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- -•—.-.� <br /> ����'�`a�«�-�•�.-r:e�'�;►"��!'+s�" �. : ,.. +��, <br /> � � .�,�����q <br /> . d���'' ���A <br /> � � w�icn <br /> �v�� i c ri ��� <br /> DISTRIBUTING ����� <br /> MA h? ` <br /> � � i �. <br /> PO BOX 358 �IT 3 ?_OO�ATE: � , � � �� � <br /> LONG LAKE, MN 55356 1'p� p���� ! <br /> 952-473-5488 <br /> 800-622-7807 E�IERGENCY RESPONSE # <br /> EPA # MN 0000569095 l-888-923-2778 <br /> GENERATOR <br /> NAME: %��I�.�- ��IIV���I� <br /> .-. , <br /> ADDRESS: - f', +} f����� !'�I.L �..�� <br /> I , f -t,-,�_;�(; <br /> CITY/STATE/ZIP: � :�t�,,''y �,� ��� � � �,� � ,� �f )� i <br /> CONTACT: <br /> PHONE(S): �� ;'�.., ' ', ;`_;� . � 1,, � c�� �� <br /> *Filters must be drained for at least 24 hours and or crushed. <br /> SHIPPING DESCRIPTION/S CONTAINER BULK # OF <br /> QUANTITY/SIZE GALLONS <br /> �1.����OIL� LUBRICATING OIL �-:: � ' <br /> r. <br /> Y. <br /> 1 ` <br /> �t',. .� �1, �.��� ;_....� ,� <br /> USED OIL FILTERS <br /> AUTOMOTIVE (CRUSHED) <br /> AUTOMOTIVE (UNCRUSHED) <br /> Contained free flow or trash/water/parts, etc. Biil customer. <br /> Unable to pick up contaminated product. <br /> • Generator Certification: This is to certify that the above nained materials are properly classified, <br /> described, packaged, marked and labeled, and are in pr�per condition for transportation <br /> according to the applicable regulations of the Department of Transportation. <br /> Name (PRINT): <br /> i ' ,--� <br /> Signature: Date: � { � � j <br /> Trans orter"Driver"Name PRINT : � ��' ' � ' ;%� ��� i�-�u��f� <br /> P ( ) � v. ✓` <br /> ** Mayer Distributing certifies that all oil filters will be recycled. <br />