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, <br /> ` <br /> SAFETY—KLEEN SYSTEMS, INC. <br /> qALIFORNIA CONSOLIDATED MANIFESTING <br /> ADDITIONAL GENERATOR RECEIPT INFORMATION <br /> SERVICE DOCUMENT t�: -/ U S T 13 M E R #: -3 lo <br /> CONSOLIDATED MANIFEST <br /> I TIC <br /> GENERATOR COMPANY NAM <br /> GENERATOR CONTACT NAM <br /> CALIFORNIA STATE WAST <br /> LINE ITEM (A) : <br /> � <br /> � <br /> LINE ITEM (B ) : <br /> LINE ITEM (C ) : <br /> LINE ITEM (D) : <br /> TRANSPORTER #1 NAME/ADDRESS: /Z/, ef 1 <br /> TRANSPORTER #1 SIQNA : DATE: / <br /> GENERATOR CERTIFICATIONPAND SIGN RE <br /> I HAVE ESTABLISHED A UANTITY AND TOXICITY OF <br /> THE HAZARDOUS WASTE TO DEGR *E ECONOMICALLY PRACTICABLE. <br /> !!!7 <br /> GENERATOR SIGNATURE: DATE� VA )/ <br /> ' -To TF <br /> COPY 1 — GENERATOR RETAINS COPY 2 — TRANSPORTER RETAINS COPY 3 — OPTIONAL <br /> K577CF—R6564 PRT DATE: 02/10/10 <br />