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- -�^� ,.r• ,•••• CVS TONER
<br /> Ely AKTD men. -
<br /> - - USED
<br /> OIL LOG
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<br /> ACCEPTA belww ra ae�e,m,„ewnemer me nu,e,a one—IR
<br /> e,llr n„rn r•ans c.in,,,,,rI StGr I.-t /
<br /> •Gearo ae -
<br /> •Hytlraulic orlc
<br /> •Metor oil In,nnera
<br /> •Trenymion hu as her 8d�entn .Slpnglrxa
<br /> 27 ComPlem the log below.8 Insec�c alesclea a -Vernranea _
<br /> IM1e malenal submi na sl enL el g Inas log'you ceRIN that You are a Oomxtbnel Ex
<br /> nee co a v^racc _l.oa•whicn w.a Nrnwae hom,mm TRANwoRTFR: Jnaeph R11
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<br /> e nr yahlde at na coal �---------------v------
<br /> ak me aanome nne as comama one or the unacce
<br /> 2! Examine the oil—Make sur'tris no nen 8oatln Ptae Mica. 58-SSL-IIAO-0[ )sae h R Lima)r 07/11/10 10:22 PAGE 2 w{
<br /> 3] Have the customer complete iM1e t g 91n Ina oil or tool smell.W NOT SNIFF THE OIL. �1
<br /> og below while the TEAM MEMBER Doun oil into IM1e lank.
<br /> 41 U-9I,heconl9-9.o'dIPCIt^mal SHIPPING DOCUMENT ,u
<br /> 51 Using the sght gauge or tllpstrck,chat.the level of Iha collection lank regular) yyhan trye lank is 151 full.wnlaa Sate
<br /> BOD-616.1620 to re0uest your tank be aeZ. Dp not call lowltlriver pr branch i , )IY TME rI—F OF AV ENERGENCy CALL ee24-Hr-Nurber^^1-800_468-1760(SafetY-l,Ilen)
<br /> Y_"C'uesl.contact Store Operations al eat.42tb.Reler to Slor1 Youhavenolrecelveaservirx+nln,.rynK.e OaM .
<br /> I, P.,.U.na Manual.Section 495 for ccmpl=I.. CUS OVER#/GENERATOR;W14384 O•R.i„y 8 2587 REFERENCE NRR.
<br /> •I- -g eelryattd 1110E Harding Way 80342 1 74-1903177577
<br /> 1)I/,A,H.DeG /13:{S Nwix - '� • StOc4tOn CA 95205-3109
<br /> -- AxyWwrb No
<br /> 12U' 2 PNONE 972-SSS-121]
<br /> GENERATOR USEPA ID.CAL000392478 GENERATOR STATE
<br /> �I”
<br /> MAN EST. 00696105251!5 FORT!Cp; ID
<br /> C.r - S ... - •',. f._.i TummvITER I T10100008120S S.EORMety Ween SNIP#228900848
<br /> 7-It-19 J /1t �CT C J-$tl 1-1..�• S050 SALIOq BLW /
<br /> 2 L1�
<br /> F s H N.ArSDr fSE Si��L
<br /> "1-FI�.V.I irM�CN �
<br /> Z. g a TRANSPWEEH 2 S1NSP PHOVE,9209- �1
<br /> ' ^'+.4�F$ - •y l[,`-' �T-X' e— '1 r N 209-595- LY?
<br /> '1 y 1'x)' ✓ �� US 80T 0 1011
<br /> ESCRIPTION PROPER
<br /> -JZ” �J Vrkln fs j,__ C;�IO��tii q• W.}tO.a INON-RCRA NA2N810US WASIF, SHIPPING VM,'HAZARD CLASS, gryp ID)
<br /> (,'I' T (USER L) LIQUID
<br /> OI
<br /> I C`'`7 `,j_,t1,�1,jC.MAti IbD E[ �bC1�R- T C frJ�•�;,5..}n� (�->.� .7 FEDERAL WASTE CODES!NONE �C
<br /> 111 +•7Y•��r[\T P+^'1{� 79p1 E�.(9S�-U sfa'�/l,�.t 9S'IP /'/ NOTAL ATE WCONT 1ASTE COOE5 22L I
<br /> lZ1`(cl y4Sc�.11 C. I -CI -} p CNie:19D)114180>S X FAIL,NL: WLUR ONrgIryEDOi 11219
<br /> L>�NVG Seo GC'�' STUC✓,•C-C/t/ `S�Br. S �f I SAFry7"FACILITY NARE/AODRESS: QTN: 110 PROF.156017 CA L�
<br /> L L I r �1. [ a- S7o E•4/Tn- y
<br /> 1.�� 177C'� 6810 SIgTMENVEF CALIFOREIIA �-J
<br /> r,�,II ��r -- ' NEWARW CA
<br /> T7-7�ZJ T\1�l.^v 1� y TSD P1NNL:S10-70S94!if0
<br /> '/ _.-1-z" .�1f12 !"*-6dTll• [� J 41100
<br /> _.1F ,y LIQFACILITY USEPA ID NO(Ap98O88J418
<br /> C 7�r�ND j T FKILIIY STATE ID NO
<br /> _. -.ryEtlgA
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<br /> - -- SlOylrye
<br /> /LENGATq,rassmsrrY c
<br /> \ (USITMER�GENERATOR:debbe
<br /> slvmnea
<br /> 510ra1✓e - � .
<br /> 1RTER:)sseph R Linea
<br /> ------
<br /> Jsaesh R linea lr 08/09/19 12:15 PALE J ----- TI•Ne^.610:Jsasph A L1ma Ir
<br /> SHIPPING DOCUMENT aMO-o1 ------ _-__-_----
<br /> --
<br /> -• J....h a u - Aa wW.ry Is
<br /> nP,eva6r or nN Lrr6PwcY c.OL'««24-Nr-Number•«.J-600-468-176O(S-f-Y-K1I,n) rIu Jn LOn.n9 11:LI pAu I
<br /> REFERENCE VEIN IN THEHE
<br /> AN SHIPPI D0
<br /> roHDI./cLNIRAnR:oRJ 4la4 o•Re;ny•zsfi] 8odooa9s rvnFF of raleaeeNca.CALL.NG x CU NT
<br /> Ol5 [410 E Herding way . C05T0MARI •z•_xr_ur6er M-aos_4aq_L]6ocS N1FFT
<br /> 9dP 5[aehtsa CA 95205-3104 %EInERATOII:OR14Je1 0.RK'
<br /> R:ley• -Teen> I N I
<br /> OSParHONE 912-555-129] stb r N......]W.Y el FEp FNM: 1
<br /> GWERAIOR USEPA CO.ID.CAL0003921FO GENERATOR STATE PIMRIEtp2-565-121]-31 xdKI1-t
<br /> esti MN3IFEST/:0071817SISx5 FORK CD: 1D 8 6fNrRATM OSO•A ID.IAI-1-14]e GFN!'AgTOp-1117 01 euMe la
<br /> PucN 1RAllSPORTEO I TIR0011n81205 Safe[ SNIPB 2291]309] RAFIIFrsi.:0071 s>46,psxs gVe
<br /> Y Wlaen 'R'� TiOt 1 15AO0FARM�'10 SHIPS 2x9J613Lx
<br /> 6 Sa SOLO SALIDA BLVD c —205 S•T Y lea^
<br /> eF/ SALIDAr CA. 95368 5050 SALIOA BLVD
<br /> O' TNSP PHONE:209-S45-1011 "A.CANf.:9.3.8
<br /> / ^ TRANSPORTER 2 TRANSPORTER 2 FN TNSP PHO09-515-1011
<br /> DS DOT OES(RIPTLW([NCL18)ING PROPER SH[PPINL NAMr,xA2ANO cuss,Aro GOT
<br /> DESCRIPTION
<br /> �1
<br /> ( `INCLUDING PROPER SHIPPING NAME,HAZARD CLASS,
<br /> NON-ROTA NA2N01W5 MASTS.L.. ATAN-R(RA HAZANOWS h'A11E, LI —
<br /> / FEDERAL WL%dTE c00Es KnA, -.. (USED OIL) WIO AND IO)
<br /> I GI ISTATE WASTE CODES 221 FEDERAL WASTE CODES NONE
<br /> M TOTAL CONT 1 TYPE TT %T/VOL G SVD0T 11219 CA STATE WASTE CODES
<br /> CNFf:19080W-2 SZ:BULKWEIE CONTAINER QTY:165 PROFS 156017 JJJ TOTAL CONT I
<br /> ry
<br /> TT I
<br /> • DESIGNATED FACILITY NAME/ADDRESS: �#: 191018457175 SZ: BULK VOLUMIllE CONTAINER SKDOT 11299 --
<br /> �! S881)
<br /> AFE�TMEN OF CALIFORNIA I^ DESIGNA IGTT: 165 PROF.156017 CA
<br /> ' NEWARR CA 91560 SAFETY-ZEEN OFCALIFpEIIADORESS:
<br /> TSO PHONE:510-795-4400 6880 SAIITN AVE. _
<br /> NEWARK CA 94S60
<br /> FACILITY USEPA ID NO CAD980887118
<br /> TSD P110NE: 530-795-41L10 ri
<br /> FACILITY STATE ID NO
<br /> FIICILITy USEPA ID NO CAD980887418
<br /> cESQG:0G:Vfl ehicle
<br /> GESTATUS FACILITY STATE ED NO
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<br /> ' c4 T011 STATUS
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<br /> CUSTOMER/GENERATOR:debbe: CUSTOMER/GENERATOR: rosem
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