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total above and will be included in the final invoice or credit card <br />11 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 />CSG SK -SSL -B <br />CUS'fUMER# <br />BILL TO CI <br />� DE54220 <br />PURCHASE!',. <br />SERVIC', <br />PRODUG <br />7646 <br />833$3 <br />3383 <br />180015y <br />871063'. <br />Signature <br />CUSTOMER / GENERATOR: kyle Cunningham <br />TRANSPORTER: Raymond Gomea <br />-------------------------------------------------------------------------------- <br />CSG SK -SSL -BOX -23 Raymond Gomea 03/04/19 13:12 PAGE 2 <br /># cpN, SHIPPING DOCUMENT <br />�!, IN 'hHE EVENT OF AN Eh1ERGENCY CALL **24 -Hr -Number** 1-800-468-1760 (Safety-Kleen) <br />3230 REFERENCE NBR. <br />100030 CUSTOMER#/GENERATOR: DE54220 Delgado Auto 79382093-1901076030 <br />101 W Dr Martin Luther King 3r elvd <br />Stockton CA 95206-1703 <br />PHONE 760-579-1533 <br />GENERATOR USEPA ID. CAL000404SS3 GENERATOR STATE <br />MANIFEST#: 006952781SKS FORM C0: iD SHIP# 227811622 <br />'TRANSPORTER 1 TXR000081205 Safety Kleen <br />SOSp SALIpA BLVD <br />SALIDA,CA. 95368 <br />TNSP PHpNE: 209-545-1011 <br />TRANSPORTER 2 <br />US DOT DESCRIPTION QNCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) <br />NON-RCRA HAZARDOUS WASTE, SOLID <br />(DRAINED/UNDRAINED USED OIL FILTERS) <br />FEDERAL WASTE CODES NONE <br />STATE WASTE CODES 223 <br />OE^ TOTAL CONT 1 TYPE Dhf Wi/1tOL P SKDOT 7872676 <br />,, CNT#: 180918830916 SZ: 55 GAL/208 L CONTAINERS QTY: 200 PROF# 156033 C. <br />DESIGNATED FACILITY NAME/ADDRESS: <br />'INERMO FLUIDS INC <br />iZS33 SE CARPENTER DR <br />CLACKAh1AS OR 97015-8988 <br />TSD PHONE: 503-788-4616 <br />FACILITY <br />USEPA <br />ID <br />NO ORQ000025197 <br />FACILITY <br />STATE <br />Ip <br />NO <br />GENERATOR STATUS <br />p -22Q lbs/month <br />Signature <br />CUSTOh1ER /GENERATOR: kyle Cunningham <br />TRANSPORTER: Raymond Gomez <br />