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Wt>:NtH S)l tSG e0 Joseph Liana Jt OSI�'11 06:50 PAGE 1 <br /> Safety-Kleen Systems, Inc . <br /> 2600 N Central fcPy. Surto 200 <br /> Richardson, n 75M <br /> CORPORATE: 600-669-1740 <br /> 24 /IR tHtHGENCy: 600-466-1/60 (5 afety-Kiatrl) <br /> 20954SI011 REFERENCE NW. <br /> CY574MER6 IIE2S;20 Heartload Steel 666/2419 <br /> all kelly St SR1K t1EEk: 2011-f5 <br /> w <br /> Lodi CA 95240 3101 SRVC DATE: 05/06/1$ 06:50 <br /> PHONE OSI.764-2111 <br /> WLL TO CTISIOMM BILI 10 ADDRESS: <br /> HUS00 Hartland ST--1 <br /> all Kelly St <br /> Lodi CA 95240.3107 <br /> PNONE 951 784-2111 TAX Extwlf <br /> 1+t6itHASt OftOtRe <br /> PRODUC USERVICES <br /> TOTAL <br /> SO"C/ <br /> PRy10IN3IT OlY LR/ii pItXCE LAA fHARGE <br /> ..b4. UStO OIL NO tHAHGt OAK' P 110.000 0.0000 0.00 0.00 <br /> SERVtct FEW 24 WMI <br /> HALOC+tN /LI-Mt O-TT(I fUNI RtSULT PASS: PPR < 1000 <br /> 100001 Itt, FUtt SIIRCHARGf 0.000 0.000 O.LR) 0.00 <br /> TOTAL SiRvtCijPH01RtC IS 0.0000 b,00 0.00 <br /> TOTA4 ClU6lGt a.oa <br /> C 0.00 <br /> TOTAL OW _-.V.-- 0.00,- <br /> "AID BAI,AWC IHL% Hf(tlrl 0..00 <br /> If high risk saurt.t, Sk rep, certifies that load specific Ka 6 <br /> Silicon testlau have been aonplettd Prior to purgring this load. <br /> GtNfRATDR STATUS <br /> CESOG: vehicle <br /> Casteaer certifies that (i) the aiu.m-nremuJ ualtriwls ort properly <br /> c las.ified, poc►aytd, market ant labeledend art in proper caaditiao <br /> for transportation ar:cardiny to the Applicable regolotioas of"the <br /> D.par Unw:nt of Trerepor cation And (Ii) nu material clsor t bas occurs <br /> either in the characteristics of the o.t./material or In the process <br /> yererwllny the caste/material. Custautr ay rets to pay the above <br /> charges and to be bound by the tern. and , aditia". (1) set forth in <br /> (A) the General Tern. aaJ Co-litcans pruv ided stParately to Custoa r <br /> `or (b) my Sk aVriteanent .igned by CAstarnrr aced Sk, and (2) <br /> inwryat aced herein b}} rrfertnae Unl.s. oth—iso itnlicactJ in ohc <br /> Paym+ant received s.Cll.n. Sk is Authuritad to chary. Custom is <br /> accaant for this transaction. cost.,., c.It,(iea that the inJisidual <br /> .igniny this Sere iC.e Aaknasledgar:ent is July authorized to sign and <br /> bind Cuatoo.r. Tlw following gravis ivn is "Plic able to Salaty-kleen'. <br /> parts clewatr Arid PAiut gun cleaner sere is rs: Coslenar mortes that mt <br /> sill not imrtruJu..e Any aub", iu to the sal vent ur aqua.us clean my <br /> sol ul i..w ir,.t,..l twy •it 6vut li:«r'rat ina nny haeardous Astr or <br /> hw+.rrk.us .Ager r•+.ntil.Aent, ear epi to the ..tent —h iutrudur tivn is <br /> ina iJnrt.I tv tirr nor+gal u ur fire h iat. Customer further ayrces <br /> that it Hill ..t Clem parts/paint guns that {rare been vol gainer ed <br /> .W. or ache raise lutrodace poiyChlurina ted biphenyl. tQPCO's). <br /> herbicides. pt.ti4 W.., dia.ins or listed haeardvu. At. into the <br /> solvent or aatueous x1...1.9 solution. SafetY-kl..n hes the capaait, <br /> and is pormitted to sn opt. store, radjur reelahn the sptnrt parts <br /> ...her solvent: paint thioa.rs, solvents and print. tl—rated by <br /> c.stenetp, ur dry clesoing filler cAvlridy.b. powder. and still <br /> residues Coataininy perehluruathylene, Pttruleuaa naphthit. or <br /> triflArolri.hl urottbana dry a1—iny solvents cost-., Aur e.. that it <br /> is respponsible far properly al_ifyi., Its waste stream. As Used Oil <br /> or Nonhwt wrJ aus waste in atcurJAnat with the Provision or 40 CFF <br /> 262.11 rnd aPplkablo slate leas. Cwat Amar surcu. that it will nut <br /> introduce any n+ar cunfumvniny substA.at int. the Sk pr.ptrty. <br /> includinu, without limiteti.... a.y has Atdou. .—to or hat ArJvus wwstt <br /> const it vent.({.t.. pnlyth3or vrwteJ biphenyls ("PCgs"), htrhicidts. <br /> pest{C iJes, diusins, or listerl hwtarduu. wast.*) V.—Pt to the ..trot <br /> .uCh introduction is intidatal to use of the Sk Prvytr%y. <br /> In the .vont of the introduction of ouch nun•confominy hatrrJ.ua <br /> .A►taCostontr ryra.. that it will b . An <br /> III rtsponsible for all C--t- <br /> rvAtediall.mr espenses related to al Arising fram OWproptt Han ye mt RECEIVEL <br /> #eadqu disposal of the non-Caaforai� set inp—1,ell the c at feguiparnt descant«uinatian and sobseyuerN disposal rr t <br /> will be ba..J .n tit actual atrvrus pm rlrJ, <br /> It ,lWo.1 <h<r uo: for vTf spacif{cat i., r.rr ,wJ vr..h um yc� Fmm�l <br /> MAY 12 2015 <br /> ENVIRONMENTAL <br /> NFAETN r1CD6QTW=NT <br />