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SSL SK SHIP# 236683368 1111111111111111111111111111111111111 <br /> 0063440145 KS <br /> Please print or type, �Fyorm Approved,OMB No.20500039 <br /> UNIFORM HAZARDOUS 1.General to Number CAL000289579 2.P etof 3'El yob —I tbtl oOpT']k/f /l Or'I A SKS WASTE MANIFEST We' OJYY 14 SKS <br /> 5.Garerem(s Name end t'ip Wress Generahla Slh Addiee(Il ditevenl train mailing address) <br /> North County Recycling Center And Sanitary Land <br /> 17720 E Harney Ln <br /> LULI CA 952401 <br /> GN,eremra 201 <br /> s' 11 `SYSTEMS INC US.EMiD Number TXR00008120S <br /> IT 2 Name U.S.EPAIONurrter <br /> -CLMN HA URS ENV SVC INC. MAD039322250 <br /> e.DreiglMha Fxxy x.m..M steAma� CLEAN HARBORS GRASSY MOUNTAIN U.&EM lO xumcer <br /> 3 MILES EAST, 7 MILES NORTH KNOLLS EXIT 41, OFF 1-80 <br /> KNOLLS , UT 04083 <br /> 435-084-8915 UTD991301748 <br /> FX31 BPIgM'. <br /> ga. gb.US.DOTDe paon(M KPmper ShrOi NareXlwrd ,IDNum .. 1ls.C`,rta m 11.Total 12.UM 18 wash Cada <br /> HM ars Pasklrg Grsap(ifil l) Nr. Type Guanlily W N[ <br /> NON RCRA HAZARDOUS WASTE SOLIDS, ' DM P 352 <br /> o (ABSEIRBENTS LONTAMINATEll WITH OIL), MIM, <br /> so <br /> z 2. <br /> w <br /> 3 <br /> d. <br /> 1^. Impustlarn NABdiMdlNamsam TSD:GM 88595618 14027163 L'SG: <br /> 24H EMERGENLYp800—% a10-798 Li-1 b-1760—CH/SK/TPI—Contract retained by generator canters aggency authorat <br /> on initial transporter to add or substitute additional trans orters on enerat orrs behalf. <br /> 15. GE1lEMTOR'&OFFEROR'g[ERTIFIOall m If�erepro,er re eborl mransprtace gnmentarelintaM araardna bed aboun annual <br /> °ms litiAb,printery , <br /> E"al WNfeataewnwandare Inallresn MInpropercpndiarnlor )tea M1ascordlnAkknOl Od, Ont 0f orelaM nal Wseran¢nd reguh8me texpwl sbipmenteM em tlX Pknery <br /> ImMn MNty Nat Chaiminh Ofarts¢en¢IAnmenl nnbrmb M¢Rrms otfit¢aN¢Mdquanbkgenomtmant0f CPflame <br /> I cemtylMl Newesh minlmlmbon slelemenl senaOedln 40 CFR 2fi22](e)('ll rmelerye ruenbTy generela)or d)pYl amsamell nilly genammrl's hue. <br /> GeryretMN VA! PoMq] y Name Sgnghye . 0°y Year <br /> L 1B.Inlema n fin n ❑IibU.S. ❑Eapolfarm U.S. Poddfenayleail: <br /> Y T2nsprtler siprlatuin(sa exp sna only): Dare Went,U S.: <br /> w 17.TlansporlerkknrMedgmentof Reciabd Materiels <br /> T 1 PrinleMypetl N Slgnelu Mon22ty DeyF y",i 7 4 d <br /> Tmn r2 Pn ypad eme SlAnewre Monts Day Year <br /> T � 2 <br /> 1 t8 Deo par y <br /> I tb,boron vry lrisica.Sres ❑ Opensrt ❑Typo ❑Rendre ❑PoolRejxdon ❑I'd RetlGm <br /> Mantel Reference Nurrals, <br /> Z 186.Ntemebs Feel(i GnpreM) U.S.EMIDNumber <br /> LL FsiMYs PMre' <br /> Maj 11k. 4rMbFe Alemeh FaMy(rr GerereMq MOMh Dar Year <br /> ykys <br /> 19.Nestle.waste Report Mare gement hi Code ti miles lrr renal enafe"abrenl dlapoll ars mryNlrq hml <br /> 01. �2 2. S. d. <br /> 1 NOedAreted Psi a Operamr,Cesnicannof ramipt of hosaMbs noterialswvered by M msnfest exwplea Med in IRm 19 <br /> "iG nalum � Mm �y Yeer <br /> FMmVgW� i V1Fr vbps editions are obsolete. DESIGNATED FACILI TO EPA'e o-MANIFEST SYSTEM <br />