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BRANCH 7142 CSG 24 David Buxt* 01/07/13 12:45 PAGE 2 <br />SHZPPZNG DOCUMENT <br />REFERENCE NBR. <br />CUSTOMER#/GENERATOR: 10007042 MCNEILUS TRUCK 598/5279 <br />3100 N Ad Art Rd <br />Stockton CA 95215-2218 SRVC DATE: 01/07/13 <br />PHONE 209-931-4282 <br />GENERATOR USEPA ID. CAL000216412 GENERATOR STATE <br />MANIFEST#: FORM CD: DP SK SHIP# 209233401 <br />TRANSPORTER 1 TXR000081205 SAFETY-KLEEN SYSTEMS, INC. <br />5050 SALIDA BLVD <br />SALIDA,CA. 95366 <br />TNSP PHONE: 209-545-1011 <br />TRANSPORTER 2 <br />US DOT DESCRIPTION (INCLUDING PROPER SHTPPING NAME, HAZARD CLASS, AND. ID) <br />DRAINED USED OIL FILTERS <br />FEDERAL WASTE CODES NONE <br />STATE WASTE CODES <br />TOTAL CONT 1 TYPE DM WT/VOL P SKDOT 14476 <br />CNT#: 130104644783 QTY: 75 PROFILE: 0150167CA CAT CODEC <br />DESIGNATED FACILITY NAME/ADDRESS: <br />SAFETY-KLEEN SYSTEMS, INC. <br />6000 BOTH STREET <br />SACRAMENTC CA 95628 <br />TSD PHONE: 915-386-4913 <br />FACILITY USEPA ID NO CA0000084517 <br />FACILITY STATE ID NO CA0000084517 <br />GENERATOR STATUS <br />0-220 lbs/month <br />Customer certifies that Ill the above-named materials are properly <br />classified, packaged, marked and labeled, and are in proper condition <br />for transportation accordinq to the applicable requlations of the <br />Department of Transportaticn and (ii) no material change has occurred <br />either in the characteristics of the waste/material or in the process <br />generatinq the waste/material. Customer agrees to pay the above <br />charges and to be bound by the terms and conditions (1) set forth in <br />{a) the General Terms and Conditions provided separately to Customer <br />or (b) any SK agreement signed by Customer and SK, and (2) <br />incorporated herein by reference. Unless otherwise indicated in the <br />payment received section, SK is authorized to charge Customer's <br />account for this transaction. Customer certifies that the individual <br />signinq this Service Acknowledgement is duly authorized to sign and <br />bind Customer. The following provision is applicable to Safety-Kleen's <br />parts cleaner and paint gun cleaner services: Customer agrees that it <br />will not introduce any substance into the solvent or aqueous cleaning <br />solution, including without limitation any hazardous waste or <br />hazardous waste constituent, except to the extent such introduction is <br />incidental to the normal use of the machine. Customer further agrees <br />that it will not clean parts/paint guns that have been contaminated <br />with or otherwise introduce polychlorinated biphenyls (PCB's), <br />herbicides, pesticides, dioxins cr listed hazardous waste into the <br />solvent or aqueous cleaning Solution. Safety-Kleen has the capacity <br />and is permitted to accept, store, and/or reclaim the spent parts <br />washer solvent; paint thinners, solvents and paints generated by <br />customer; cr dry cleaning filter cartridges, powder, and still <br />residues Centaininq perchlorcethylene, petroleum naphtha, or <br />triflurotrichloroethane dry cleaninq solvents. Safety-Kleen and <br />customer agree that this agreement is intended to satisfy the <br />requirements of 40 CFR 262.20(e). IN THE EVENT OF AN EMERGFNCY CALL 24 <br />HR EMERGENCY # 1-600-468--1760 (Safety-Kleen Contract # 94130) <br />XCojelcz <br />CUSTOMER / GENERATOR: Ralph Cortez <br />LAST PAGE <br />Page 21 <br />�`1ECEIVE[� <br />AUG 0 7 2015 <br />ENVIRONMENTAI <br />1-7A!YLI r !Z706PT4,Ar:AIT <br />