Laserfiche WebLink
CSG SK-SSL-BOX-24 Cole Taylor 12/07/17 12:28 PAGE 2 <br /> SHIPPING DOCUMENT <br /> REFERENCE NSR. <br /> CUSTOMER#/GENERATOR: DD02183 D & D Lift Inc. 755277'6-1706201921 <br /> 3820 Rhonda Way <br /> Tracy CA 95304-1608 <br /> PHONE 209-229-7446 <br /> GENERATOR USEPA ID. CAL000358631 GENERATOR STATE <br /> MANIFEST#: OD6193690SKS FORM CD: 1D SHIP# 224153970 <br /> TRANSPORTER 1 TXR000081205 SAFETY-KLEFN SYSTEMS, INC. <br /> 505D SALIDA BLVD <br /> SALIDA,CA. 95368 <br /> TNSP PHONE: 209-545-1011 <br /> TRANSPORTER 2 <br /> US DOT DESCRIPTION 17NCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) <br /> NON-RCRA HAZARDOUS WASTE, SOLID <br /> {DRAINED/UNDRAINED USED OIL FILTERS) <br /> FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES 223 <br /> TOTAL CONT 1 TYPE DM WT/VOL P SKDOT 7872676 <br /> CNT4: 171206285953 SZ: 55 GAL/205 L CONTAINERS QTY: 600 PROF# 156033 CA CAT COIIE:G <br /> DESIGNATED FACILITY NAME/ADDRESS: <br /> THERMO FLUIDS INC <br /> 12533 SE CARI•ENTER DR <br /> CLACKAMAS OR 97015-8908 <br /> TSD PHCNt,: 503-78B-4616 <br /> FACILITY USEPA ID NO ORQ000025197 <br /> FACILITY STATE ID NO <br /> GENERATOR STATUS <br /> 220-2200 lbs/month <br /> Customer certifies that (i) the above-named materials are properly <br /> classified, packaged, maxked and labeled, and are in proper condition <br /> for transportation according to the applicable regulations of the <br /> Department of Transaortation (ii) no material change has occurred <br /> either in the characteristics ❑f the was e/material or in the process <br /> generating the waste/material, and (iii) the above referenced <br /> Generator Status is correct. Customer agrees to pay the above charges <br /> and to be bound by the terms and conditions (1) set forth in (a) the <br /> General Terms and Condition& 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 (188 per annum) or <br /> (ii) the maximum amount allowed by law, will be added to all unpaid <br /> amounts outstanding. Customer certifies that the individual signing <br /> this Service Acknowledgement is duly authorized to sign and bind <br /> Customer. Customer acknowledges that it is responsible for maintaining <br /> its Generator Status and 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 gun cleaner services: Customer <br /> agrees that it will not introduce any substance into the solvent or <br /> aquecus cleaning solution, including without limitation any hazardous <br /> waste or hazardous waste constituent, except to the extent such <br /> introduction is incidental to the normal use of the machine. Customer <br /> further agrees that it will not clean parts/paint guns that have been <br /> contaminated with or otherwise introduce polychlorinated biphenyls <br /> (PCB's), herbicides, pesticijes, dioxins or listed hazardous waste <br /> into the solvent or aqueous cleaning solution. Safety-Kleen has the <br /> capacity and is permitted to accept, store, and/or reclaim the spent <br /> parts washer solvent; paint thinners, solvents and paints generated by <br /> customer; or dry cleaning filter cartridges, powder, and still <br /> residues containing perchloroethylene, petroleum naphtha, or <br /> triflurotrichloroethane dry cleaning solvents. Customer agrees that it <br />