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TRANSPORTER: Joseph R Lima Jr <br /> `---------------------------------------------------`---------------------------- <br /> CSL SK-SSL-UMO-61 Joseph R Lima Jr 01/10/18 D8:33 PAGE 2 <br /> SHIPPING DOCUMENT <br /> REFERENCE NBR. <br /> CUSTDMER;r/GENERATOR: SA3Z680 San Joaquin Co Maintenance 75818144-1800142206 <br /> 1810 E Hazelton Ave <br /> Stockton CA 95405-6232 <br /> PHONE 916-941-2910 <br /> GENERATOR USEPA ID. CALOOOO15833 GENERATOR STATE <br /> MANIFESTS: DO6325132SKS FORK] CD: ID SHIP# 224437383 <br /> TRANSPORTER I TXR000O812OS SAFETY-XLEEN SYSTEMS, INC. <br /> 5050 SALIDA BLVD <br /> SALIDA,CA. 85368 <br /> TNSP PHONE: 209-545-1011 <br /> TRANSPORTER 2 <br /> US DOT DLSCRIP71ON (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) " <br /> NON-RCRA HAZARODUS WASTE, LIQUID <br /> (USED OIL) <br /> FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES 221 <br /> TOTAL CONT I TYPE TF WT/VOL C SEDOT 11249 <br /> CNT,: 180110947538 SZ: BULB VOLUME CONTAINER QZY: 250 PRDF�; 156017 CA <br /> DESIGNATED FACILM NAME/ADDRESS: <br /> SAFETY-KLEEN OF CALIFORNIA <br /> 6830 SMITH AVE. <br /> NEWARK CA 94560 <br /> 150 PHONE: S10-795-4400 <br /> FACILITY USEPA ID NO CA0980387418 <br /> FACILITY STATE ID NO <br /> If high risk source, rep. certifies that load specific PCB 8 Silicon <br /> testing have been completed prior to pumping this load. <br /> GENERATOR STATUS <br /> CESQG: Vehicle <br /> Customer certifies that Ci) the above-named materials are properly <br /> classified, packaged, marked and 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 <br /> either in the characteristics of the waste/material or in the process <br /> gxnerating the waste/material, and (iii) the above referenced <br /> Generator Status is correct. Customer agrees to pay the above Charges _ <br /> and to be bound by the terms and conditions (1) set forth in (a) the <br /> General Terms and Conditions provided separately to customer or (b) <br /> any SK agreement signed by Customer and Sr., and (2) incorporated <br /> herein by reference. Unless otherwise indicated in the payment <br /> received section, Sic is authorized to charge Customer's account for <br /> this transaction. If Customer fails to make payment when due, an <br /> amount equal to the lesser of Ci) 1.5% per month CIS%per annum) or - <br /> (ii) the maximum amount allowed by lata, will be added to all unpaid - <br /> amounts outstanding. Customer certifies that the individual signing <br /> this Service Acknowledgement is duly authorized to sign and bind - <br /> Customer. Customer acknowledges that it is responsible for maintaining <br /> its Generator Status and obtaining an EPA ID number if required by <br /> applicable law. The following provision is applicable to <br /> Safety-Kleen's parts cleaner and paint gun cleaner services: Customer <br /> agrees that it will not introduce any substance into the solvent or <br /> aqueous cleaning solution, including without limitation any hazardous <br /> waste or hazardous waste constituent, except to the extent such _ <br /> introduction is incidental to the normal use of the machine. Customer <br /> 4urt5ner aorccs that 4t r,ill .wt clean na�ts/oa-:nt guns that have been <br />