Laserfiche WebLink
SSL SK SHIP# 224312S37 II�hIII�aIIIIIuiIIIIIIIBill I <br /> "Please pdnl or .(Form des' ned far use an elite(12-pgch)typewriter. 0 0 6 5 5 4 6 5 4 6 K 6 <br /> 7.GenmaW1D Numder Fam proved.OMB N0,20EGa39 <br /> UNIFORM HAZARDOUS CAD9824S5351 2Pa9etot �.Erp�®�wy$� ¢huna A,µan TraclU Nwlrper <br /> WA6ates"TE ea"d - T6V 5"° SKS <br /> Gene —TNamesW Sh"OAUUVO Ger"Wes Redd (ddtlfererd then mMkV address) <br /> Cal-Trans Shop i0- Lodi Cal-Trans Shop 1.0- Lodi <br /> STOC 5 H St 845 E Pine St <br /> STQCKTON CA 95206 <br /> GeneralorsRm . 209-333-6953 LUDI rp rSii:i0 ,t1''6 <br /> 69Ar fit ffbSYSTEMS INC U.S EPAIDNummr TXR000081205 <br /> T.Tlanspwler 2 Campany Name JS EPAIDNumber <br /> I Oesignemd Facidy Nemo"Sm 'as SAFETY—KLEEN SYSTEMS: NC. U.S.EPA ID Number <br /> 6000 SETH STREET <br /> 916-386-4913 SACRAMENTO CA 95828 <br /> F " 13R": LA0000G84=_ - <br /> 93. Sb.U.S.DOTDewOw(ladodng Pmpu SNpglg Nemo.Hamrd Cbn lD Wmher. ta.Cweakars . . <br /> HM and PeddagGMVVvYb 11No. type m.Tmal TOMItwy 12WtNd.Unit 13.waste Codes <br /> o < <br /> 11AZAR-022GE 1— <br /> z2.NON-RCRA HAZARbDUS WASTE, LIQ ID BF 8 i34 <br /> (AQUEOUS PARTS WASHER SOLUTION) <br /> 3. <br /> 4. <br /> 14. Haommg bucb wWAddNwulimdmleepn D:SC 6 6 1 CA37093 20183 CSG:23 <br /> `1U(oS28`L!o`B <br /> 24 HR EMERGENCY #1-800-468-1760 (SK / TfI) <br /> AUTH AS "AGENT-FOR" BY GEN TO RETAIN LICENSED SUB CARRIER£ AS NECESSARY <br /> f6. GENERATOR'SIOFFEROR'SCERDFICATION: I WOW dadma Bret are mntemofthis mmgnmemare fu9yend accurately desvbedabo"try the qWm dvppyg more,Mare Uaww'packaged. <br /> marred eM Wygdrp�at&dad.arq are in aA reapacLs b proper mrtlieon Ipyanepml acrordmg m appkab'e mtertaso!IdBntl netl011B1 gOVamaanlalmgdargns.11eryarl5upn0nt erd t am Na <br /> Expaner,I emWytnat the moments MUse mrwlpnmenrcanram to the mrtae Nbo oaaclrad EPAAdrpwledgmenlaf Consent Fanny <br /> I Oerfi"Bl be waste mWmgtlm OW4MW UerrOW ln40 CFR26227fa)ld le me large duasety genemmryor(b)(Ulm a mail wathy goviDn is hue. <br /> �'aw sore Signature mrd <br /> J 76.Inteffr1m,om mems j� �`-' <br /> Nct <br /> ❑ tous. ❑Export from U.S. PaaofamylexlC <br /> Tnnrspxra algrWum Irm nxpum anryl: Dela ImAng U.S.: _- <br /> our 17.Tm,r8fwWarAcknowWJgmof Reouipl mw <br /> Ma 'a�'') @JB(� <br /> 0 T m7Pm ems Shue / 'GJ <br /> e-Z- <br /> 24 ter P Name SlgneWm r mare Day Year <br /> i70.[Nsaeparay <br /> 18a.04samemcy lnGmtioo Space ❑ Qumtry ❑Type ❑Residue ❑palyel Ra)ecden ❑Ful Ra Wrr <br /> MaMestRelwanm Number. <br /> IfiO.AJ(amms fad(ry{m Gerzm!oG US EPA ID Number <br /> J <br /> r..y <br /> LL Fea�llyo Penne: <br /> HiBp.SDneWre otAftereale PadW(or Genemtw) Menlh Dar Year <br /> 0 <br /> 16.Hazardous Waste Report Management Mediad Codes U.a.,codes for hazardalu wade beaMent.dlepmel,and mcydLV syslwro) <br /> 1 44+111Y p` 2. H141 s 4. <br /> '.a.Deagna ad Fad MY Owner Of Opemtw:CerfiflOrm(Mof MOW of haaemcus materials mrered by the=Nfesr exam av rated' Imm 18. <br /> i Pe v t C <br /> EP F r UDj v y v " r'y e oEsalete. DESIGNATED FACILITY TO DESTI O STATE(IF REQUIRED) <br />