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03/27/2018 TUE 16: 11 PAX 0005/024 <br /> CSG SK-88L-ROX-P3 David L Buxton 02/23/16 15:23 CAGE 2 <br /> SHIPPING DOCUMENT <br /> RFFFRF,NCR NRR, <br /> CUSTOMER#/GENERATOR: 21038 Bobs Lube 6 Smog 69339803 <br /> 1403 Country Club Blvd <br /> Stockton CA 95204-4910 ERVC DA'Z'E: 02/23/16 <br /> PHONE 209-943-3633 CONTACT NAME: Bobs Lube i Smog <br /> GENERATOR USEPA ID. C D982357717 GFNFRATOR STATE D0006 <br /> MANTFF,ST#r 0052596>60R s FORM CD: ID SHIP# 218292792 <br /> TRANSPORTER 1 TXR0000 1205 SAFETY-KLLEN SYSTEMS, INC. <br /> 5050 SALIDA BLVD <br /> SALIVA,CA. 95368 <br /> TNSP PHONE; 209-545-1011 <br /> TRANSPORTER 2 <br /> US DOT DESCRIPTION II CLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) <br /> NON-RCRA HAZARDOUS WASTE, LIQUID <br /> (AQUEOUS PARTS WASHER SOLUTION) <br /> FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES 134 <br /> TOTAL CONT 1 TYPE DM WT/VOL G SKDOT 14941 <br /> r,NTY: 160127553605 ,Z; 30 CAL/114 t. CONTATNFRS QTY; 15 PROF# 156023 CA CAT CODEtG <br /> UbSIGNATEU FACILITY N N/AUUKIr88; <br /> SAFETY-KLEEN SYSTEMS, INC. <br /> 5000 88TH STREET <br /> SACRAMENTO CA 95828 <br /> TSD PHONE; R16-386-4913 <br /> rACILITY USEPA ID NO CNOOOOD84517 <br /> rACILITY STATE ID NO <br /> GENERATOR STATUS <br /> 0-220 ibs/muhuh <br /> Customnr cort'ifi.n..-, t.ha. (il thn rbovn-namnd mat:nri.ala are properly <br /> classified, packaged, iarked and labeled, and are in prap&r condition <br /> for transportation ace rding to the applicable regulations of the, <br /> Department of Transpor ation and Iii) no material change has occurred <br /> either in the characte istics of the waste/material or in the process <br /> generating the waste/m terial. Customer agrees to pay the above <br /> chargee and to be bouni by the terms and conditions (1) set forth in <br /> (a) the Gmnaral Tetme Md Condltiona provided separately to Customer <br /> or, (b) any SK agre•.emeh� signed by Customer and SK, and (2) <br /> incorporated horcin by rcf:mt•rnce;, Unlres oLlierwlse: indicated in the <br /> payment received 3octi. n, SK 1.y aut;hor.tard to ehargr. CuKLrm,et'a <br /> account for this trans ct.ion, .Tf Customer falls to mikn paymrnt. whrn <br /> due, an amount equal t the .lesser of (.1) 1.50 per month 089; por <br /> annum) or (ii) the max mum amount allowed by law, will be added to 411 <br /> unpaid dmuunLs outetar, ing. Customer certifies that the individual <br /> Kigni.ng t.l,iK Service. A•knowledgement is duly authorized to sign and <br /> hind Cuat(7mcr. The fol owing provi&ion is applicable to Safety-Kleen's <br /> parts cleaner and pain gun cleaner Services; Cuatomer agrees that it <br /> will not introduce any substance into the solvent or aqueous cleaning <br /> solution, including wi hout limitation any hazardous waste or <br /> hazardous waste conati uent, except to the extent such 1ntrOdUCLi0n 19 <br /> incidental to the norm 1 use of the machine, Customer further agrom, <br /> that it will not clean parts/paint guns that have been contaminated <br /> with or otherwise intr duce polychlorinated biphenyls (PCB's), <br /> herbicide&, pesticides dioxins or listed hazardous waste into the <br /> solvent: or aqueous cle ning suluLlon. Safety-Kleen has the capacity <br /> and is pernnir.t.ad Ln ,7u.npl., &Lure:, end/ur reel&lm the spent parts <br /> washer AolventJ Aalnt hinnors, %n1vmntr. and pnintK grnerdLed by <br /> customer; or dry clean ng filter cartridges, powder., and Stili <br /> residues containing pe chloroethylene, petroleum naphtha, or <br /> Lrlrlurotrichloroethan dry cleaning solvents. Customer agrees that it <br /> iK responsible for pro erly classifying its waste streams as Used Oil <br /> or. Nonhazardous Waste n accordance with the provision of 40 CFR <br />