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GENERATOR STATUS
<br />0-220 lba/manth
<br />Cxstwner certifies that (i) the .drove-n.ued materisils are properly
<br />classified, PacLayed, marled and labeled, sad are in proper condition
<br />fur transportation —rding to the applicable reyulalioxs of the
<br />Oepa t—t of Tranvpxrtatirn and (ii) ^^ +++Ter ial ahrrryr 6a+ ..awned
<br />either ill the characteristics of the ass Le/u+ateria7 ur iu the process
<br />yeneralinq the was to/anterial. Customer agrees to pay the above
<br />Charyes and to be bound by lilt le"- end cund;Li.ns (1) set forth in
<br />W the Gen,, -at Tenum anJ ConJilions provided separately to Customer
<br />or (b) any SK agreenent signed by Custanier and SK, tad 0)
<br />iucurpurrled herein by reference. Dole— o0mrw6e indicated in the
<br />payoitnt received section. SK is autherized to charge Cualoner's
<br />aecwml for this Iral—Ltion. Custmuer tertifics that the irldividual
<br />signing this Service A4lnonled0c+nvlt is duly authuriztJ to sign and
<br />Lind Custo,ntr. The fullawlnu pruvi*tun is applicable lu Safety-Kleen's
<br />parts cleaner and paint gun cleaner services: Caslunier sure.. that it
<br />will not introduce any subslrma into the solvent or rqueuas cleaning
<br />solution, inelxding sitha.t li.1tation any hazardous Neale or
<br />haaarduus waste cvns t'ituent, ttc.pt to the estcnt such introduction is
<br />nc
<br />iiJenlrl to lilt awriaal use of tine machine. C—Losoer farlber dyrers
<br />that it will net clean parts/paint guns Lbat have been eantaninated
<br />with or otherwise introduce polychlorinated biphenyls CPCB's).
<br />herbicides, pcslivides, diocins or listed hrzdrdaus waste into the
<br />>olveal xr a"euus cleaning sululiow. SAfety-Kleen has the tape. ity
<br />end is permitted to accept, store, and/or reclaim the spent parts
<br />washer solvent; paint thinners, solvents and paints yt^.'sited by
<br />costoemr; or dry lleani4ig filter cartridges, powder, and sti11
<br />residues containing perchlorueffiyltne, pelrulemn naphtha, or
<br />lriflurutrithloruethane dry cleaning solvents. Caomimr ayrers ileal it
<br />is r.a.onsibl. Cor properlyClassifyiuy its yrastr .titan.. as Used 0i1
<br />or Nanhacardons Wa*te in accordance with the provtssvr, of 40 CFR
<br />262.11 and aVVlicsiblr stale laws. Cwstimmr agrees 11r1 it will not
<br />intriduce any rlall-tonfrraTxg wahslnnte into the SK Property,
<br />inclxdiny, withoutitatian, any haearduus waste u 6acarduus waste
<br />constilueal,(i.e.. Polychlorimted bipbenyls ("PC"t herbicides,
<br />pealltldrs, dlosurs, ur' listed haearJVna wastes) wtepl to the eitent
<br />such 1mkeQducliun is incidental to the ..anal use of the SK Properly.
<br />In the event of the in Lrodatlimo of saeb man-co�llTT�,,on.iny hrcrrdous
<br />caste, Cost+Amer agrees that it will be res. itr)e for all sods and
<br />re""
<br />lcpenses related to or arisiery fr'u. the prvper v,a+eayamelll
<br />and dispussil of the 11011 -tun furzni11y waste, including the cost of
<br />eyiu 1pment decont—inatiun and sebacyurnt dispusal. Final invuiciny
<br />Hill be based o^ the siclaal services provided, whish may include
<br />addiliunal charges for off slrecificatiuu wAstt and suraharyes. Tival
<br />invoice a,lwunt ilry be store than the .[taunt listed on the Vri^ted
<br />receipt- If any legal action is co11nanced because of an alleged
<br />dispute, br•cactl, default or miarcprescntation, the Customer also
<br />agrees Thal the prevailing partY will be entitled to reviver
<br />reasonable attorney's fees and costs ^ssocialed with the
<br />non-Lunfanuiny eunl.,,iaal ion event. Safety-Kletn's failure to a ecce+
<br />CusIwmar's material or tale si retain sainple, in ao W" const it uses a
<br />waiver of Custon.r's obligation to pruperly classifY its +wterials.
<br />Safely-Ylet, rel in un w
<br />Custuer's represeataL'ions and Custanwr is
<br />rspxnaible for infunnmg Safety-lileen of any prucess changes lint azI
<br />alter the characteristics of the nateriols pravidtd. IN YK EVENT OF
<br />AN tMERGETKY,CALL `-•24.101 mimliFit— I-ZW-465-1760 (Safety-Kleen)
<br />0
<br />IRIANCH SSL CSL VW -12 lase Moran 07/27/ts t1:S0 PAGE 2
<br />r
<br />SHIPPING DOCUMENT
<br />-
<br />REFERENCE NO.
<br />LUSI04LRf/GENERA1011: 1![22499 Nana ilus Truch 67654153
<br />7100 N Ad Art Rd
<br />Attn: Ralph Cortez SAW DATE: 07/27/tS
<br />stoat nn CA 95ZIS-2215
<br />PHONE 209-971-4252
<br />i,ENLRAIOH LISLpA 10, LAkWA1176411-GLNLRA14*t S1411,
<br />KANL.FtST*: FORM Co: OP SNIP* 216755316
<br />TKAN om(EN I IXWAOCSIZ05 SAFkTY-KLttN SYSTE145-, W.
<br />5050 SAMA BLVD
<br />SALIOA,CA. 05165
<br />IPISP PHONE: 109-545-1011
<br />TRANSPORTER 2
<br />USWIOthAk1VILUN 4,LMLW1M VKOPLK Snlp1'1NG NAML, MAIANU ItA]>, AMI lU)
<br />RECEIVE[)
<br />oRAINED USED RCL FILTERS
<br />NONE FEDERAL HASTE CODES NONE
<br />STATE WASTE CODES
<br />TOTAL CONT l TYPt OM WF/VOL P 51100E 14,76
<br />AUG 2r�15
<br />!NIS: IS07941SOW6 SL: y5 GAL/1W, L LONIA.INtM q1Y: 100 paOFf 156u7s C
<br />•
<br />OESILWaTED FACILITY WAME/AUDESS:
<br />SAFETV-KLIEN SYSTEMS, INC.
<br />$050 SAIDA akaENVIRONMENTAL
<br />SALIDA CA OSS65
<br />1�!'rr,) nCC)!i�TAd=hlY
<br />TSD PHONE: -545--1011
<br />FACILITY USEPA a ra0 CA1000 ingiss
<br />FACILITY STAYS IO NO
<br />GENERATOR STATUS
<br />0-220 lba/manth
<br />Cxstwner certifies that (i) the .drove-n.ued materisils are properly
<br />classified, PacLayed, marled and labeled, sad are in proper condition
<br />fur transportation —rding to the applicable reyulalioxs of the
<br />Oepa t—t of Tranvpxrtatirn and (ii) ^^ +++Ter ial ahrrryr 6a+ ..awned
<br />either ill the characteristics of the ass Le/u+ateria7 ur iu the process
<br />yeneralinq the was to/anterial. Customer agrees to pay the above
<br />Charyes and to be bound by lilt le"- end cund;Li.ns (1) set forth in
<br />W the Gen,, -at Tenum anJ ConJilions provided separately to Customer
<br />or (b) any SK agreenent signed by Custanier and SK, tad 0)
<br />iucurpurrled herein by reference. Dole— o0mrw6e indicated in the
<br />payoitnt received section. SK is autherized to charge Cualoner's
<br />aecwml for this Iral—Ltion. Custmuer tertifics that the irldividual
<br />signing this Service A4lnonled0c+nvlt is duly authuriztJ to sign and
<br />Lind Custo,ntr. The fullawlnu pruvi*tun is applicable lu Safety-Kleen's
<br />parts cleaner and paint gun cleaner services: Caslunier sure.. that it
<br />will not introduce any subslrma into the solvent or rqueuas cleaning
<br />solution, inelxding sitha.t li.1tation any hazardous Neale or
<br />haaarduus waste cvns t'ituent, ttc.pt to the estcnt such introduction is
<br />nc
<br />iiJenlrl to lilt awriaal use of tine machine. C—Losoer farlber dyrers
<br />that it will net clean parts/paint guns Lbat have been eantaninated
<br />with or otherwise introduce polychlorinated biphenyls CPCB's).
<br />herbicides, pcslivides, diocins or listed hrzdrdaus waste into the
<br />>olveal xr a"euus cleaning sululiow. SAfety-Kleen has the tape. ity
<br />end is permitted to accept, store, and/or reclaim the spent parts
<br />washer solvent; paint thinners, solvents and paints yt^.'sited by
<br />costoemr; or dry lleani4ig filter cartridges, powder, and sti11
<br />residues containing perchlorueffiyltne, pelrulemn naphtha, or
<br />lriflurutrithloruethane dry cleaning solvents. Caomimr ayrers ileal it
<br />is r.a.onsibl. Cor properlyClassifyiuy its yrastr .titan.. as Used 0i1
<br />or Nanhacardons Wa*te in accordance with the provtssvr, of 40 CFR
<br />262.11 and aVVlicsiblr stale laws. Cwstimmr agrees 11r1 it will not
<br />intriduce any rlall-tonfrraTxg wahslnnte into the SK Property,
<br />inclxdiny, withoutitatian, any haearduus waste u 6acarduus waste
<br />constilueal,(i.e.. Polychlorimted bipbenyls ("PC"t herbicides,
<br />pealltldrs, dlosurs, ur' listed haearJVna wastes) wtepl to the eitent
<br />such 1mkeQducliun is incidental to the ..anal use of the SK Properly.
<br />In the event of the in Lrodatlimo of saeb man-co�llTT�,,on.iny hrcrrdous
<br />caste, Cost+Amer agrees that it will be res. itr)e for all sods and
<br />re""
<br />lcpenses related to or arisiery fr'u. the prvper v,a+eayamelll
<br />and dispussil of the 11011 -tun furzni11y waste, including the cost of
<br />eyiu 1pment decont—inatiun and sebacyurnt dispusal. Final invuiciny
<br />Hill be based o^ the siclaal services provided, whish may include
<br />addiliunal charges for off slrecificatiuu wAstt and suraharyes. Tival
<br />invoice a,lwunt ilry be store than the .[taunt listed on the Vri^ted
<br />receipt- If any legal action is co11nanced because of an alleged
<br />dispute, br•cactl, default or miarcprescntation, the Customer also
<br />agrees Thal the prevailing partY will be entitled to reviver
<br />reasonable attorney's fees and costs ^ssocialed with the
<br />non-Lunfanuiny eunl.,,iaal ion event. Safety-Kletn's failure to a ecce+
<br />CusIwmar's material or tale si retain sainple, in ao W" const it uses a
<br />waiver of Custon.r's obligation to pruperly classifY its +wterials.
<br />Safely-Ylet, rel in un w
<br />Custuer's represeataL'ions and Custanwr is
<br />rspxnaible for infunnmg Safety-lileen of any prucess changes lint azI
<br />alter the characteristics of the nateriols pravidtd. IN YK EVENT OF
<br />AN tMERGETKY,CALL `-•24.101 mimliFit— I-ZW-465-1760 (Safety-Kleen)
<br />
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