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SI{NI LiIIRI'
<br /> TRANSPORTER: Miguel Onsure2
<br /> c5G SK-SSL-UNO-02 Miguel Onsurez 11/20/17 11:09 PAGE Z
<br /> +'.Pk a Liw.yr Y PKt. SHIPPING DOCUMENT
<br /> SHIPPING DOCUMENT
<br /> 4uSIOMER#/4ENERAnm:OR14348 O'Reilly#3460 REFERENCE NOR,
<br /> 1210 753945JZ
<br /> cullalewr N Tracy Blvd/LENkxglat:ONt4.ltl. 0'Ne Stir•2s61 REF[e[nfE IaB. T—Y CA 95376J435
<br /> 14b E NerdinY..y fopps. ANIFEST#U0 z 61 1AL00039123 GENERA IDR55TATE 00006
<br /> Stocht+n ..9yios-SIB. MAN1FE57#:00628611]SkS
<br /> GkN[ealYN USkVa IU.LALua HMNE 9)t-ayy-t11>CONTKF NgxE Reilly I1../1> FORM Co: ID
<br /> xAl+ues'rr:o0izzeeoz5x5 Al vo.Wtyvvv Y isa> TRANSPORTER I I%RDDOOa1205 SAFETY- SHIP#2T4025814
<br /> txgnygw Ox 1 1WI0Yooetroy sArpn..... stl ivA iziia8ape KLEEN SYSTEMS, INC.
<br /> 5050 SALIDA BLVD
<br /> sosansKloA... SALIDA.CA. 95368
<br /> ALIDPioNi Ys368 TRANSPORTER 2 INSP PHONE: 209-51S-I011
<br /> lWN1pPORTEe 1 IxSP VIWNf:209-s.y-1011
<br /> rn ob.otscxl..Swl UKLwux,vnuvtx snlwla;--1,xazaN cLasy arO w1 I/1.01 UtSCHIP1111
<br /> (1NCLWING
<br /> WASTE,LIW PROPER SHIPPING NAME, HAZARD CLASS, AND In)
<br /> nox-RtRA xgzMpa,1 co NON-RCRA HAZARDOUS WASTE,
<br /> 016ED o2U
<br /> fe4l WASR f00e5— (USED OIL) L.IQDIO
<br /> STA
<br /> TE WasTE cones:zI :ItFRAL WASTE CODES NONE
<br /> T CN 1- T111 It .IAIE WASTE CODES 221
<br /> o..ous,a 1,;wn.x vOtuN OylaHtx00T It": TOTAL CONT 1
<br /> RIr:gas vxovr Isaotz TYPE UC WT/VCC G SKDOT 11249
<br /> ---FEN
<br /> Or CA IFoocIawess: an (NI#: 1/1120989/b/12: tlUl.k VULUML CONTAINER
<br /> x F n or Igt1fOBSla,IrSc. QTY: 139 PROF.1S6U3/
<br /> W�s CA Av[. DESIGNATED FACILITY NAME/ADIIRESS: CA
<br /> FWARM G p.50
<br /> 1s0 PxaVF:sin 7ps. SAFETY-KLEEN OF CALIFORNIA
<br /> FKulry rnEVA to Ip cwvwYYlun 6880 SMITH AVE.
<br /> EKulry srAtE to no NEWARK CA 94560
<br /> ISO PHONE: 510-795-4400
<br /> tf tiny ri>l b>ou, ry rif ie>riot load spa if is oea A Sil irwn IAl 1LITY USEPA ID NO CPD9801I87418
<br /> es have eenaaw�ylrleuev ur o yapi,w this lead. FACILITY STATE ID NO
<br /> CfS46:
<br /> 6EOG: R 6TATU5
<br /> vehicle .iyh risk s rep. certifies that lead fie PER a Silicon
<br /> Cuetwiwr cart ifie>that(i)thr aLuve-n+i.J nu Sala a arty a have been conipl at.,Prior to Pw„p ing th lstload.
<br /> clew>if ieJ,yaakeyeJ,uwrleJ ar,J leLeleJ,anJ a, uonJ it Sun(er trenaYurtat Sun accordmy to the.1Plicablr reYulaL iun>ruf the.nl of Traroyrrtal Sun(i i)„u enter Sal chenYe he h..a red STATUS
<br /> Sther in the aharecter i>t ics uI t waste/nw er Sal w theryruaa» eta•r�E i'Ys[eEu'e; Sal„+nd(iii)the ebovr referred ed
<br /> te,••+temta rw>l onr aYne>to yaE the ab"r al,a`yes b be haunt 4y>tLert< a Jitionsflea that (i) the above-naneA ruder Sets are properly tiy-j Suns rov;ded eSk...dy 2)fu>lawr u.@) aged, arked and labeled, and a n prope —.ditiun
<br /> .M•dart ,�d Lr fu o.u..r and ix,anJ(i)n,<oryorete,l on a urding to the applicable reyulat i.—yf the
<br /> n ferr„r. Unle»a kern ise i JiaeteJ yn the paWue"t por'as Sun(o i)no uteCi'elu cha ye I.—.......d
<br /> t iun,Sl author i+eJ to aherye Custwnr•>actounl fur t ien.If Cu>twiar fail.Lu wide yeynwnl when Jue,a to i t iC a the wa t/ to 1 u, N thr prod... _
<br /> .to tneyYo>er of(i)[.SY per n�++tn pas vrr+,,w�D o to ial, nd (iii) the above rrfrrrnted
<br /> el laced by ten,will be added to el lr unye;J tract. Cu>lwrrer agrees to
<br /> pay the ebovr char Ye>
<br /> inY•fe>laar certif ie>that the inJ iv Stoat sign i,rY tery and c nA i[1or,s (I) sal forth in GJ the
<br /> ledyo,wnt is July eulhuri+eJ to>iw,anJ Lint ns
<br /> eal�,unleJYe.tLat i e>yuna Shia fur ua int.in my lions Vrevide,seVareanJy 2) inaorpurat<J(L)
<br /> d.bte innmy an EPA>10 nm6er if repo ireJ by eY Crrs the rwia.d indi.—j(in the--ul
<br /> wig�r nor .PP.ic.ble t 'µthwrie J to cha rye:u+•weer'.eacu t Iur
<br /> �i u^+ ^i„•�i.r >,r, ioxter fails to uL t d
<br /> ..iun any beauvlawa` of(i) 1.SW Per,lanthw(18%par ame W,w,J
<br /> nd by 1 w,rill U..4d.d allg k0
<br /> a rtifi..that 11'.inJivlau A \
<br /> 1.duly autheriaad to•iv'r-a b :
<br /> �o
<br /> ;.e
<br /> TRANSPORTER: Raymond Gmnel Sal-ety—Kleen Systems,
<br /> bon N Central EtPY.6uite 200 Inc.
<br /> Richardson, T% 75080
<br /> �A N Im[ COwPORAIE:800-a69-1740
<br /> 'MEBGEWV:800-168-1)60($efety-kleen)
<br /> i Sa.SK-SSL-BOX-23 Raymond Goniet 01/10/18 15:02 PAGE 2 L xo9sulolt
<br /> US'fOMfFI M14364 O'Reilly t 2567 REFERENCE taw.
<br /> 3110 E Xardin4 Way 75918159-180041]8.8
<br /> SHIPPING DOCUMENT P Stockton CA 9527S-3101 SRVC DATE:
<br /> 2U18-S
<br /> PHONE
<br /> 97z-S1041N7 SRVC DATE; iil. U W10 17(USTOMtR. BILL To ADDRESS:
<br /> REFERENCE NOR. oamzl7 O'Reilly Auto Parts d5
<br /> LUSIOMER#/GENERATOR: OR14384 O'Reilly 0 256/ /5948159-18D044/84J 233 S Patterson Ave
<br /> 1410 E Herding Way Sttn Tax Sebaldt
<br /> Stockton CA 9S205-3104 prin9field MO GSa02-2210
<br /> PHONE 972-555-1247 PURCHASE ORDER# PHONE 97,-26S-2485
<br /> f EST.:U006193U01SYS 0019a+18 FORMENERAIOR CD: III STATE SHIPP##224614541 PRODUCT/SERVICES TAX EXEMPT*
<br /> PORTER 1 IMO00081205 SAFETY-KLEEN SYSTEMS, INC. SERVICE/
<br /> 5050 SALIDA BLVD PRODUCT QTY UNIT PRICE TOTAL
<br /> 8f635 WASTE SGL-1,SNAVNG TAX CHARGE SALIDA,CA. 953a 2
<br /> SERVICE TERR 24 WEEK .000
<br /> TRANSPORTER 2 TNSP PHONE: 2096-54S-1011 #LON1S: 2 ISDF: S1 MANIFEST#: 04446
<br /> ENT#: ISOIZ6263870 FORM CO:6 aL SNIP#2246044J 19
<br /> CNT#: I801262634171 Q1Y: 25 WI'/VOL P PROF#6469/I SkWT/432418
<br /> US 001 DESLR1P11ON(1NLLUUIN4 PROPER SHIPPING NAME, HAZARD CLASS, AND IV) - QTY- 2S WT L PROF.6469]1 SKUOI Z432418
<br /> 3615 BRAKE SHAVINfiS SGL
<br /> NOY-RCBA NAIAROWS WASTE,SOLD SERVICE TEPoI a WEEK 1.000
<br /> 01RAINED/UNDRAINED UStD OIL FILTERS) 83181 DI M,S5 MAST:O.F. 1.000
<br /> FEDEBAL WASTE CODES NONE SERVICE 7=S2 WEEK
<br /> STALE WA57E[ODES 223 4CR CADGE CODE vai1Wead.randLine-CANN10T ENTER W"-,e 1Y)
<br /> Bt3af O/BAY,55 WASTE O.F.
<br /> TOTAL CON,1 TYPE DM CR )0a PAIL, 5.5 GL So k PoLY w 1.t100
<br /> 1.OND
<br /> CATS: 1801262hfYOS S2: SS Gal/LOS �OPN1g1NERST 7872676
<br /> ________________..-_-_-_____-...__--
<br /> DESIGHAlEO FKIL1'ry rygME/gpURE15: QN' 250 VNOF#I5O033 < l TOTAL SERVICE/PRODIKIS
<br /> Ti1nU10 FLUIDS INC
<br /> 11s33 sE fARPEnlfR oR TOTAL CHARGE
<br /> cLKEMLAs oR 97015-epee CREDITS
<br /> TSp 1'ItOtiC:SOT-]88-.616
<br /> 70TAL DUE
<br /> 7aM'STA70f UNPAID BALANCE THIS RECEIPT
<br /> 'h/maath
<br /> ids that (i) the above-.axed.rater Sets are properly
<br /> ed, mart,d And to thebeleJ, anJ are in proper coed it iun
<br /> cord in
<br /> ..tatiun (ii) no�ateriale h.", Boil$ of the
<br /> tics of the waste/umatehialeurdinothelled
<br /> Sal, and (iii) the above referenced process
<br /> Customer agrees to Pdy the above c -that (i) tilt above-nailed materials are properly
<br /> d conditions (1) set barged 9 market and labeled, and are in proper condition
<br /> vide)se forth In (a) the ording to the applicable regulations of the
<br /> r -in pit, do y to tElStOfller or (b) tation (ii) no material change has occurred
<br /> wise is„d;,_a*Pd(z) incorporated istics of the Waste/material or in the process
<br /> char TM the Payment vial, and (iii) the above referenced
<br /> ye fustomer•s account for :t. COStOmer agrees to pay
<br /> to Make payment wh... A.._ ._A_--A1.-_.. t
<br />
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