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a <br /> BILL F LADING/MANIFEST 1.Shipper's US EPA ID No.(IfApplicabie) Document No. 2,Page 1 <br /> of <br /> ipper's Name and Mailing Address ADESA — Golden Gate <br /> 18501 West" Stanford Rd <br /> Attn Samuel Mchenry <br /> TRACY CA 95377 <br /> 4.Shipper's Phone( <br /> x814-5374 <br /> 5.Transporter 1 Company Na•tite 6. US EPA ID Number A.Transporter's Phone <br /> SAFETY—K LEEN SYSTEMS INC -TXR0M0IAA1PA5. . . <br /> 7.Transporter 2 Company Name 8. US EPA ID Number B.Transporter's Phone <br /> 9.Designated Facility Name and Site Address SE26055 10. US EPA ID Number C.Facility's Phone <br /> SEAPORT ENVIRONMENTAL LLC <br /> 679 SEAPORT BLVD <br /> REDWOOD CITY CA 94063 CAL000422492 800-321-1030 <br /> 11.Shipping Name and Description 12.Contliners 13. 14: <br /> Total Unit <br /> HM No. Type Quantity wtNol <br /> a' NON—REGULATED LIQUID (VAC—OIL_ WATER <br /> SLUDGE) (NOT USDOT/NOT USEPA RIGULATILD) TT 8 <br /> (NOT CA REGULATED) <br /> S <br /> H <br /> c. <br /> P <br /> P <br /> E <br /> R d <br /> 15.Special Handling Instruction and Additional Information <br /> ADESA — Golden Gate SK SHIP# 229447656 AD20198 <br /> 18501 Stanford Rd <br /> Attn Lester Sabo <br /> TRACY CA 95377-9708 <br /> *81095906* <br /> 24H EMERG# 800-468-1760(CH—SK--TFI)—TRANS AUTH TO RETAIN ADD' L CARRIERS <br /> -DOT/PRFL A. 3299/156097 B. C. D. <br /> A) NONE B) C) D) <br /> 16a.US DQT HAZAf2DOUS MATERIALS SHIPPER'S CERTIFICATION' 'This is to oenify that the above-named materials are properly classified,desc bed,packaged,marked and labeled and are in proper <br /> condition for trans=jq <br /> qeapplicable regulations of the De artment of Trans odation. <br /> Print ame • Month Day Year <br /> • <br /> 16b.NON-R11C4qjATED SHIPPER'S CERTIFICATION: I certify the materials described above on this form are not subject to Fede I r§gulations for Transportation or Disposal. <br /> Print /Ty ed Name •. <br /> L' Month Day Year <br /> [Y iIT, <br /> T <br /> R 17.Transporter Acknowledgement of Receipt of Materials L AA <br /> A inted/Typed Name <br /> N Si ture Month Day Year <br /> S <br /> P <br /> 0 18.Trans er 2 Acknowledgement of Racal of Materials <br /> T Printed/Typed Name <br /> E Signatfffe Month Day Year <br /> R 3 <br /> 19.Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> I <br /> L 20.Facility Owner or Operator:Certification of receipt of materials covered by this form except as noted in <br /> I <br /> T <br /> Y rinted ped Name Signature Month Day Year <br /> :4 HR EMERGENCY#800-468-1760 <br /> ORIGINAL-RETURN TO GENERATOR FORM NO.01-90291(03/2015) <br />