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825 Performance Dr, Stockton Record ID PR0538555 <br /> 11/5/2019 Hazardous Waste <br /> Photo 6: Consolidated manifest RN (Reference Number) 74549412 (9/18/2017)for the disposal of parts washer waste was missing the waste <br /> minimization statement. <br /> - •.�•Q InvpICB R <br /> 2600 North C®nI Expressway,SUI 200 800-589-5740 DUNS N0.05 397-656T FED.ID NO.39BOMD19 CUS70 <br /> WE CME: FOR SERVICE CALL BRANCH MANAGER DOC,EXR <br /> Rlcherdwn,TX 75080 www.safety-kleen.DDm -' 3c++ewLEr -reaaHoNr <br /> CUSTOMER NO. -'_IB9 5451 011 To r r e s, k a lµ#T 745494 T 2 <br /> I � / <br /> C i i, ;` a+EDrr PREVIOUS 13ALANCE <br /> O <br /> TCHAfN � �, P'G SVC PROC.P�9; <br /> fl � <br /> )J� x r'� "�f� LOCATION TAX EXEMPTION NO. <br /> R ' <br /> $ERWCE GATE IS&ESAEPNO CUSTOMER P.O.NUMSER CUSTOMER PHONE 4 TAX CODE DATE EOPTIRROD ORDERED SERVICE TAX C.D.M 9-TAX PRODUCT TAX <br /> SERVICE REM SALES TOTAL WASTE SOLVENT/DRUMS SERVICE crvwGE c�:.xs „V PROMO SL" <br /> P„XWT UNIT PRICE DUAN. CHARGE TAX CHARGE MIN. ,LEAN SPENT w",°rtSK DOT CC TERM SERVICE TERM wrr DADS NO - <br /> 1 � 1:.; <br /> 2 <br /> I I <br /> 3 <br /> � L <br /> 5 ❑ <br /> LL <br /> 6 <br /> 7 Q <br /> e Ir <br /> a <br /> ra <br /> 11 ❑ <br /> GHEDK ODDS POOR YES ND SES N- <br /> APPROPRIATE DECALSIN PLACE MALM�PROPERLr SRVACED (� <br /> TOTAL-SERVICE/PROC)UCTS MANroNECOMMON Q ❑ AND TERMITE ❑ UOcALNec W SRUER C� G <br /> DO%EE &CLEANLINESS FUSIeIE UHN D—❑ tu <br /> U$EPA TRANSPORTER 1 ID NO. USEPA TRANSPORTER 2 ID NO. GENERATOR USEPA ID NO. GENERATOR STATE ID NO. i IAMPASSEMELv ,MERGER�GL9HNG SPEN'TS vEN MEETS } <br /> COMMON ❑ OF LID UNOR•STRUMED Q ❑ ADEE7+TANLE g1UETSA LI C7 <br /> 11-U5 DOT DESCRiPT}GN (INCLUDING PROPER SHIPPING NAME,HAZARD C3ASS,AND Ip. <br /> 12CONTAINERS �G. TOTAL Ea-urart I cENnPr THAT H Tr— LU <br /> Q <br /> N0. PP 011ANTITY 'MMOL GK DDT NUMBEA WASTE STREAMS EHE wO'HIN <br /> ONE CP THE MILLD"NG <br /> xDan BS rM011lH O <br /> A. '� 110 Y13 t.' z <br /> o ,'•;cam Y <br /> �, zsa LBS.m x z6x Les MONT>i � <br /> a <br /> IeuTuu <br /> GREATER THAN.206 Le&,wio iH J N <br /> a� <br /> D. INRULs p� <br /> DESIGNATED FACILITY NAME AND ADDRESS I CERTIFY THAT NO MATEHIAL CHANGE HAS OCCURRED USA EPA 10 NO. Z <br /> EITHER IN THE CHARAOTEFISUCS OF THE WASTE Zr <br /> t it r' MATERIALS OR IN THE PROGEES GENERATING THE STATE ID NO. L W If r <br /> WASTE MATERIALS, <br /> CASH © TOTAL RECEIVED AP LY PAYMENT T07 MANIFEST NO. I AGREE TD PAY THE ABGVE CHARGES AND TO UE ROUND BY THE TERMS ANO Toru CHARGE V o <br /> CONUITIONS SET FORTH ABOVE AND ON THE REVERSE SIDE OF THIS DOCUMENT. {FROM ABOVE! <br /> CHECK NLHrIt3ER ❑TOOAYG SERVICEISALE '1 PLEASE CHARGE MY ACCOUNT FOR THIS TRANSACTION UNLESS OTHER%SE Q <br /> .. c 1� INDICATED IN THE PAYMENT,RECEIVED SECTION.THE INDIVIDUAL SIGNING THIS WASTE MIN. <br /> CC1T[1dl Ya ❑PREVIDUSEALANCEASFOLIOWS LDR MESSAGE DOCUMENT IS DULY AUTHORIZED TO SIGN ANU BINP CUSTOMER TOITSTERMS. FROM A9OVE1 fn <br /> nreyemcenih rM1v rM1oeOwerenH meremm�en VvevnvciessiAaa.P�M9etl.mmvep aW qm.and are..: `V� �� <br /> Th"you INVOIGEx AMOUNT$ INVOICEk AMOUNT$ vmuerco�anan b.r, Eea-„rrocmaw m+l'^.vm�rorer'°a�Im'°”°ol'^e°Ew'M1"^"wm"'Perim"- TaTAL DUE CF <br /> PREVIOUS MANIFEST CODE SED# y ` DONOTwRrre IN THE AREA BELOW <br /> CREDn !` rl� <br /> Print C et me Y <br /> AMEX Lul-j <br /> VISA I�.I I 1 IN THE EVENT OF AN <br /> EMERGENCY CALLBY C0k1H?,Q*r110a FW,eseltatwe <br /> CUSTOMER REFERENCE <br /> INFORMATIO#1 BOO + THIS AGREEMENT CONTINUES ON THE REVERSE SIDE <br /> John Alaniz, REHS Page 6 of 7 <br />