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Emptier: CONOINER MANAGEMENT SERVICES,OC CONTAINER RECEIVING RECORD 21301 Cloud, tt�� Hayward, CA 9," f s' Address: ; City / State / Zip: Date: ,f !7/21J200Nrchase Order #: EMPTY CONTAINER CERTIFICATE I hereby certify that these containers are empty as that term is defined in the California Contaminated Container Regulatlons, Title 22 Section 66261.7*, and that they have been property prepared for transportation under the regulations of the is y. Department or?ranslawtAdon, 49 CFR 173.29**. -Ti*A Section 66261.7 states, (see rogubtion far exact langaagc) A container which previously held haxarStousmaterial is empty if: (1) POURABLF. LAtDM —no material ran be poured or dralned from the container When it Is held many orientation (e.g., tilted. inverted, etc_) (2) IV'ONMOURABLE LADNG —so materlal rernams In or on the container that can feasibly be renooved by physical methods which are communly employed to remove such materials. The Interior of the container shall not contain crusted or a ma a or solidified material. Further, if 1 am notified that there Is excess residue inside the container UR the container does not meet the Myers/CMS, I,I.0 acceptance criterut, i hereby agree to initiate timely and appropriate shipping and shipping papers to return the container to the generating Ate, or agree to accept charges for the return of the Contain 11r& **DOT's 49 CER 173.29 states ghat a0 opeuiugs un the empty coatainer must be closed, and that all markings and labels roust be In place as if the cvntalaer were NM of Its:orlginal contents. A fury shipping paper is not required for transportation of any empty container for reconditioning vla contract or private carrier. DOT placa ding Is not regnlred far vehicles carrying empty Containers. A container thathas held a material Fisted as an acute hazardous waste as speclfled in 40 CFR 261,3I, 261.32, 261.33(e) or extroluely hazardous pursuant to: Title 22 6626LI10, 66261.111 and Appendix X of the CCR Is empty if it has ben triple rinsed using a solvent capable of removing The waste and all pourable residues have been removed_ ❑ Inventory* ❑ Return Goods Trailer #I ❑ Delivered to CMS, LLC ❑ Purchase / Charge: ❑ Pick up made with delivery *Lf inventory items are commingled, Film imms of� Pick up made — No Delivery similar quality will be returned: Customer CMS, LLC Count Count Description Mg. 1A1/Y1.5//{250 ........................... 55g. ...................•..ora as - reA Tight 55g. 1 ight plead Light gauge .O mm ...... ...... . 55g. Deheader ............................... 55g. ACT II Poly ............................ 55g. L-1 Poly ( White Blue Slack ) ...... 55g. UN Poly TX: ......................... : 55g. O/K Poly ( UN Non -UN )......... 53g. Ju11k Poly .............................. 55g. UN 1A2 ................................. 55g. FOH Non -UN ............................ • 55g. FOH SAB ............................... 30g. ( TH OH ,........................ 55g. SILICONE — COMPOSITES .............. Junk Steel .................................. Offer .. ... :.. ....� ....... Oa�tll'er• ,Apt /.�.if f7n5 gal. IBC r.••.. • ........................ 3Z 330 gal. IBC .......•...................•..•. 11. TOTAL: ................................... Freight Charge H 71388 Pay/Charge Pay/Charge Each Total • Cir 11 /r ''• � 4 ,r r Customer nmy be charged for some or all of the above Items, ,j lsrinlted Masse or Authorized Representative for Empty Container Generator j X _X Signature of Authorized Represcutative for Empty t.optainer Generator Ch1S, LLC Dl1C #CRR ISSERD 06/15/06 Rev -'W' By: C_ Hardht.