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CSG SK-SSL-BOX-25 $rote Maeberry 10/27/17 12:04 PAGE 2 SHIPPING DOCUMENT REFERENCE NOR. CUSr0MEK#/GENERAT0R: SAiZbSO San Joaquin CO Maintenance !4730676-1704547502 1810 E Hazelton Ave Stockton CA 95205-6232 PHONE 916-941-2910 GENI-KA1OK L15EPA ID. CALODOO15838 GENERATOR STATE MANIFEST#: 006192428SXS FORM CO: 10 SHIP# 223803764 I'HMLSPORTEK 1 'TUD00081205 SAFEIY-KLEEN SYSTEMS, INC. 5050 SALIDA BLVD SALIDA,CA. 95368 TNSP PHONE: 209-545-1011 TRA14SPORTER 2 US 1101 DtStH1P1ION CLNC'LUDINC. PNUPLU SHIPPING NAML. HAZARD CLASS, AND SU) NON.-RCRA HAZARDOUS WASTE, SOLID (ORAINEOJUNDRAINED USED OIL FILTERS) FEDIRAL WASTE CODES NONE + - STA-CE WASTE CODES 223 TOTAL CONT 1 TYPE OM WT/VOL P SKOOT 7872676 C1414: 171025430194 SZ: 55 4ALfZ05 L CONIAINERS Q1Y: iso PROF# 156o3i C DESXGNAIED FACILITY NAME/ADDRESS: THIERMO FLUIDS INC 12533 5E CARPENTER DR CLACKAMAS OR 97015-8988 TSU PHONE: 503-788-4616 FAGLLM USEPA ID NO OR0000025197 FACILITY STATE ID 140 GENERATOR STATUS 0-220 lbs/month Cllr LOmeP Certifies LhaL (i) Lint above-uamed maLerials are properly cla:.sified, packa14j, marked and labeled, and are in praper cunditiao For trdnr purt41.ion aecur•dierg to lllc applicable regulations of the Dep-41tluerit OF TranSpurLatiuu (-ii) no material change has occurred either in Lie charactar•islits OF the waste/maLerial or in Lin, prur.esa generating the wasteJmater•ial, and (iii) the above referenced GemerACur• Status is curr•et.L. Customer agrees to pay the Above Charges and to be bound by the terpss and conditions (1) set Furth in (a) t11e General Terms anti Conditions provided separately to Customer or (b) any SK agreement signed by Customer and SK, and (2) incorporated hcr,.in by reference. Unless otherwise indicated irk the payment received section. SK is authorized to charge Custonier's account for this transaction. If Customer fails to make payment when due, an amount equal to the ltaacr of (i) 1.5% per month (1845 per Annum) or (iiy tike 1maAimum amount allowed by lave, will be added to all unpaid W40411" Outstanding. Cuslomer certifier Lhal the Individual signing thi:. Service Acknowledgement is July authur•ized to sign and hind Cos tamer. Custa:Iier acknowledges that it 'is responsible for- maintaining its Generator- Status and obtaining an EPA ID number if required by applicable law. The following provision is applicable to SafSety-Klecn's parts cleaner And paint gun cleaner services: Customer Agrees that it will riot -introduce any subbLance into the solvent or aquaous cleaning solution, including without limitation any hazardous was Le or Iraear'duus waste constituent, except to the extent sucb - igtrodu(.tiurr is incidental to the normal use of the piachine. Customler Further agrees that it will not clean parts./paint guns that have been cunLmnineLed with or uthermisc introduce pulychlorirrated biphenyls (PC11's), herbicides, pesticides, dioxins or listed hazardous waste into tike solvent or aqueuus cleaning solution. Safety-Xleen has the tapatiLy and is perroiitted to accept, stun, and/or reclaim the spent Par!', waahcr iulvrr,[; .-int rh'iuners, su7—ots And paints arnerwted by customer; or- dry cleaning filter cartridges, powder', and still residues CumLair,ing ptr•Chluroechyl Ane, petroleum naphtha, or Lr i Flar4 tr!Lhl oroethane dry cleaning sulveo Ls. Custumel' agrees LhaL it- ;. reKq'olmlble For pruper•ly classifying its waste sti'tdIds As Used Oil Or IJotibazar•dous Waste in. accordance with the provision of 40 CFR 262.11 and applicable state laws. Custoouer agrees that it will riot intruJUCC any non-conforming SUbSYAnCe into the SK Property, including, wiLhouL IimiLatiOrk, any hazardous Waste or hazardous warte constituent,(i.e., polychlorinated biphenyls ("PCBs"), herbicides. pesticides, dioxins, ov listed hazardous wastes) except to the extent