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regar:diuy our: <br /> recovery c472ulnr9on-'plcwsr go to <br /> httpE%/safety-klaan.com/ <br /> custwo r-service/environmental-fees/recova ry-fees. Please note <br /> e-manifest fees applicable to this order may not he included in the <br /> total above and will be included in the final invoice or credit card <br /> statement. RECEIPT ONLY - THIS IS NOT AN INVOICE <br /> I have established a program to reduce the volume or quantity and <br /> toxicity of the hazardous waste to the degree to he economically <br /> practicable. <br /> Slgnature <br /> CUSTOMER /GENERATOR: jaime plaza <br /> Slg ure <br /> TRANSPORTER: Joshua Butler <br /> ----------------------------------------------....,.,..._------------- -------------- <br /> CSG SK-SSL-BOX-23 3ashus Butler 03/11/20 13:21 PAGE 2 <br /> SHIPPING DOCUMENT <br /> IN THE EVENT OF AN EMERGENCY CALL "24-Hr-Number" 1.800-468-1760(5afety-Kleen) <br /> REFERENCE NOR. <br /> _N CUSTOMER#/GENERATOR: AM21964 American Medical Response 82612828-2001284350 <br /> 3755 West Ln <br /> Stockton CA 95204-2431 <br /> PHONE 209-652-4881 <br /> GENERATOR USEPA ID. CAL000424004 GENERATOR STATE <br /> MANIFEST#: 007439273SKS FARM CD: 1D SHIP* 230896639 <br /> TRANSPORTER 1 TXR000081205 Safety Kleen <br /> 5050 SALIDA BLVD <br /> SALIDA,CA. 95366 <br /> TNSP PHONE: 209-545-1011 <br /> TRANSPORTER 2 <br /> US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND IO) <br /> NON-RCRA HAZARDOUS WASTE, SOLID <br /> (DRAINED/UNDRAINED USED OIL FILTERS) <br /> FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES <br /> TOTAL CONT 1 TYPE DM WT/VOL P SKDOT 7872676 <br /> CNT#: 200306179763 SZ: 55 GAL/205 L CONTAINERS QTY: 250 PROF# 156033 C, <br /> DESIGNATED FACILITY NAME/ADDRESS: <br /> THERHO FLUIDS INC <br /> 12533 SE CARPENTER OR <br /> CLACKAMAS OR 97015-8988 <br /> TSO PHONE: $03-788-4616 <br /> FACILITY USEPA ID NO ORQ000025197 <br /> FACILITY STATE ID NO <br /> GENERATOR STATUS <br /> 0-230 lbs/month <br /> Signature <br /> CUSTOMER / GENERATOR: jaime plaza <br /> Slg ure <br /> TRANSPORTER: 3oshua Butler <br />