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CSL Sk-SSL-UMo-01 <br /> Joseph R Lima Jr <br /> 09/11/17 09:13 PACE 2 <br /> SHIPPING DOCUMENT <br /> CUSTOMER#/GFNERATOR: SA32690 San Joaquin CD Maintenance REFERENCE NOR. <br /> SII <br /> 1810 E Hazelton Ave 747306,13-1709547585 <br /> SAi Stockton CA 95205-6232 <br /> PHONE 916-941-2910 CONTACT NAME: <br /> MANIFEST#: 006136346SKS ECD: 10R STATE San Joaquin CD Mai, <br /> GENERATOR U5EPA ID. CAL0000158 <br /> 38 IRANSPOkTEIi 1 TKR000081205 SAFETY-NLEEN SYSTEMS, INC23419736 <br /> Pw <br /> 5050 SALIDA BLVD <br /> SALIDA,CA. 95368 <br /> TRANSPORTER 2 TNSP PHONE: 209-545-1011 <br /> 66 US UU'f-UESCHly'ixON (INC'LUOING PROPEk SHIPPING NAMf, HAZARD CLASS. AND W) ° <br /> NON-RCRA HAZARDOUS WASTE, LIQUID <br /> LASED OIL) <br /> ii FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES 221 <br /> TOTAL CONT 1 TYPE TT <br /> 170911491009 Sl: BULK VOLUME ONTAINER 11249 <br /> DESIGNATED FACILITY QTY: 275 PROF#156017 CA <br /> SAFETY-KLEEN OF CALIFORNIA <br /> 6880 SMITH AVE. <br /> NEWARK CA 94560 <br /> TSD PHONE: 5I0-795_4400 <br /> FACILITY USEPA ID NO CAD980887418 <br /> FACILITY STATE ID NO <br /> testing have Leen high risk source, rep, certifies that load specific PCF. & <br /> tecDnPleted Prior to punping this load, Silicon <br /> GENERATOR STATUS <br /> CESQG: Vehicle <br /> Customer Certifies that (i) the above-narmed nyaterials are properly <br /> for <br /> resp Packaged, "larked and labeled, and are in proper, condition <br /> for ir•anspurf Trail according to the applicable regulations Df the <br /> Department of Transportation (ii) no material change has occurred <br /> either- in tFre dtar'acteristics of the waste/imaterial or in the process <br /> generating <br /> Custorneriagr•ees toopayve rthe rabove Charges <br /> and to be ,Duna by the terms and Conditjons (1) set forth in (a) the <br /> General Te ruts and Conditions provided separately to Customer, or (,) <br /> any SK agreerr:ent signed by Customer' and SK, and (2) incorporated <br /> herein by reference. Unless otherwise indicated59. ndin the <br /> received section, SK is authorized <br /> uthoOther to Charge Customer's thisPayment <br /> transaction. If Customer fails to make yniene account for <br /> amount equal to the lesser of payment when due, an <br /> (ii) the utstanm amount allow ed�byllow,pwilljohehadded to all unpaid <br /> or <br /> auaunts outstanding. Customer certifies that the added <br /> t1896 o <br /> sunpaid <br /> this Service Rcknowlvlganent <br /> Customer, Cois duly authorized to sign and bind <br /> its Generator S stumer alatus cknawled6es that it is respons'iblc fur, maintaining <br /> aPpiicable land obtaining an EPA ID number• if required by <br /> aw, The and <br /> provision is apPlicable to <br /> Safety-theta's parts cleaner and paint gnu cleaner services: Customer <br /> dquv <br /> dur,e-s that it will not introduce any substance ""O.the solvent or <br /> aqueous cic,uyiag soluteon, including wjthout limitation an <br /> waste or haznr,iuus waste corrstiiuent, eXCept li the art�•udoCfi�a: is 'r Y hazardous <br /> rrcideutal to the nor"'Al extent such <br /> fur ii,cr �9r mes t1+at use of ihx machine, <br /> it will not dean parts Customer <br /> .. - •.•S •:•�- •_ ._____. _ (paint duns th-ai l+ivo 4am. <br />