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<br /> - NO-01 Joseph R Lima lr 07/28/17 14:12 PAGE 2
<br /> SHIPPING DOCUMENT
<br /> EFENCE NR.
<br /> CUSTOMER#/GENERATOR: 5027286 Southbay Auto Auction 74266985E1703573503
<br /> 4101 S Airport Way
<br /> Stockton CA 95206-3909
<br /> PHONE 999-999-9999 CONTACT NAME: Southbay Auto Auct
<br /> GENERATOR USEPA ID. CAL000386339 GENERATOR STATE
<br /> MANIFEST#: 006136514SKS FORM CD: 1D SHIP# 223021329
<br /> TRANSPORTER 1 TXROOOOS1205 SAFETY-
<br /> KLEEN SYSTEMS, INC.
<br /> 5050 SALIDA BLVD
<br /> SALIDA,CA, 95368
<br /> TRANSPORTER 2 TNSP PHONE: 209-545-1011
<br /> US OUT UES(RIP11ON (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND 10)
<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 SKDOT 11249
<br /> CNT#: 170715342587 SZ: BULK VOLUME CONTAINER QTY: 140 PROF# 156017 CA
<br /> DESIGNATED FACILITY NAME./ADDRESS:
<br /> SAFETY-KLEEN OF CALIFORNIA
<br /> 6880 SMITH AVE.
<br /> NEWARK CA 94560
<br /> TSD PHONE: 510-795-4400
<br /> FACILITY USEPA IO NO CAD980887418
<br /> FACILITY STATE ID NO
<br /> If high risk source, rep, certifies that load specific PCB & Silicon
<br /> 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 /> Department of Transportation (ii) no material change has occurred
<br /> either in the characteristics of the waste/material or in the process
<br /> generating the waste/naterial, and (iii) the above referenced
<br /> Generator Status is correct. Customer agrees to pay the above charges
<br /> and to be bound by the terms and conditions (1) set forth in (a) the
<br /> General Terms and Conditions provided separately to Customer of, (b)
<br /> any SK agreement signed by Customer and SK, and (2) incorporated
<br /> herein by reference. Unless otherwise indicated in the payment
<br /> received section, SK is authorized to charge Customer's account for
<br /> this transaction. If Customer fails to make Payment when due, an
<br /> amount equal to the lesser of (i) 1.5% per month (18% Per annum) or
<br /> (ii) the maximum amount allowed by law, will be added to all unpaid
<br /> amoarnts outstandinn. Customer certifies that the individual signinn
<br /> this Service Acknowledgement is duly authorized to sign and bind
<br /> Customer,. Customer acknowledges that it is responsible for maintaining
<br /> its Generator Status arid obtaining an EPA ID number if required by
<br /> applicable law. The following provision is applicable to
<br /> Safety-Kleen's parts cleaner and paint gun cleaner services: Customer
<br /> agrees that it will not introduce any substance into the solvent or
<br /> aqueous cleaning solution, including without limitation any hazardous
<br /> waste or hazardous waste constituent, except to the extent such
<br /> introduction is incidental to the normal use of the machine. Customer
<br /> Further agrees that it will not clear, harts/paint guns that have been
<br /> contaminated with or otherwise introduce polychlorinated biphenyls
<br /> (PCB's), herbicides, pesticides, dioxins or listed hazardous waste
<br /> into the solvent or aqueous cleaning solution. Safety-Kleen has the
<br /> capacity and is permitted to accept, store, and/or reclaim the spent
<br /> parts washer solvent; paint thinners, solvents and paintsgenerated 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 r•espwrsible for properly classifying its .,ante 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 /> introduce any non-conforming substance into the SK Property,
<br /> including, without limitation, any hazardous waste or hazardous waste
<br /> constituent,(i.e., polychlorinated biphenyls ("PCBs"), herbicides,
<br /> Pesticides, dioxins, or listed hazardous wastes) except to the extent
<br /> such introduction is incidental to the normal use of the SK Property.
<br /> In the event of the introduction of such non-conforming hazaa•dous
<br /> waste. Customer agrees that it will be responsible for all costs and
<br /> remediation expenses related to or arising from the Proper' management
<br /> and disposal of the non-conforming waste, including the cost of
<br /> equipment decontamination and subsequent disposal. Final invoicing
<br /> will be based on the actual services provided, which may include
<br /> additional charges for off specification waste and surcharges. Final
<br /> invoice amount may be more than the amount listed on the printed
<br /> receipt. If any legal action is commenced because of an alleged
<br /> dispute, breach, default or misrepresentation, the Customer also
<br /> agrees that the prevailing party will be entitled to recover
<br /> reasonable attorney's fees and costs associated with the
<br /> non-conforming contamination event. Safety-Kleen's failure to screen
<br /> Customer's material or take a retain sample, in to way constitutes a
<br /> waiver of Customer's obligation to Properly classify its materials.
<br /> Safety-Kleen relies on Customer's representations arid Customer is
<br /> responsible for informing Safety-Kleen of any process changes that may
<br /> alter the characteristics of the materials provided. IN THE EVENT OF
<br /> AN EMERGENCY CALL **24-12 P;UMEER** 1-800-468-1750 (,Safety-Klexn)
<br /> I have established a progran to reduce the volume Or quantity and
<br /> toxicity of the hazardous waste to the degree to be economically
<br /> practicable.
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