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CSG St-SSL-602-23 lokany Owns a/a/la 00:02 PAGE 2
<br /> SHIPPING DOCUMENT
<br /> REFERENCE tat.
<br /> CVSTOMFRI/CFNFRATbR:PA23090 Pardise Poi.t Keri.. 774ZS71s-MOIS2477S
<br /> ants Rio Ylan'.ad
<br /> 'Stecktw CA 65212-8793
<br /> PHONE ZO0_%52-!000
<br /> GENERATOR IISEPA ID, CALOWIM730 GENERATOR STATE 6060018290
<br /> MAaQFESTd:0118173T7fla FORK CD: 10 SHIP0 226009414 ,
<br /> TRANSPORTER 11)W000R120S SAFFTV4tFEN SYSTEMS,INC.
<br /> 5050 SALIDA ALWD
<br /> SALIDA,CA. 65262 '
<br /> 1W PHONE:200-SRS-1011
<br /> TRANSPORTER 2
<br /> OS DOT DESMP71ON CTNCLUDING PROPER SKIPPDK NAME.HAZARD CLASS,Apo 10)
<br /> NON-AM HAZAROOM WASTE,LIQ=
<br /> (A9UE016 PARIS MASHED SOWTIRN)
<br /> FEDERAL WASTE CODES NONE
<br /> STATE*471 CODES 154
<br /> TOTAL CONT 1 TYPE ON
<br /> 1RJW1 G SEOOT 14641
<br /> CNTpi A49FIN2206y N; 39 4AL/11i L CuNIAFACR3 RTY:9; !ROTI&Sooty
<br /> DESMATED FACILITY NAME/AMRESt:
<br /> SAFETY-Ki"N 5TSUM, INC,
<br /> 0000 AM SIRSET
<br /> SACRNIEMTD CA 25929
<br /> T'SD PNWd 016 IN-4113
<br /> FACIIITY USEPA IO NO CADDOOM4517
<br /> FACILITY STATE ID NO
<br /> a MAIM STATIS '
<br /> 0-220 Ibo/m.ath
<br /> Customer certifies that(i)th.Wow-0osmd matvisla a e Properly
<br /> Glorified,Packaged,marked ad labeled.and Mre in proper Condition
<br /> far tru portktiu according to the Applicable ragulatiana of the
<br /> Den MENt of TrusParuti.till ae yterial change has nc '..A
<br /> either in the ckaraetaristics of the wasteJmgterial or in theOVOC659
<br /> gan•rating the wastt/enterial, and(iii)the"..a refera.ad
<br /> Gan rater StatYf 1f CarffGt.Cast—,.gra a to pay the how charges
<br /> Andto ba bou.d by the tRrMa and conditions(1)set forth I.() the
<br /> Gaoral Teras ad Conditions Provi4d separately to Castaar or tb)
<br /> my SK lreangnedb " 4St.andDarp...l
<br /> ed
<br /> Marsin by ` otherwise iin thep.pme
<br /> reciwd
<br /> section,$9 is"'Mori-a to chug.CYstomor's acuRnt for
<br /> this trannction.ii C"Roeser foils to Rake painant Mons AYR, a
<br /> aauat anal In tM lasnor of(t')1.5%per Math 04%Par 41'41.0 e
<br /> Cii)the—i—an.Ynt allowed by is),will be dAd to all unpaid
<br /> an.w.t..utstaadi.0• Cost—,certifies that the idividal aigni.,
<br /> thio S.rviea Achnowtedar.mnt I.duly u heri..d t.sign and bid
<br /> Cw.t.mer.CY.tear acknwidp,that it is responsible for Maintaining
<br /> it.GearAter Status s)4 obtaining ex EPA ID Mule,if re9uirod by
<br /> App,icabie lay. The following p...iaiw I.applicahte to
<br /> Safety-glwn's parts cleaner and paint gwn clue''services: C.t—,
<br /> .ore•.that"rill a.t iotreAuce any s.bsience ion.e1.s.iww!.
<br /> Manaus.honing notation,inc1.4iag without limitation any Maud..
<br /> was ar hoard"sent..•..tit...t, ..cont"th...to"...11
<br /> irtndscei..Es incidental t2 ti)e no real.sun of the archi.e.Cast.,
<br /> further egrets that it will at clean parts/paint gals that kava baa
<br /> coatawinaked with or otherwise intradaee polychlorinated biphenyls
<br /> MI'.).herbicides, pesticides, MAXIMA or listed baardags waste
<br /> I—the alvene er anww..leenip s.lYci.a.3Nety-.loon Moa the
<br /> ..F-ity ad is porafttd to o.mpt,star., ad/or raclain the spent
<br /> parts washer solvent!paint thinners. solvents ad pai.t.ae..retgd by
<br /> cuatemer;or dry cleaning filter cartridges,Powder, and still
<br /> resides.Containing NonhlapaNyler.MVN.Yia-fWlAaha.ar, k
<br /> triflur 4.hl.wotlun.dry.team.'s•Ivonts.C.otsmer yre s that it
<br /> is r.ap.n,Ill*for proposly etensi lying it.este str.—e.Used Oil
<br /> or
<br /> Holds
<br /> oNwas''in.cu,dace with t►a provision of 40[F11
<br /> 122.1/..d app!iclit stat.Ina. fataNf agrees Chit it will net
<br /> introduce any non-catoming Substance into Ma SR Property,
<br /> n'I udino..itbRut limitation, any hm,dous westo or haa.rdaus hate
<br /> o..tii ,(i.e-, Patyehlorioetd biphowylo t"PCH."), berbici4•..
<br /> P.sticides.dioxins,or listed hanudow wastes)•cept to th.-tont
<br /> ".h I....dnction is ixid•nt.l to the poral"e of she SR Property.
<br /> In theewat of thein, uch reduction of snun canfarming awards"
<br /> waste,CenI.,pro'.that It will be responsible for all casts and
<br /> reandiatian a.".—related to er wising fren the proper—.#—at
<br /> ad disposal of the nop-coaforaing waste, i.ciuding the cat of
<br /> oy65pMont decontamieati.a and .bcewe,n dispas2.Final iowici"
<br /> will be based an toe actual..,view provided, which May includ.
<br /> dAitin.al chugas hr.ff apecifiouiw hese'w4-Mack...... Final
<br /> Ya
<br /> i. ic.ama
<br /> ownt y 6e Mre thw the swat listed a the printed
<br /> receipt.If any legal active I.cow M col becase of..alleged
<br /> disomto,branch, default of misr prmataiion, the Catarr.1N
<br /> agr.as that tMe prwnilies Party will be entitled is"cowlnawwble attorney'I fon.pHA casts oroeiated with the
<br /> non-coaf.rming cantanination event.Safety-Aleen's failure to screen
<br /> C—,—r'.Mater i.l er tae•retain swept', in w way wastient..a
<br /> ` waiver of Custonor'a obligation to p,.V*rly classify its Materials.
<br /> Safety-Flee.reline on Custaar's presentations ad Custower is
<br /> raspaasible fu inf.raing Safety-lsloa.of Any process changes that May
<br /> alter the tharact*
<br /> ristic.of the Materials providd.3K in EVENT of
<br /> AN dowENC,CALL 24-NI NIN E1tes 1-00-419-1760(Kafety-kl...)A
<br /> driabla recewey fee that fluetate.with the DOE national rage
<br /> iesel prix.may be OPli.d t.you,inwicn. Far Mar.iaf.mee.ion
<br /> regarding o..,...Mary fa calculation please go to
<br /> help.JJwfatY-bleu.coMJ
<br /> caatOMa!-fRYYicaJ.Nir4.mwtil-fee;/rRCawq-f.ls.Please me.
<br /> e-Maifdst fees y2iicable to this order nary not be iaclvdtd in the
<br /> total ase And will be incl.ded in the final inwie.or..dit card
<br /> atataa.t.RECEIPT ONLY-IHIS IS NOT AN DaOICE
<br /> I hoe established.protract to reduce the wlwma or"weity and
<br /> in:ieiey of the hwardwo asto to the dqr..t.b.oconwically
<br /> practity
<br /> 6fpwd.rM ,
<br /> CUSTIMER/OAMERA"It: chris Midi—
<br />
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