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i <br /> t--1-1 Ire <br /> TRANSPORTER: Joseph R Lima Jr <br /> CSG SK-SSL-UMO-01 Joseph R Lima Jr 10/11/1/ IG::16 PAGE [` <br /> SHIPPING DOCUMENT <br /> CUSTOMER#/GENtRATOR: 5027286 Southbay Auto Auction REFERENCE NRR. <br /> 4101 S Airport Way 75032543 <br /> Stockton CA 95206-3909 <br /> PHONE 999-999-9999 <br /> GENERATOR USEPA ID. CAL000386339 GENERATOR STATE <br /> MANIFEST#: 006192049SKS FORM CD: 1D SHIP# 213671674 <br /> s TRANSPORTER 1 IXROOOO8120S SAFETY-KLEEN SYSTEMS, INC. <br /> 5050 SALIDA BLVD <br /> SALIOA,CA. 95368 <br /> TRANSPORTER 2 TNSP PHONE: 209-545-1011 <br /> US UOT UESCHIPIlON (1NCLUUING PHOPtR SHIPPING NAME, HAZARD CLASS, AND LU) <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#: 171011147/S7 SZ: BULK VOLUME CONTAINER QTY: 110 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 ID NO CA0980887418 <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-nwned 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 oscurr•ed <br /> either in the characteristics of the waste/material or in the process <br /> generating the waste/Iltater•ial, and (iii) the above referenced <br /> Generator, Status is correct. Customer agrees to pay theabove 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 or (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 /> 00 the maximum amount allowed by law, will be added to all unpaid <br /> amounts outstanding. Customer certifies that the individual signing <br /> this Service AcAno!aledgement is dilly authorized to sign and hind <br /> Customer. Customer acknowledges that It is responsible for main tain illy <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 quit 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 at, hazardous waste constituent, except to the extent such <br /> introduction is incidental to the normal use of the machine. Customer <br /> further agrees that jt will not clean parts/paint guns that have been <br /> cuntaninated with or otherwise introduce pulychlorioated biphenyls <br /> (VCR's), herbicides, pesticides, dioxins or listed hazardous waste <br /> into tinesolvent or aqueous cleaning solution. Safety-Kleen has the <br /> capacity and is permitted to accept, store, an <br /> d/ur reclaim the spent <br /> parts washer solvent; paint thinners, solvents and paints generated by <br /> or dry cleaning filter cartridges, powder, and still <br /> customer; <br /> residues containing perchloroethylene, petroleum naphtha, or <br /> triflurotr•ichloroethanedry cleaning solvents. Customer ayreds that it <br /> is responsible for propeply classifyinyits waste strewns 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 arty non-cnnforining 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 nun-confurmling hazardous <br /> waste, Customer agrees that it will be respunsible for all costs and <br /> remediation expenses related to or arising from ttre proper management <br /> and disposal of the non-conforming waste, including the cost of <br /> equipment decuntail,inat ion arid subsequent disposal. Final jnvui,iny <br /> will be based ml 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 connienced because of an alleged <br /> dispute, breach, default or Tli&r•epr•esentatjail, 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 no way constitutes a <br /> waiver of Customer's obligation to properly classify its materials. <br /> Safety-Kleen relies nrr rn�r"„o <br />