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2309 West Hammer Lane PR0546737 <br /> September 2, 2021 Program: HW <br /> PHOTO 11: Consolidated manifest without a waste code. <br /> CJ �ianec,ra s <br /> ~ TRANSPORTER: Joseph R Lima 1r` s <br /> L v y <br /> ------------- <br /> ------------------------------------------------------------------- <br /> c <br /> Do y <br /> Y y <br /> 0 <br /> g CSG SK-SSL-"MO-Ol ]usc ph F Lima ]r 09/20/19 09:11 P—E 2 - <br /> OJ p `o.•q i3 <br /> og° ° <br /> coil N SHIPPING DOCUMENT ^°` <br /> - IN THE EVENT OF AN EMERGENCY CALL —24-Hr-Number— 1-800-468-1760(Safety-Kleen) <br /> (n '•^ REFERENCE NBR. <br /> CUSTOMER#/GENERATOR: AU24566 Autozone # 3326 80961504-1904542086 <br /> r <br /> w 2309 W He er Ln <br /> ty Stockton CA 95209-2367 <br /> QJ c q PHONE 209-477-9788 <br /> r— �� GENERATOR USEPA ID. CAL000207935 GENERATOR STATE - <br /> Y z MANIFEST#: 0071S1779SKS FORM CD: 1D SHIP# 229525457 <br /> c TRANSPORTER 1 TXROOOOS1205 Safety Kleen <br /> 5050 SALIDA BLVD <br /> F� SALIDA,CA. 95368 <br /> OJ TNSP PHONE: 209-54S-1011 <br /> TRANSPORTER 2 u <br /> � N 1 <br /> v) US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) <br /> �A A <br /> NON-RCRA HAZARDOUS WASTE, LIQUID _ <br /> (USED OIL) y <br /> . FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES <br /> TOTAL CONT 1 TYPE TT WT/VOL G SKDOT 11249 <br /> CNT#: 190920890680 SZ: BULK VOLUME CONTAINER QTY: 100 PROF# 156017 CA " <br /> DESIGNATED FACILITY NAME/ADDRESS: <br /> oe SAFETY-KLEEN OF CALIFORNIA <br /> 6880 SMITH AVE. <br /> LL NEWARK CA 94560 <br /> z TSD PHONE: 510-795-4400 <br /> LL <br /> C <br /> uLL. FACILITY USEPA ID NO CAD980887418 <br /> z FACILITY STATE ID NO <br /> T Y <br /> GENERATOR STATUS <br /> O C M <br /> CESQG: Vehicle <br /> u nL <br /> 0 N <br /> L O O <br /> b L <br /> N 6M, <br /> d N b <br /> V• r C r <br /> O b b•r• � <br /> i R ys r• P <br /> N i Y Y <br /> d i i <br /> bko b N 0 <br /> u o amro <br /> ti r- <br /> c u a <br /> Signature <br /> >n <br /> o m u <br /> � m N <br /> c CUSTOMER / GENERATOR: larry r s m 4°+ <br /> c " <br /> r <br /> a41 1 <br /> d bi <br /> b E <br /> e Y <br /> ♦ a <br /> N ut � <br /> N �b <br /> wY <br /> u <br /> •�m <br /> a n <br /> 09/021202111:09.,, u•e <br /> 0 0 <br /> W .Ignatllr8� `r <br /> jP YW <br /> F �Y <br /> Lydia Baker, SR. REHS Page 11 of 12 <br />