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, R <br /> ..._...-. ........w.. . _ w <br /> CSG SR-SSL-UM-01 Inaeph R LIM 7r 10/24/15 11:05 PAGE 1 <br /> CSG SX-SSI.-M-01 Joseph R Linty Jr 19/21/30 11:05 PA <br /> Safety-Kleen Systems, Inc. SHIPPING DOCUMENT <br /> 2100 X Central E1p ," SO" 1011 M TME ANT OF AN EMERGENCY CALL **24-Hr-Njwb#r** 1.000.444.17SO(tafotykls <br /> Rlchard:on, T%-ISO" REFERENCE <br /> CORPORATE: 000.041.5740 <br /> 24 HR EMERGINCy, C00.d1/•1700 Cbafety-Llesa) CUSTOMERO/GENERATOR: CL24517 Clan Planet 0147 <br /> 2015451011 250 port Rd <br /> REFERENCE NOR, Stockton CA IS203,0000 <br /> 41472410 PRONE 201.715.1457 <br /> CUSTOMERS CL24517 CIA" Plaeat SRSC Wgtk: 2011.43 GINERATMI USEPA 10, CAL00042OSSO GENERATOR STATE <br /> 1RVC 50 Port Rd SDATE: 10/24/10 \\ MNUFEST01 0071574445bS FORK CDI 10 SHVO 22UI4762 <br /> Stockton CA 45103-0000 TRANSPORTER 1 TMAo000s12o5 Safety"Ann <br /> p1UNE 200.715.1457 SOSO SALIDA RLhO <br /> RILL 10 CUSIOMERF WELL 10 <br /> AOCRESS: - SALIOA,CA, 05314 <br /> CL24S17 250 pert Rd TWPIpNE: 2013{5.1011 <br /> Stockton CA 15201.0000 TRNtSPORTER 1 <br /> pIgCRASE ORDFRI tvesa anew PH" 200.715-1457 TAx OMWTO US DOT OOSCRIPTION (INCLUDING PROPER SNIPPING MANE, MARD CLASS, AND 10) <br /> PRODUCT/SERVICES W-NCAA NAZANOM15 HASTE, LIQUID <br /> TOTAL "a OIL) <br /> SERVICE/ OTT Uw POM TAI CHARGE FEDEM WASTE COOLS NONE <br /> 1025 PEE, OIL SERYICL/STOP NON 1,000 71.f000 O,ot 72140 STAR WASTE COM <br /> SE, OIL TERM ti WEER TOTAL CONT 1 TYPE TT WYA%L G SROOT 11246 <br /> off" KED OIL <br /> Sewce RRECYCLEion 12 WICK <br /> 95,000 0.0404 0.00 42.70 CRT$: 101024577345 Sii WLR VOLUME CONTAINER 9TY: IS PR'L$ 1H017 <br /> HALOGEN /CLON.O•TECT TEST RESULT PASS: PPM A 1000 ................. OESIGNATEO FACILITY NMR/AweSS, <br /> ...................... . SAFETY-OLEEN OF CALIFOReOA <br /> TOTAL SCeVICE/PR001KK 73.2400 0.00 135.30 "No SHM /NE, <br /> NEWARK CA 04500 <br /> TOTAL CHARGE 130,00 'ISO PROW{ 510.715.4400 <br /> CREOITS .w.;..... <br /> FACILITY USFPA 10 NO CADM487414 <br /> TOTAL DUE 115,30 FACILITY STATE m NO <br /> GETIEIthIft STATUS <br /> "AID 04AWE THIS RECEIPT 135.30 CE5041 Vehicle <br /> If high risk soarce,,.rep• certifies that Tod specific PCO 4 silicon <br /> tasting have hale Canoleud prier to pnnWing this land, <br /> 4�zt <br /> GENERATOR STATUS BIOnMv* <br /> CES44: Vahitla <br /> _ that rti w Weave- and materials are.Prsparly- CUSTOII[lt / GENCRATNI: torts* show <br /> I hove establish*d a program to reduce the WIM or 4UantitY And <br /> toxicity of the haaardom waste to the dogma to be "emetically , <br /> procticabia. s <br /> Sionetve <br /> 84)"s TRNLSPOMI )*$*ph R Lima )r <br /> CUSTMIIR /GERESIATOR: tires* Shaw <br /> TRARSpORTE.II 21 <br /> LAST PAGE <br /> swahao <br /> 'rgAN5Pd3TER: Joseph R Lina Jr <br />