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practicable. <br />1 <br />Signature <br />J <br />CUSTOMER / GENERATOR: chrisine oldine <br />TRANSPORTER: Joshua Butler <br />---------------------------------------------- ------------------------------- <br />CSG 511( -SSL -BOX -22 Joshua Butler 03/25/20 12:41 PAGE <br />SHIPPING DOCUMENT <br />IN THE EVENT OF AN EMERGENCY CALL **24 -Hr -Number** 1-800-468-1760(Safety-KTeon) <br />REFERENCE NRR <br />CUSTOiER#/GENERATOR: ST43O54 Stockton Delta Resort 82778SS4-200161743: <br />149OD W Highway 12 <br />Lodi CA 95242-0000 <br />PHONE 209-283-1599 <br />GENERATOR USEPA I0. CALOOD420023 GENERATOR STATE <br />MANIFEST#: 0072758O3SKS FORM CD: 1D SHIP# 231049100 <br />TRANSPORTER 1 TROlO00081205 Safety Kleen <br />5050 SALIDA BLVD <br />SALIDA,CA, 95368 <br />TNSP PHONE: 209-545-1011 <br />TRANSPORTER 2 <br />r <br />US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) <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 SKOOT 7872676 <br />CNT#: 200324540991 SZ: 55 GAL/205 L CONTAINERS QTY: 250 PROF# 156033 <br />DESIGNATED FACILITY NAME/ADDRESS: <br />THERMO FLUIDS INC <br />12531 SE CARPENTER DR <br />CLACKAMAS OR 97015^8988 <br />TSO PHONE: 503-788-4616 <br />FACILITY USEPA ID ND ORQ000025197 <br />FACILITY STATE ID NO <br />GENERATOR STATUS <br />0-220 lbs/month <br />Signature <br />CUSTOMER / GENERATOR: chrisine oldine <br />TRANSPORTER. Joshua Butler <br />---------------------------------- <br />f I <br />