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SSL SK SHIP# 229567759 11p111111111111p11Ill 111Sp <br /> 1K�1gp111 <br /> Please pini or type. O D T 1FomMWroved.OM ,20500039 <br /> UNIFORM NAlARDOUS I.G emir lD Numbm TXR0000B1205 2.PepaiiM aEm�Msv Ras®psc1 0 a.Manrceelrmcune xumber SKS <br /> WASTE MANIFEST 1 tllotl 9btl <br /> S.Gmdmhle Nemearb Mailing Aatlmss G ftesSheAddemsdIdNemMManmeYir9a,dram) <br /> SgFETY—KLEEN SYSTEMS, INC. SAFETY—KLEEN SYSTEMS, INC. <br /> PO BOX 555 5050 SALIDA BLVD <br /> SALIDA CA 95368 <br /> Geemake.Penne: 209-545-1011 SALIDA CA 95368 <br /> "Tri SYSTEMS INC U.S.EPAION,.., TXR0000B1205 <br /> 7,Tranepadm 2 Company Name US.EPA ID Number <br /> CLEAN HARBORS ENV SVC INC. MAD039322250 <br /> e.DasgnadmI FaWdy Name am&WAadmm SAFETY—KLEEN SYSTEMS, INC. US,EPA ID Number <br /> 6000 88TH STREET <br /> FeolI aPhore: SACRAMENTO , CA 95820 <br /> R0 <br /> 916-386-4913 C0000B4517 <br /> pa, 9b.U.S.OOT Dedomemn(imlubirg Parym SMppy Name.1.1 lase ID Number, 1O.Cpns'vpm <br /> HM aM PWUV Gmp(dany)) �, TM iPdmdty MW12 Uaft 13.WassO ma <br /> arc — RR <br /> odod <br /> od <br /> 2 NON CRA HAZARDOUS WASTE LIQUID l DM lo� G 134 <br /> (AQUEOUS PARTS WASHER SOLUTION) Y✓1 <br /> 3. ( QUI <br /> a. <br /> ta.speoslHmdlirp mawmoreanaAAtlipmal lnWrtdtlm TSD:SCA SAL CSG: <br /> 24H EMERGENCY#800-468-1760—CH/SK/TFI—Contract retained by generator confers agency authori y <br /> go <br /> fE 6ENEAATOR'91oFfEROR'8 DER11FlLAnIX1:Iherepy tletlere Nalldmnsnsof MS Masgmnenlad WllYaM acwmdly tleambatl ebosmMldpmpmeb,m name aM are d pecaepml, <br /> mmxetl aM lepNmpplewNed,antlam inall raepeos in pmperwMipon la hanepMaoxrtlrg sapplirabs inlemadonalantl mlpnal ppvemmemal mpusOam.If expMsbipm¢nl antllem tld Pdmery <br /> EVoMr,I wr*sal Me mm adadWewmNmmaa -fkNm W Ire IemeaftldatsTetl EPAkimme etl9menlolanmM <br /> I wrSN Mel Mexasd minlmsatian sslendnl Menpfiai In 90 CFR 2832T(a)(Ilamesgalucnprygenerma) ma mWl WamPY9ardmlorlMhue, <br /> arOflerMSPd Ypad Name S9re I "IN DAY Year <br /> —i WIN. al pmam ❑ImpM� 1� <br /> Tmapaler stiw.w.(sr eadeas omY): ❑Eapodhan US. eMylmk <br /> Das seWngU S.: <br /> K f].TmnepolmAbnp,5latlpmePs4gd Mesrla's <br /> T I Pdnsd? Nam 9i9naWm DeY /Y <br /> a / <br /> 2 i Pea?ryetl Nemo SipneWre Momb OaY Ymr <br /> 1 18. iwepanry <br /> I 1Ra.Domed e,lMiutbn Sam, ❑ O artily ❑Type ❑Reskua <br /> ❑PaNaI R6mAon El Ful Rejeglm <br /> -L lab.Alsmme Faoty la Geldmsr) Manifest Rasrelia Number <br /> US EPA ID Number <br /> V <br /> LL FatllllYe Plme: <br /> yQ�j IIc naWm olAMmes fetlely la Gmemra) Day <br /> Y.Z <br /> A19.Hemdsars Wins Rapal Mamgemerd McMod Codes(ie.,axles M hooemma ween bmhmm,disposal,and r.WN syvems) <br /> 2, H141 3. 1I34s—AG <br /> 20.Designdomi Faoun D aOpamsr.CR -fi Nra 0nl hmomiots male ices—Yy Me mmHaA_mfepl a rnw,din Iden IPa <br /> 1 Y� <br /> C <br /> EPAFolm 8700. ffRw.t2-t7 P sedd reobsoieo. DESIGNATED FACILITY TOEPA's e-MANIFEST SYSTEM <br /> )r?i-4626f156013 2)14941/156023 3.i 9*14 ' <br />