU.Y
<br /> OIL
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<br /> TRANSPORTER: Harland Gon1ez
<br /> --
<br /> - --
<br /> CSG Sk-SST RO1 ?i Raymond Gomez 06/12/18 13:49 PAGE 2
<br /> DE5('nlp;,nb - - SHIPPING DOCUMENT
<br /> CUSTOMER#/GENERATOR: OR14384 O'Reilly#2567 77084290-180[P'.
<br /> 1440 E Harding WAY
<br /> Stockton CA 95205-3104
<br /> PHONE 972-555-1247
<br /> - I GENERATOR USEPA ID. CAL000392478 GENERATOR STATE 9060019999
<br /> MANIFEST#: 006520800SKS FORM CO: 10 SHIPS 22572]1447
<br /> TRANSPORTER 1 TXRooOO81205 SAFETY-KLEEN SYSTEMS, INC.
<br /> TD L 5050 SALIDA BLVD
<br /> cNL�%v SALIDA,CA. 95368
<br /> WASTE DISPOSAL INFORMATION _ TNSP PHONE: 209-545-1011
<br /> �•. N9UTF,LN)UID(USED LIUMI%ED OIl51
<br /> B',15TE,L10UID(EiHY1ENEGLYCOL SOLUT-11 SW CODE 2n TRANSPORTER 2
<br /> TE CODE
<br /> --- US DOT DESCRIPTION'— — (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS. AND 10)
<br /> EMPrvoRUMt: ---- __--- --- NON-RCRA HAZARDOUS WASTE, SOLID
<br /> -- FACILITY:_ _
<br /> - QIRAINED/UNDRAINED WASTE,
<br /> FILTERS
<br /> fisc ES=.
<br /> GENEMTOR WgSTIE CEflPFICATiON(PLEASE CHECK THE APPROPRIATE BO%I -_-- FEDERAL W� COD 223
<br /> .:...r STATE WAS TYPE ON WT/VOL P SKDOT 7872676
<br /> TV_ CONT 1
<br /> dl geneTato�•/customer MUST check ONE of the following three boxes) clVl 18060SS39573 SZ' SS GAL/205 L CONTAINERS QTY: 250 PROF#156033 C
<br /> FACILITY NAME/AODRESS:
<br /> a..an.m„s»wm14r..r„rceUmn e+^iwovn,,,.,mmr..,nm., OESLRMODUIDS INC
<br /> elrwr Nn ,nnnv.nn..,m,ra„m„nnr,„m,,,.m,.'°” 'f14 SE DR
<br /> PEN 97015'-8988
<br /> CAR7ER
<br /> 1ZS33
<br /> i�.a)w�".mean�.y,a�,•'nWa�nrwn.m,rctwrv,n.�r.,re,nrer �KPtpNE:0503-788-4636
<br /> .u, n,nlvo.r.mew,nwxmmeN.m.r..,wnam�"'"e„M,• USEPA ID NO ORQO00025197
<br /> .read thfiYYcW1aty check the assoEiated bokJ TM STAT:1D No
<br /> !wnNliwalnwWeroa.mownMS«mNr„�,,..:.
<br /> ,M�o�.tiR wu'.a.m.cael.nr.,.t9Nm«t9....
<br /> '�e.nn,.,„n.. •�YmN IUI n..e.n . , 7115
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<br /> enJ ere iu V-i,e Eondit lr
<br /> ionav9rtet iuf ({i)hn app mel is able reyuLtions of the n
<br /> teri.lir of the a ter ial Cha ge ah occurred
<br /> P,Im 0111—Nam,, /nester ie 1, aete/nrterial the
<br /> torrn7 tuand (!l......
<br /> tha above referenced pro,eaa
<br /> and t Yrre9Net the above tharyn
<br /> and itiens
<br /> + ervsEO Nevis b vrev id vegaratel /Orth in (EO the
<br /> y”' s.2a;ois e05h le.Nu.taller and SK=and G,;t9�.Nlolner or (b)
<br /> othvuiaa (2)
<br /> 91Mahra —__ �
<br /> USED OIL LOG
<br /> ANSPORTgt:RaPmnJ LNnPa Lfe tr-Kleen 5 stems, Inc.
<br /> ^""' tore NUmbrr
<br /> fSL
<br /> SX-SSC-AUX 23 RayminJ Genoa 01/I1/19 09:37 PArJ<2 .,.••' , •••,•...I
<br /> •• � , 19bee9 �g d AneM1tex
<br /> TME SHIPPING DOCUMENT :a"""'
<br /> EVENT OF M enaateaL CALL—24-Nr-NNrha—t-BOO-KB-1)60(Safet Y-L1eeN ":' „'' II ala DO NOT SNIFF ma al
<br /> Team Member yuan,fie oil mly the Ian1
<br /> PEFFAENCf NYI. PRODUCT/SERVICES
<br /> LDST011ER1/LENER410R:#111384 O'ReiilY 1 2567 )8955351-1900112316
<br /> 1400 E nardin9 WaY amrlcts Clem me,me mn„
<br /> r D n ei:u rmenne,y„ry r
<br /> Iv,men
<br /> S
<br /> S '
<br /> 9to Cq-1395205-3104 r '
<br /> PHONE E)2-5558) rm�" y`^'r " Li�/StaZi0
<br /> GFNERAIOR USEPA ID.CAL000392878 GENERAM STATE �-. ^.m,° °0s te
<br /> 'ai.TrA�^n�arz
<br /> MANIFfSTi:oo17;16915115 FAM to;M SNIPS Z27426145
<br /> mm,rw.rr,.rm,rt ne COOe
<br /> M MSPartea 1 DROO 081205 SAFETY-NLED2 SYSTEMS,INC.
<br /> 5050 SALMA BLVD ..-
<br /> r SALMA,CA.95368 Ff�`.r ma.,. L, r
<br /> TRANSPORTER 2 TNSP PHONE;20-54S-1011 "'rc^••w,m.=ercn..
<br /> %'.
<br /> US AOT OESCRIPTIIpN([NCLUDINL PROPER SNIPPING NME.HAZARD CLASS,A2O ID) ,,.L, yi -
<br /> NAV-RprA NAEAnOa6 MAS
<br /> OMAIN®711EynaINlm USEDOILOFILIEDS)
<br /> FEOFRAL WASTE CO[IES NONE .rte„e
<br /> STATEWASTE CODFS <
<br /> TOTAL CON223T 1 TYPE 011 •^r”gin..:, ', J
<br /> LNTi:190108913589 SZ:SS CONT,,,,,P S )6
<br /> YDOT)8)26
<br /> GAL 05
<br /> /2 LpTY:250 PHOFi 15fi033 C
<br /> DESIGNATED FAFT NME S
<br /> TNERMO FLUIDS IN: /A0pRE55:
<br /> 12533 SE CARPE"- OR -
<br /> CLACKAMAS OR 97015-8988 -
<br /> TSO PHONE:503-7418-4616
<br /> FACILITY USEPA ID NO ORQDM25197
<br /> FACILITY STATE ID NO Z mn^ S✓e rlr
<br /> 0-220ATDR STATUS A
<br /> G ' u✓
<br /> 0-220 166/menth d,� - 2 S
<br /> !TZ? LC,cYr,F 7' SES c
<br /> 1.;yrlrA,.;r
<br /> i
<br /> 4
<br /> IDDahfe
<br /> needs tG be serviced or renalred
<br /> P lease Call 7-
<br /> ations Manual Semon 49 80
<br /> seln0-545-35
<br /> CUSTOMER/GENERATOR: roery mej ie 5 for oil recyCle gUdelines20'"IOU'Call the local dnver or branch hre,tly
<br /> RevAa 511
<br /> I
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