Laserfiche WebLink
SSL S'. SHIP# 228054070 <br />111111111111111111111111111111 IN III <br />0 0 6 9 5 4 3 0 1 S K S <br />Fnrm Aooroved. OMB No. 2050-0039 <br />;ase <br />' <br />print or type. 4. Manifest TrackingNumber <br />1. Generator ID Numher 2 Page.j of 3. me ReS5� �e Phhar �� <br />UNIFORM HAZARDOUS CAT000612 968 ' � ��� 0 0 6 9 5 4 3 01 <br />WASTE MANIFEST <br />Generator's Site Address (d different than mailing address) <br />5 <br />Genenafw's blame and 11ailing Address <br />INC. SAFETY-KLEEN SYSTEMS, INC. <br />SAFETY-KLEEN SYSTEMS 9 5050 SALIDA BLVD <br />PO LOX 555 <br />SALIDA t A 95JbP, SALIDA CA �753F8 <br />209-545-1011 I <br />ernr:rab 'sch,ne: _ _-- U.S EPA ID Number <br />T X R0000814 Qi5 <br />6 T`�,aSYSTEMS <br />INC <br />U.S. EPA ID Number <br />7. Trarspot'.er 2----- �.mPany Name I h1AD039322r'`r <br />CLEAN HARBORS ENVIRONMENTAL SVC INC. <br />U.S. EPA ID Number <br />8 Designated, al r,i fly ivan.e and 7" _".'A "s SAFETY-KLEEN SYSTEMS, INC. <br />6000 88TH STREET <br />SACRAMENTO , CA 5588 CA0000084517 <br />916-386-4913 <br />FaultP'cle: <br />n U.S. DOT Des .tpGon (r„iudic� c �f- r 5 pp r , Nar-,a. Haz i Chss, ID Number_ to. Containers 11 Total 12. Unit 13. Waste Codes <br />3e. Quantity wt.Nol. <br />tio. T pe <br />Ht,t and PacY.iry ,�ro.0 ii(an}+)I y _ <br />.i <br />?48H RG44"A'44 9 <br />0 <br />LlJ <br />z <br />- - DM <br />= <br />