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BRANCH SSL CSG 60 Joseph Lima Jr 07/23/14 14:51 PAGE 2 <br /> SHIPPING DOCUMENT <br /> REFERENCE NBR. <br /> CUSTOMER#/GENERATOR: C082732 Con J Franke Electric Inc 63926601 <br /> 317 N Grant St <br /> Stockton CA 95202-2633 SRVC DATE: 07/23/14 <br /> PHONE 209-462-0717 CONTACT NAME: Con J Franke Electric Inc <br /> GENERATOR USEPA ID. CAL000205132 GENERATOR STATE 906001.9999 <br /> MANIFEST#: 004373846SKS FORM CD: 1D SK SHIP# 213729537 <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 OUT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) <br /> NON-RCRA HAZARDOUS WASTE, LIQUID <br /> (USED OIL) <br /> FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES 221 <br /> TOTAL CONT 1 TYPE TT WT/VOL G SHOOT 11249 <br /> CNT#: 140723303966 SZ: BULK VOLUME CONTAINER QTY: 110 PROFILE: 0150105CA CAT CODE:A <br /> DESIGNATED FACILITY NAME/ADDRESS: <br /> SAFETY-KLEEN OF CALIFORNIA, INC. <br /> 6880 SMITH AVE. <br /> NEWARK CA 94560 <br /> TBD PHONE: 510-795-4400 <br /> FACILITY USEPA ID NO CAD980887418 <br /> FACILITY STATE ID NO <br /> If high risk source, SK rep. certifies that load specific PCB 6 <br /> Silicon testing have been completed prior to pumping this load. <br /> GENERATOR STATUS <br /> CESQG: Vehicle <br /> Customer certifies that (i) the above-named materials are properly <br /> classified, packaged, marked and labeled, and are in proper condition <br /> for transportation according to the applicable regulations of the � � <br /> ly&F-a`+ <br /> Department of Transportation and (ii) no material change has occurred �Y'' <br /> either in the characteristics of the waste/material or in the process REED E - <br /> 0 p <br /> generating the waste/material. Customer agrees to pay the above <br /> charges and to be bound by the terms and conditions (1) set forth in tir ���� <br /> (a) the General Terms and Conditions provided separately <br /> 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 ENVIRONMENTAL HEALTH <br /> payment received section, SK is authorized to charge Customer's <br /> account for this transaction. Customer certifies that the individual PERMITISERVICES <br /> signing 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 or 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; or dry cleaning filter cartridges, powder, and still <br /> residues containing perchloroethylene, petroleum naphtha, or <br /> triflurotrichloroethane dry cleaning solvents. Customer agrees that it <br /> is responsible for properly classifying its waste streams as Used Oil <br /> or Nonhazardous Waste in accordance with the provision of 40 CFR <br /> 262.11 and applicable state laws. Customer agrees that it will not <br />