DSHW-2024-005636

L7 September L996
Dennis R. Dorms, Dlrector
Utah Dept. of Environmental QualityDivision of So1id. and. Hazard.ous I'Iaste
288 N. 1450 W.
Salt l,ake City, Ut 84114-4880
Dear Mr. Donns,
Our PA ID No. w&s lssued on May 2, 1996.
A11 of our naste was picked. up on June 5, L996 by JBR, Salt Lake City.
Our cu:rent waste contalners are labe1ed and. d.ated..
I,Ie also had'" a waste pick up on Sept, t), 1995 by Safety-K1een of
Las Vegas, Nevad.a.
One Hour MartinizLng
865 S, Bruff St.
Dry Cleaners
St. George, Ut 84770
6ze-2494
Enc' 2
Regard.s,"t
R EPORTABLE OUANTITY VALU E Y "RO'' DISCHARGE TO NATIO].rAL
CENTER (800) 424-U,,02, AND 9r I
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PLACARDS
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UNIFORM HAZARDOUS
WASTE MANIFEST
1. Generator's US EPA lD No. Manifest Document No.T.Vrn oorlcolsri l;it^r \'2. Page 1
of
lnformation in the shaded areas
is not required by Federal law.
3. Generator's Name and Mailing Address
l itollii ${fifirl$IgtilCI
s55 $ SLUPF
+F8"n#4ilP*Tftffi*r t{t, q'i ? ? fr *rA ..1
A.
..:,,.;]
B.
5. Transporter 1 Company Name
t.t h ?r i1t :Yl'.lr i, ? -:: u:1 Lt ar:a r1 rla
6. US EPA lD Number
I o * ;\ n',, J ..I "'t r.r't'\ I D. Transportgr's Phong.r?i.+ e.^ .r'rr *rlt .+ -r''
s:'
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USEPH lDltfrmter ,f;; $tglg,Tr,AnS,pOrtefSIIO .r,,il,,,I
F;, i,,,TnanspqrtBt's Phone:
9. Designated Facility Name and Site Address
SAFgTY-fiIEE}I CORP
r6ii $?OffiER 5r
10. US EPA lD Number
.$ . i,As, tr$GAS, ily d9O30 | lr rT 3 30(} r 02Jit
11. US DOT Description (lncluding Proper Shipping Name, Hazard Class and lD Number)tEl
12. Containers
No. I Type
13.
Total
()rrantitv
14.
Unit
WtA/ol
a.*ri fr&$TE tEtHACHLOEOts'fllf LS!{Eir.i UHfdgT lr$ III(FOOA Dt)0?l(oil0,S)
,an.rr1 lt'r errt^iff l rttfr6'r.5t e,fr Lt 1 t.:dr l.-rt
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x ilasTg IE'rfl.*cHi.0RrJ gTIt rLgils6.1 ult1897 Pi, rII(rOcerD03g)
f *n.-lr-+!ri(l iIlip-lr:sf Fr"rtl$c
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1i1lii,.:t.1:.11..i:i.j.. 1r:..1]:.._....._.i1r:..:r1..:....:r.,
d.
Addilional:Descriplions for Materials Listed Above . l
,,ith}:pflos,$$g sfl4*,,1
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15. Special Handling lnstructions and Additional lnformation ' ' .Ir uiliDgLIYEltABtB, REtUrtr{ to oEi{seAtoL/ Fon
SHARGEIiCY gEbirAU$$*800-464-i?50 2-t rIR
NECYCTE
7-0fl7-5i-
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i3itD0?rer 94? *r flOfi
16. GENERATOR'S CERTIFICATION: I hercby d€dare lhat th6 cootonts ol this consignmont aIg tully and accuEtely d€scribed aborc by proper shipping nam€ ard
are classifisd, packed, malked, and labeled, and ale in all r8sp€cls in prcper condfion for hansport by highway aEording io applklable intemational and national
govemmsnt regulalions.
l, I am a large quantity genera.tor, I certify that ! ha!? a program in placs to reduce the vclume and toxicity of waste generated to the degree I have
delermined to b6 economically practicable and that I have selected the practicable method oflteatment, storage, or disposal cunently available to me which
minimi?€s the present and future threat to human health and the environment; OR, if I qpr a small quantity generator, I have made a good laith eftort to I, minimiie mv wasle osneration and select the best waste manaoement melhotlthat is aEflable to me and that I can afford. I Date
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r'17. Transporter 1 Acknowledgement of Receipt of Materials Date
-'' Printec/Typed Name
18. Transporler 2 Acknowledgement of Receipt of Material6 Date
Printed/Typed Name Signature Month Day Year
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19. Discrepancy lndication Space
20. Facility Owner or Operator: Certification ol receipt of hazardous materials covered by this manilest except as noted in item 19.
Printed/Typed Name Signature Month Day Year
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SAFETY.KLEEN CORP.
e02eo 6
EPA Form 8700-22 (Rev. 9-88) previous editions obsolete