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VO/e11 aV10 4wm 19; as rear <br /> Vi I/ Va:i <br /> CSG SK-ESL-BOX-23 Rnymond Gomez 08/31/17 10:28 PAGE 2 <br /> SHIPPING DOCUMENT <br /> REFERENCE NSR, <br /> CU.4TOMERN/GENERATOR; 8021038 sobs Lube t Smeg 74613356-1704303704 <br /> 1403 Country Club blvd <br /> Stockton CA 95204-4910 <br /> PHONE 209-943-3633 CONTACT NAME: sobe Lube f smog <br /> GENERATOR USEPA ID, IE/ADDRESS: <br /> 982351717 GENERATOR STATE D0006 <br /> MANIFEST*: 006136638FORM co: 1D SHIPN 223266181 <br /> TRANSPORTER 1 TXR000205 SAFETY-KLEEN SYSTEMS, INC. <br /> 5050 SALIDA BLVD <br /> SALIDA,CA, 95368 <br /> TNS? PHONEt 209-545-1011 <br /> TRANSPORTER 2 <br /> US DOT DESCR1101'I0N ( LUUING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) <br /> NON-RCRA HAZARDOUS WE, LIQUID <br /> 1AQUEOUS PARTS WASHEOLUTION) <br /> FEDERAL WASTE CODES E <br /> STATE WASTE CODES 13 <br /> TOTAL CONT 1 PG DM W'L'/VOL G SKDOT 14941 <br /> CNTN; 77(1824128561 : 30 GAL/114 L CONTAINERS QTY: 20 rHoFM 156023 CA CAT CODE:G <br /> DESIGNATED FACILITY <br /> SAFETY-KLEEN SYSTEMS, INC. <br /> 6000 BOTH STREET <br /> SACRAMENTO CA 95829 <br /> TAt1 PHONE: q1 fi­9Rfi-41 11 <br /> FACLLITY USEPA ID NO 0000084517 <br /> VACILITY 8TKI'E 11) NO <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br /> CU7tomcr nertl.Eio7 the. (I) the above-named materlal9 are properly <br /> rlaa7lflod, packaged, orked and labeled, and are in proper condition <br /> for transpor.tati.on arc rdinq to the applicable requlations of the <br /> Department of 'franepor ation 111) no material change has occurred <br /> either in the charade iSL'ir. of the 11..L./Material or in the process <br /> ger,eratir:y the waste/m terlal, and (ill) Lhe abuve rtlerenced <br /> GeneraLurSLaLUa "I eo tees-. Cuml%omer ngreen Ln pay the above chargee <br /> and to hn bound by the terms and rond.i.t.ionc (1) set forth in (a) the <br /> General Terms and Cond tions provided separately to Customer or fb3 <br /> any SK agreement signs by Customer and SK, and 12) incorporated <br /> herein by reference. nless otherwise indicated in the payment <br /> received section, SK i authorized to charge Customer's account for <br /> this transaction, IE C atomer falls to make payment when due, an <br /> amount equal to the le ser of (1) 1.51 per month (189 per annum) or <br /> (ii) the maxifnum amoun allowed by law, will be added to all unpaid <br /> atnomtLa ou%tancing. C sLomer cer•tlEies LhaL the individual signing <br /> L•hl:r Servlae Acknnwled eh,enL• In duly author.lzcd Ln aiyn and hind <br /> Cunl-,ornnr, Cunt<mrr.r ac.krnwlnrfyos khal. f.1. .i.7 c��pon9ihs� Eqc m-0.nhal.ning <br /> it', Generator Sr,tus a d obtaining in RPA ID number If required by <br /> applicable law. The fo lowing provision is applicable to <br /> safety-Kleen'e parte c saner and paint gun cleaner services: Customern <br /> agrees that it will no Introduce any aubaLace into the solvent or <br /> nyueoub cleaning aolut on, including wlLhouL lintiLat:ion any ha2ardoue <br /> waste or hazardous was a conet.lLuenL, except to the extent such <br /> ihtroduction is incide Lal to the normal Ube of the machine, Cuatomer <br /> further Agrees that it will hot clean part9/paint gun* that have been <br /> contaminated with or o herwlse intredUce polychlorinated biphenyls <br /> (PCB's), herbicides, p aticidas, dlokins or I,tsted haxardoua waste <br /> into the solvent or aq ous cleaning solution. safety-Kleen has the <br /> capacity and ie permit d to accept, store, and/or reclaim the spent <br /> parte washer solvent, int thinners, solvents and paints generated by <br /> customert or dry cleani g filter cartridges, powder, and still <br /> residues containing per•-hloroethylene, petroleum naphtha, or <br />