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CSO SX_SSL•Wi0-Q1 Joseph R Lima Ir 03/26/20_10:36 PACE 1 _:...,.....'.._.. _. . ..._. _____________ <br /> CSO SX•SSL4110.01 Joseph R Lima Jr 02/26/26 10:29 <br /> Safety-Kleen Systems, Inc. <br /> Lonl, <br /> 42 allDrive SHIPPING DOCUMENT - <br /> CORPORATE;42 MA MA 02061 <br /> CORPORATE; 100-049.5740 1N THE EVENT OF AN EMERGENCY CALL s•Z4-Hr-Nurberrs 1.600.466.1760(Safety-1 <br /> 24 INN EMERGENCY: 600.460.1760 (Safety-Elton) REFIREN <br /> 20044S1011 CWTOMERt/GfNERATORt CL24517 Clean Pianet d; <br /> REFERENCE NM. 250 Port Rd <br /> CUSTOMER! CL24517 Clem PI met 827947S) Stockton CA 95203.0000 <br /> 2SO Port Rd W Welk: 2020.13 PHONE 209.715.1657 <br /> Stockton CA 04203-MWD SWC DATE: 03/26/20 GENERATOR USEPA I0, CAL0004205SO GENERATOR STATE <br /> PHONE 209-715.1657 KWFESTt: 007314604SK5 FORM CD1 10 SHIP! 231060002 <br /> BILL TO CUSIWFR9 BILL TO AOORESSi TRANSPORTER J 770W0000120S Safety Klofn <br /> CL24517 CIO" Plaat $050 SALIDA ILV9 <br /> ISO Port Rd SAIIDA,CA, 95166 <br /> Stockton CA 05203.0000 - TNSP PHONE% 106-545.1011 <br /> PHONE 200.71$-1097 — TRARSPOR1101 2 <br /> PURCHASE 00111t 1/20/20 TAX EXEMPT41 <br /> PRODUCT/SERVICES US DOT DESCRIPTION CINCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND 10) <br /> S"vxCE/ TOTAL HON-RCM HAUMMUS BASTE, LIOUID <br /> Mn AX CHANGE 0" OZL) <br /> 10256 T FEE, OIL SENVICE/510P NON OT1.000 B1e6000 T 0.00 62.60 <br /> SERVICE TERM 12 !IEEE STATE <br /> WASTE <br /> C DES NOW <br /> 66636 USED OIL RECYCLE AUTOM IX 110,000 113400 0.00 149.00 STATE WASTC CODES <br /> SERVICE TURN 12 WEER TOTAL COME 1 TYPE TT UME CO G SHOOT 11249 <br /> CNTti 20032657495} S2. BULk VOLUMECONTATNER QTY, 110 PROFp 25601 <br /> HALOGEN /[Lp2•p-TECT TEST RESULT PASS! PFM < 1000 <br /> •••••••••.........•....•.•..._..• . DtSZGNAM Ey M3E553 <br /> IOTA! 5FVCEAPROMG75 13.9400 0.00 231.20 WETY•RLEEN OF CALIFORW <br /> IBRD 9"AVE, <br /> 70TAL CNAR6! 212.20 NEWARK CA 04560 <br /> CREDITS *.Do ISO PHONEi 510-704.4400 <br /> ............... <br /> TOTAL DUE 232.20 FAQLITy USEPA 10 NO CADMU7418 <br /> ! FACILITY STATE IO NO <br /> UNPAID BALANCE THIS RECEVT 232.20 :GENERATOR STATUS . <br /> CESQftt Vehicle <br /> it <br /> Trliiph risk sours, rep. certifies that load specific PCs a Silicon / VJ <br /> A.....,vr',a..,,�ef.+.A...s-.w,u..Awn.�M:i 1.a' ���/// "`` <br /> NOR-CON(oreinp contanioatien avant. Safety-Klan's failure to Xrgen <br /> Contester's Material Or take a retain sseple, in ole B, camstitittes 4 <br /> waivtr of Custmor's oblifatioo to properly classify its <br /> ts arterials, Slputue <br /> Safety-Rleto folies oM Costmar's rtprosentatitils W„Catomr is <br /> responsible for informal Saftty-bnn of any process c4mw that may <br /> alter the characteristics of the Taterials prvAikci. IN TXE EVENT OF <br /> AN 1000ANCY CALL --a4-HR NUMBER" 1.60.4441.1760 CSAftty-W1e00) A CUSTOM-J Gg4ER{tm torrent <br /> variable recovery fee that fluctuates witir the DOE fatisawl werfgr. - ^- <br /> diesel price may be applied to your inwice. for Ren impartation <br /> rtgardi" aur recovery foo,calculation pleas, Be t6 <br /> httplp"fity-kitm.cmn/ _ <br /> crosiPner•saryice/eRvirwmnntal-feosJrecrvery-fres. Pleas, iNte <br /> e-m xife4t'�Ow malicabla to this order try Met be incladtd is tlfe <br /> total AIN(R.M'will he included in the final invoice or credit card <br /> statenNRtt IgQIPT ONLt-..IM IS NOT AN INVOICE <br /> X hnve established ■ prefram to reduce tht volulm or quantity and Bi"Wo <br /> toxicity of th0 k"ArdaM$ watt to the degree to be eca,dcslly <br /> prasticolle. m.,-, <br /> TRANSPORTER: Joseph R Lim Jr <br /> 1 � � <br /> 10"ture .4 �.................................I <br /> TRANSPORTER Z: <br /> CUSTOMER/6ENERATORt terrain <br /> LAST PAGE <br /> BI¢rNrO <br /> TRN/SPORTFRt Joseph R Lima Jr <br /> -_------ ...-..-.. <br />