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M (n -VoD <br /> CD ONo <br /> � O N O <br /> NIF O <br /> 0 7 <br /> * O <br /> O CD W C:) :M <br /> Z7 m <br /> CD <br /> 177ANSPORTER: Raymond Gomez <br /> ____________________________ O <br /> CSG SK-Sat-BOX-23 Raymond Gomez 07/25/18 12:35 PAGE 2 <br /> CD r <br /> SHIPPING DOCUMENT o <br /> REFERENCE NOR. <br /> CUSTOMER#/GENERATOR: AU34753 Autazone # 6217 77502298-1803753610 � ° <br /> — <br /> 941 W March Ln ^'_ <br /> Stockton CA 95207-6208 o D <br /> PHONE 209-473-3714 <br /> GENERATOR USEPA ID. CAL000394177 GENERATOR STATE <br /> MANIFESTO: 011855911fle FORM CD: 1D SHIP# 226064903 <br /> TRANSPORTER 1 TXRO00081205 SAFETY-KLEEN SYSTEMS, INC. <br /> 5050 SALIDA BLVD <br /> SALIDA,CA. 95368 <br /> TNSP PHONE: 209-545 1011 <br /> TRANSPORTER 2 <br /> US DOT DESCRIPTION (INCLUDING 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 <br /> TOTAL CONT 1 TYPE DM WT/VOL P SKOOT 7872676 <br /> CNTO: 180723739261 SZ: 55 GAL/205 L CONTAINERS QTY: 250 PROF# 156033 C <br /> DESIGNATED FACILITY NAME/ADDRESS: <br /> THERMO FLUIDS INC <br /> 12333 SE CARPENTER DR <br /> CLACKAMAS OR 97015-8988 <br /> TSO PHONE: 503-788-4616 <br /> FACILITY USEPA ID NO ORQ000025197 <br /> FACILITY STATE ID NO <br /> 61:NERA"1019? STATUS <br /> 0--220 lbs/month <br /> Customer certifies that (i) the above-named materials are properly <br /> classified. packaged, marked anti labeled, and are in proper condition <br /> for transportation according to the applicable regulations of the <br /> Department of Transportation (ii) no material change has occurred CD <br /> either in the characteristics of the waste/material or in the process -U 0 <br /> generating the waste/material, and (iii) the above referenced 0 <br /> Generator Status is correct. customer agrees to pay the above charges D CL <br /> and to be hound by th- erms and conJicians Cl> act forth in Ca) the <br /> Gereral Ter.... snJ Condittion. is —ided x-Nn,r-1-7y c. Cu-tomer ..r CL.> = Q <br /> any S% -urlen.lnt a.i ..d tly Cus . -r and SK_ and (2] j-........a <br /> herein by reference. Unless otherwlsc indiLated in the payment <br /> received section, SK is authorized to charge Customer's account for v <br /> this transaction. If Customer fails to make payment when due, an C 0 <br /> amount equal to the lesser of (i) 1.5% per month (18% per annum) or C <br /> CD <br /> (ii) the maximum amount allowed by law, will be added to all unpaid co <br /> CA) amounts outstanding. Customer certifies that the individual signi W 0D <br /> o this Service Acknowledgement is duly authorized to ;sl n and, in Cn <br /> w Customer. Customer acknowledges that it is responsi , , , CD <br /> its Generator Status and obtaining an EPA ID number V <br /> applicable law. The following provision is applicable to <br /> Safety-Kleen's parts cleaner and paint gun cleaner services: Customer <br />