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fKANry rMMIC: cenlamin u- <br /> Taylor -- - - -- <br /> ------------------------------------------------------------------------------- <br /> 5L 51L-SSL-UM0-01 Benjamin D Taylor 12Jo6J18 12:34 PACE 2 <br /> SHIPPING DOCUMENT <br /> REFERENCE NRR. <br /> ]STOMERS/GENERATOR; SA32680 San 3oaquin Ca Maintenance 78463039-1505772372 <br /> 1810 E Hazalton Ave <br /> Stockton CA 95205-6232 <br /> PRONE 209-468-3099 <br /> ENERATOR USFPA ID. CALOOODISS38 tZENERATOR STATE <br /> ANIFESTS: 011837233FLE FORM CO: la SW* 225971840 <br /> RANSPORTER 1 TXROODO81205 SAFETY-KLEEN SYSTEMS, INC, <br /> 5050 SALIDA BLVD <br /> SALIDA,CA. 95358 <br /> TNSP PRONE: 209-545-1011 <br /> RANSPORTFR 2 <br /> 3 DOT DESCRIPTION QNCLUOING PROPER SHIPPING NAME, HAZARD CLASS, AND IO) <br /> 3N-RCRA HAZARDOUS WASTE, LIQUID <br /> JSED OIL) <br /> EDERAL WASTE CODES NONE <br /> rATE WASTE CODES Z21 <br /> 1TAL CONT 1 TYPE TT WT/VOL G SKDOT 11248 <br /> CNTk: 181206313874 SZ: BULK VOLUME CONTAINER QTY: 111 PROFS 156017 CA <br /> SILNATFD FACILITY NAMEJADDRESS; <br /> SAFETY-KL£FN OF CALIFORNIA <br /> 5880 SMITH AVE. <br /> 4EWARK CA 94560 <br /> rSD PHONE: 510-795-4400 <br /> kCILITY USEPA 10 NO CA0990897418 <br /> 4CILITY STATE ID No <br /> F high risk source, rep. certifies that load specific PCs &Silicon <br /> -sting have been completed prior to pumping this load. <br /> !NERATOR STATUS <br /> SQG: vehicle <br /> astomer certifies that (i) the above-named materials are properly <br /> lassified, packaged, marked and labeled, and are in proper condition <br /> lr 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 /> anerating the waste/material, and (iii) the above referenced <br /> anerator Status is correct. Customer agrees to pay the above charges <br /> id to be bound by the terms and conditions (1) sat forth in (a) the <br /> aneral Terms and Conditions provided separately to Customer or (b) <br /> ny SK agreement signed by Customer and SK, and (2) incorporated <br /> -rein by reference. Unless otherwise indicated in the payment <br /> eceived section. SK is authorized to charge Customer's account for <br /> his transaction. If Customer fails to make payment when due, an <br /> nount equal to the lesser of (i) 1.5% per month (i8% per annum) or <br /> ii) the maximum amount allowed by law, will be added to all unpaid <br /> nounts outstanding. Customer certifies that the individual signing <br /> its Service Acknowledgement is duly authorized to sign and hind <br /> Istomer. Customer acknowledges that it is responsible for maintaining <br /> es Generator Status and obtaining an EPA ID number if required by <br /> 'plicable law. The following provision is applicable to <br /> tfety-K1aen's parts cleaner and paint gun cleaner services: Customer <br /> ;roes that it will not introduce any substance into the solvent or <br /> aueous cleaning solution, including without limitation any hazardous <br /> este or hazardous waste constituent, except to the extent such <br /> ltroduction is incidental to the normal use of the machine. Customer <br /> urther agrees that it will not clean parts/paint guns that have been <br /> antaminated with or otherwise introduce polychlorinated biphenyls <br /> )CB's), herbicides, pesticides, dioxins or listed hazardous waste <br /> 'to the solvent or aqueous cleaning solution. Safety-Kleen has the <br /> opacity and is permitted to accept, store, and/or reclaim the spent <br /> arts washer solvent; paint thinners, solvents and paints gener .:a.i 'jy <br /> fstomer; or dry cleaning Filter cartridges, powder, and still <br /> asidues containing perchloroethylene, petroleum naphtha, or <br /> riflurotrich1troethane dry cleaning solvents. Customer agrees that it <br />