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CUSTOMER / GENERATOR : ricardo ocam110 <br /> 00 Signature <br /> a <br /> TRANSPORTER : Brandon J Gaither <br /> _ _ .. . - - - - - - - - - - - - - - - _ _ _ _ Brandon J Gaither 11/12/19 13 : 02 PAGE 2 <br /> CSG SK -SSL -BOX-21 <br /> SHIPPING DOCUMENT <br /> IN TME EVENT OF AN EMERGENCY CALL **24 -Hr-Number** 1 -800- 468 - 1760 e <br /> REFERENCENBR , <br /> 81587512 - 1905961954 <br /> CUSTOMER#/GENERATOR : SKOSSIO SKS <br /> 18832 t4ell0 Rd <br /> Ripon CA 95366 -8601 <br /> PHONE 209-599 - 4095 <br /> GENERATOR USEPA ID . CAL000061579 GENERAM CO : OR STATHIP# ZZ9921522 <br /> MANIFEST# : 007318070SKS <br /> TRANSPORTER 1 TXR000081205 Safety Klee"SOSO BLVD <br /> BLVD <br /> SALIDA , CA . 95368 <br /> TNSP PHONE : 209 - 545 - 1011 <br /> TRANSPORTER 2 _ <br /> G PROPER SHIPPING NAME , HAZARD CLASS , AND ID) <br /> US DoT Ut5Ut1PQON (INCLUDIN <br /> NON -RCRA HAZARDOUS WASTE , SOLID <br /> (DRAINED/UNDRAINED USED OIL FILTERS) <br /> FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES ZZ3TYPE OM WT/VOL P SKDOT 7872676 <br /> TOTAL CONT 1 100 PROF# 156033 C <br /> CNT# : 191106834847 SZ : 30 GAL/114 L CONTAINERS QTY : <br /> DESIGNATED FACILITY NAME/ADDRESS : <br /> THERMO FLUIDS INC <br /> 12S33 SE CARPENTER DR 97015 -8988 <br /> CLACKAMAS OR <br /> TSD PHONE : 503 -788 - 4616 <br /> FACILITY USEPA ID NO OR4000025197 <br /> FACILITY STATE IO NO <br /> GENERATOR STATUS <br /> 0 -220 lbs/month <br /> - Signature <br /> CUSTOMER / GENERATOR : ricardo ocampo <br /> Signature <br /> TRANSPORTER : Brandon 3 Gaither <br /> I I <br /> I I <br /> I I <br /> I I <br /> I <br /> TRANSPORTER 2 : <br /> LAST PAGE <br />