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~ � <br /> �~ | SAFETY—KLEEN SYSTEMS, INC. <br /> / <br /> CALIFORNIA CONSOLIDATED MANIFESTING <br /> ADDITIONAL GENERATOR RECEIPT INFORMATION <br /> �� <br /> SERVICE DOCUMENT #: `J .� ��CUSTOMER #� <br /> CONSOLIDATED MANIFEST DOCUMENT #: <br /> ----' <br /> GENERATOR COMPANY NAME: All 11 <br /> i--T 14 <br /> ,GENERATOR CONTACT NA <br /> CALIFORNIA STATE WASTE CODES <br /> LINE ITEM (A) : <br /> LINE ITEM (8 ) : <br /> LINE ITEM (C ) : <br /> LINE ITEM (D) : <br /> TRANSPORTER 41 NAME/ADDRESS: <br /> � <br /> TRANSPORTER #1 SIGNATURE: DATE: <br /> I _--_ <br /> GENERATOR CERTIFICATIO, AND SIGNATURE <br /> I HAVE ESTABLISHED A PROGRAMQUANTITY AND TOXICITY OF <br /> THE HAZARDOUS WASTE TO THE DEGREE PRACTICABLE. <br /> GENERATOR SIGNATURE: DATE: <br /> -cmc'/-Z <br /> COPY 1 — GENERATOR RETAINS COPY 2 — TRANSPORTER RETAINS COPY 3 — OPTIONAL <br /> K577GF—R6564 PRT DATE 02/10/10 <br /> ' <br />