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<br />BRANCH SSI c5G 011-60 Joseph R Lima Jr 07/27/15 12:55 PAGE 2
<br />SHIPPING DOCUMENT
<br />REFERENCE MBR.
<br />CUS'T0M1FR•/6tNERATDR: W22499 Mcmilus Tmck 67664167
<br />3100 N Ad Art Rd
<br />Attn: Ralph Cortez SRVC GATE: 07/27/15
<br />Stockton CA 95215-2216
<br />MINE 209-931-4292 CONTACT NAME: Mcneilas Trod
<br />GtNtKATOM UStPA I0. CAL000274412 GENERATOR STATE
<br />MAICIF RK
<br />ESTE: OO48429S4SKS FOCO: ID SNIP/ 216759)41
<br />FRANSPORTER 1 TXRO0ao9I'LOS SAFETY-KLEEN SYSItNS, IMC. -
<br />5050 SAI.IOA BLVD
<br />SALTAA,CA. 95366
<br />TNSp PHONE., 209-545-1011
<br />TTtAN5PORTFIe 2
<br />US DOC DfSAN1PIION (dtKI.WVG F tOPLN SHAW S% NAME, HAZAKU tt A1S, AND IU)
<br />NON-KRA HAZAf070lIS WASTE, LIQUID
<br />"ED Ori)
<br />FEDERAL WASTE CODES NONE
<br />ESTATE WASTE CODES 22t
<br />C
<br />,�,. IV
<br />EL
<br />TOTAL CONT L TYPE ft Wt/VOL 6 SK00T 11249
<br />' —CNN: ISO/MIS9S% SL: HULK VOLUME (ONFAMN QIY: 10 PHOFv 15601/ CA
<br />IIIRIl1lI�t��" DESIGFATED FACILITY NAME/ADDNESS.,
<br />SAFETY-91EEN OF CALIFORNIA, XW.
<br />- 6690 SMITH AVE.
<br />AUG 4 7 2015 TSDARPHONE. 510-755-4400
<br />N ENTAD FACILITY STATE IO NO CAD990687416
<br />ENI 0 FACILITY STATE ID NO
<br />V �1FYitw neo 6 QorhiT If high risk source. SY rep. lertifirs that load sPesific PCE i
<br />Silicon testing have been c..Vleted prior to pooping this load.
<br />GENERATOR STATUS
<br />CESQG: vehicle
<br />Custaner certifies that (i) the above-namJ mmteridls are properly
<br />classified, packaged, N,arkeJ and labeled, and are in proper Londitiun
<br />for Ir+nspor•t.tion amardi:q to the applicable regulations of the
<br />Department of Transportation weld (i i) no nn&tarial change has occurred
<br />either in the chdracterislics of the waste/u,aterial or in the prueess
<br />generating the w+ale/n,rler ial. Castaner agrees to pay the above
<br />charges and to be bound by the teems and canditiva, (1) set forth in
<br />(a) the General Terras and Conditions provided separately to Custainer
<br />or (b) any SK agreaaeal signed by Customer and St. and (2) -
<br />incorporated herein by reference. Unless athrrwi.e indicated in the
<br />payment receival section. SK is authorized to charge Custaner's
<br />nount for this transacm,er tion. Cust.certifies that the individual
<br />signing this Service Aehnonlelgtmeul is duly auttwrized to sign reed
<br />bind Custoner. Thr following provision is applicable to SaFety-Kleen's
<br />perk cleaner and paint you cleaner services: Custuuler &grew that it
<br />will not intralace any subatauce into the solvent or aquenus Lltanl"g
<br />solution, including without limitation ray hazardous waste or
<br />hazardous waste lYll)111nlnl, except to the extent such iutrvductian is
<br />incidental to the nornal use of the machine. Custaarr further agneas
<br />that it Will not Clew. parts/print guns thal hart been con[m::iratrd
<br />with or otherwise introduce polyc67oriadted blpheayls 01CB's).
<br />herbicides, pesticides, diaaios or listeJ hda.rdaus wast[ int. the
<br />solvent or aqueous cleaning solution. Swfety-Klee" has the capacity
<br />and is permitted to accept, stare, and/or reclai"i the spent parts
<br />washer solvent; paint thinners, solvents and paints generated by
<br />custaner. or dry cleaning filler cartridges, powder, and still
<br />residues Lontdininy perchloroethyle"e, petrale,ni naphtha, or
<br />Lrillurslriahluruethane dry cleaning solvents. Castuuer &gives that it
<br />is ...p.rrsi6le For properly classifying its waste streass ds Used Oil
<br />or Noohazdrdous Wdate in accordaace *with the provision of 40 CFR
<br />262.11 and applicable state lays. Custastr agrees that it will not
<br />introduce any noa-c.nfu mAPS substance into the SK Property,
<br />including, without limitation, any haaard.us waste or haeArdoos waste
<br />constituent,(i.e., polychlorinated biphenyls ("PCBs"), herbicides.
<br />pesticides, dioxins, or listed hazardous wastes) except to the extent
<br />such iatroduetian is incidental to the normal use of the SK Property.
<br />In the event of the introduction of such own-Lunfuya inV bazdrdous
<br />waste, Castarnrer agrees that it will l.e responsible f� all costs and
<br />renr:Jiati.0 expenses related to or +rising from the phdper n.andVvnent
<br />and disposal of tilt non-can Forminv caste, including the cost of
<br />equipment decontaoinatiun and subsequent disposal- final invoicing
<br />will be based on 164 actw&T services provided, ohic_h may include
<br />additional charges far ofF specification waste and surchdrges. Final
<br />ii.wice arlwuat "lay be walr•e than Lhe alwunt listed un the printed
<br />receipt- If any legal action is caaun:nced because of an &llegrd
<br />dispute, breach. default or misrepresentatiun, the Custa,ner also
<br />agrees that the prevailing party will be entitled to recover
<br />reasonable attarnvy's fees and costs associated with the
<br />non, -conforming Lontaniaati.n avant. Safety-Kleen's failure to screen
<br />Customer's ,material or Lake a relaier srrple, in ao way cautitutes e
<br />waiver of Customer's obligation to properly classify its materials.
<br />SaFety-Klee" relies an r
<br />Custonr's representations and Custom& is
<br />roponsible for infanKing Safely -Klee. of any pruceas changes that wry
<br />alter the chdracter-414s of the materials provided. IN THr EVENT OF
<br />AN EMERGENCY CALL **24 -HR NUMBER— 1-800-466-1760 (Safety -Klee")
<br />I have establisfiel a pragrao to reduce the .thin[ or quantity and
<br />toxicity of the haearduus waste to Che degree to be econaaiLalll
<br />practicable.
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