Laserfiche WebLink
z <br /> ------------------------------------------------------------------------------- <br /> iG SK-SSL-HMO-01 Joseph R Lima Jr 11/08/17 12:10 PAGE 2 <br /> SHIPPINC DOCUMENT <br /> REFERENCE NSR. <br /> JSTOMERPA/GENERATOR: SA32680 San Joaquin Co Maintenance 75071657-1705248620 b <br /> 1810 E Hazelton Ave <br /> Stockton CA 95205-6232 <br /> r <br /> PHONE 916-941-2910 <br /> -NERATOR USEPA ID. CALOOOOIJ838 GENLRATDR STATE <br /> WIFESTLI: 006136279SKS FORM CD: 1D SHIPY 223912730 <br /> 1ANSPORTER 1 TXROOODS120S SAFETY-KLEM SYSTEMS, INC. <br /> SOSO SALYDA BLVD <br /> SALIDA,CA. 95368 <br /> TNSP PHONE, 209-545-1011 <br /> lANSPORTEP. 2 , <br /> 3 OUT DESCRIPTION CINCLUDINGPROPER SHIPPING NAME, HAZARD CLASS, AND ID) <br /> ]N-RCRA HAZARDOUS WASTE, LIQUID <br /> ]SED OIL) <br /> :DERAL WASTE CODES NONE <br /> LATE WASTE CODES 221 <br /> )TAE. CONT I TYPE TT EHT/VOL G SKOOT 11249 <br /> CNT:J: 17110873462(r SZ: RULK VOLUME CONTAINER QTY: 250 PROFS 1S6017 CA <br /> .SIGNATED FACILITY NAME/ADDRESS: <br /> iAFETY-KLEEN OF CALIFORNIA <br /> 1880 SMITH AVE. <br /> JEWARK CA 94560 <br /> 6SD PHONE: 510-795-4400 <br /> 4CILITY USEPA ID NO CAD980887418 <br /> 1CILITY STATE ID NO <br /> F high risk source, rep. certifies that load specific PCE &Silicon <br /> sting have been completed prior to pumping this load. <br /> `NERATOR STATUS <br /> =SQG: Vehicle <br /> Astamer certifies that (i) the above-named materials are properly <br /> lassified, packaged, marked and labeled, and are in proper condition <br /> )r transportation according to the applicable regulations of the <br /> apartment of Transportation (ii) no material change has occurred <br /> ither in the characteristics of the waste/material or in the process <br /> :aerating the waste/material, and (iii) the above referenced <br /> merator Status is correct. Customer agrees to pay the above charges <br /> Id to he bound by the terms and conditions (1) set forth in (a) the <br /> .neral Terms and Conditions provided Separately to Customer or (b) <br /> ry SK agreement signed by Customer and SK, and (2) incorporated <br /> arein by reference. unless otherwise indicated in the payment <br /> eceived section, SK is authorized to charge Customer's account for <br /> lis transaction. If Customer fails to make payment when due. an <br /> mount equal to the lesser of (i) 1.596 per month (1836 per annum) or <br /> ii) the maximum amount allowed by law, will be added to all unpaid <br /> mounts outstanding- Customer certifies that the individual signing <br /> ais Service Acknowledgement is duly authorized to sign and bind <br /> istomer. Customer acknowledges that it is responsible for maintaining <br /> Generator Status and obtaining an EPA Io number if required by <br /> apliceble law. The following provision is applicable to <br /> 3fety-Kleen's parts cleaner and paint gun cleaner services: Customer <br /> :recs that it will not introduce any substance into the solvent or <br /> IS 4nq solution, including without limitation any hazardous <br /> ur -ste constituent, except to the extent such <br /> to the normal use of the machine. Customer <br /> ..,r rl.an na..r�/az...♦ .,....� thea tis..o I.e a,. <br />