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May 05 16 03:42p King ]sand Enterprises 2047-4364 p,5 <br /> • • PAGE 1 <br /> O3f31 Y16 13:.7 <br /> David L 8axtm, <br /> CS4$Kh54-><0%-L3 SYs.tems r <br /> "Inc <br /> • <br /> SaftY KCeen Sa{t. 1DD <br /> e -80o R Centr el E,1'�Sc60 <br /> COPP ORA O�8o9 lb fig I(S of et y-Ll sen) RE4ERfkE '�;, <br /> CUSIDNFR / GENERATOR: Sherri Keys <br /> CUSIDPFRd CSG 58-SSL-BOX-23 D.vid L ROcten 03/31/16 14:47 PA40 2 <br /> BILL TDV SHIPPING DOCUMENT <br /> Sp32681 REf ERENCE NRR. <br /> (USS EROICENERATOR: 6118407 hint Tslend Marino 59936469 <br /> 1153D W Eight Nile Rd <br /> Stoskion CA 95211.8708 SRWC DATE: 03/$1/16 <br /> PURC90 PRONE S10-267-0688 <br /> GENERAIOR USEPA I0. CaL0030M172 STATE <br /> oz up 2t8857544 <br /> MANIFEST#: <br /> TRANSPORTER 1 TXRO0D081205 SAFETY-SDSONSSALIDAMS.BLV DINC. <br /> PRO* SALIRA.CA. 15368 <br /> 81363 3NSP PNONE: 209-S45-1011 <br /> TBANSPURTER 2 <br /> 8t435 US o0T UMUIPTION (INCLUDING PROPER SHIPYIrvG 441E. NAEARV CLASS. AND ID) <br /> 87546 DRAINED USED OIL FILTERS <br /> d Cot FEDERAL WASTE CODES NONE <br /> STATE HASTE CODES <br /> TOTAL CART 1 TYPE OM WT/VOL P SKOOT 14476 <br /> 8001 We: 160310828195 SZ: 55 GA1/2D5 L CONTAINERS QW: 150 PROF#IS6U33 C <br /> DESIGNATED FACILITY NAME/ADDRESS: <br /> 331 SAFETY-KLEEN SYSTEMS. INC- <br /> SDSO SALIM BLVD <br /> SALIDA CA 95368 <br /> 71 TSD PHONE: 209-545-1011 <br /> It FACILITY USEPA ID FID CklDD0613968 <br /> 3 FACILITY STATE 16 NO <br /> 4ENERATDR STATUS <br /> 0.220 lbs/month <br /> Cuseomer certifies that (D the above-nmced materialser<Vrd^^dicion MAY 0 5 2016 <br /> lass ified. Pack•g.d. marled -11 labeled, ai,d are i. Pr>Per <br /> for transfortatitn according to the miPlicehle r.VeLtions of the <br /> Dgrartment of Trmnpartati.n (ii) no ixateriel cha.V has occurreil e,,fy r?ln 9�L4$y <br /> either in Iht characteristics of Elm was tc/mate rias er in the Process a -Fe•�... _ <br /> yenerati.4 the waste/caterial, and Oil) the above rafn•enteJ -- ,�f., _ <br /> Co....t.r Status is correct- Custmaer aU lees WFoy the A... ch.rges <br /> and to be b...d by the telex And conJstions (1) set <br /> fort], <br /> in W(the <br /> General Tem>< and Conditions provided sepe,staly <br /> yy SK loreextnt sJUmd by Cmtonar end SKend U) tett rpo rateA <br /> herein by referoace. Unless otherwise indiu[.d in the rayteat <br /> receiSed secN 6n, SK is aotb,r izeJ to charUc Custoc."s xCtuat for <br /> this trauac tion. If [ustwser fails to make m'wt Linen one• an <br /> or <br /> ormnnt eq.01 to the lessor of (i) I'b Pei1l•Leha(18%dfled torall WID <br /> Cf i) eh. ma.{im,m...t .11.P4d by les. v <br /> aaq[s .uh Ending, Custmxr e.rtiries tl�et the Sndi..i Ju al siPm.1 <br /> this Service Atkaowledoement is duly suthuriaed m sign anJ Lind <br /> Cost...,. Cottaee9 acknowledges that it i> ..pons idle for nw intainin8 <br /> its Generator States and abtainin, an EPA ID o.nb.rhl eft renq.ired by <br /> apPlicabl< law. Th. (allowin0 pvvvisitn So <br /> Safet)-Klenl's Parts cl.mrer and 'mint ... cleaner ...vitas: Custmrer <br /> agr•.> shat it ill ..es :•, ...I.e. e.y suhztance into the solvent ur <br /> ut.etus cleaniay >aloti0 <br />