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G <br />- --- ----- ---- ---- <br />- will- - - <br />tot - - <br />al above and will be included in the final invoice or credit car <br />statement. RECEIPT ONLY - THIS IS NOT AN INVOICE <br />I have established a program to reduce the volume or quantity and <br />toxicity of the hazardous waste to the degree to be economically <br />practicable. <br />Signature <br />CUSTOMER / GENERATOR: kyle Cunningham <br />Signature <br />TRANSPORTER: Raymond Gomez <br />CSG SK -SSL -BOX -23 Raymond Gomez 03/04/19 13:07 PAGE 2 <br />SHIPPING DOCUMENT <br />IN THE EVENT OF AN Eh1ERGENCY CALL **24 -Hr -Number** 1-800-468-1760 REFERENCEeNBR. <br />CUSTOMER#/GENERATOR: DE54220 Delgado Auto 79238315-1900729894 <br />101 W Or Martin Luther King Jr Blvd <br />Stockton CA 952Q6-1703 <br />PHONE 760-5794533 <br />GENERATOR USEPA ID. CAL000404553 GENERATOR STATE <br />h1ANIFEST#: 006953037sks FORM CD: 10 SHIP# 227695118 <br />TRANSPORTER 1 TXR000081205 Safety Kleen <br />SOSO SALIDA BLVD <br />SALIDA,CA. 95368 <br />TNSP PHONE: 209-545-1011 <br />a <br />US DOT DESCRIPTION QNCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) <br />NON-RCRA HAZARDOUS WASTE, LIQUID <br />(AQUEOUS PARTS WASHER SOLUTION) <br />FEDERAL WASTE CODES NONE <br />STATE WASTE CODES 134 <br />TOTAL CONT 1 TYPE DM WT/VOL G SKDOT 14941 <br />.NT#: 190209548595 S2: 30 GAL/114 L CONTAINERS QTY: 20 PROF# 156023 <br />DESIGNATED FACILITY NAME/ADDRESS: <br />SAFETY-KLEEN SYSTEMS, <br />INC. <br />6000 88TH STREET <br />SACRAMENTO CA 95828 <br />TSD PHONE: 916-386-4913 <br />FACILITY <br />USEPA <br />ID <br />NO CA0000084517 <br />FACILITY <br />STATE <br />ID <br />NO <br />GENERATOR STATUS <br />0-220 lbs/month <br />Signature <br />CUSTOh1ER / GENERATOR: kyle Cunningham <br />Signature <br />TRANSPORTER: Raymond Gomez <br />