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---------------------------------------------------------------------------------- <br /> CSG SK-SSL-UMO-D1 Joseph R Lima )r 133/26/13 13:15 PAGE 2 <br /> SHIPPING DOCUMENT <br /> REFERENCE NSR. <br /> CUS-IDMER#/GENERATOR: SA32680 San 7aa4nin Co Maintenance 76436248-1301495644 <br /> 1810 E Ha2elton Ave <br /> Stockton CA 952OS-6232 <br /> PHONE 209-468-3099 <br /> GENERATOR USEPA IIS. CALO0o015838 GENERATOR STATE <br /> MANIFFST#: 006136532SRS FORM CO: 1D SHIP# 225080721 <br /> TRANSPORTER 1 TXR400081205 SAFETY-KLEEN SYSTEMS, INC. <br /> 5050 SALIDA BLVD <br /> SALIDA,CA. 95366 <br /> TNSP PHONE: 209-545-1011 <br /> TRANSPORTER 2 <br /> US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) <br /> NON-RCRA HAZARDOUS WASTE. LIQUID <br /> (USED OIL) <br /> FEDERAL WASTE CODES NONE ' - <br /> STATE WASTE CODES ZZ1 <br /> TOTAL CONT 1 TYPE TT WT/VOL G SKOOT 11249 <br /> CNT#: 180326441133 SZ: SULK VOLUME CONTAINER QTY; 275 PROF# 156017 CA <br /> DESIGNATED FACILITY NAME/ADDRESS: <br /> SAFETY-KLEEN OF CALIFORNIA <br /> 6880 SMITH AVE. <br /> NEWARK CA 94560 <br /> TSD PHONE: 510-79S-4400 <br /> FACILITY USEPA ID NO CAD98OSS7418 <br /> FACILITY STATE ID NO <br /> If high risk source, rep. certifies that load specific PCB &Silicon <br /> testing have been completed prior to pumping this load. <br /> GENERATOR STATUS <br /> CESQG. Vehicle <br /> Customer certifies that (i)-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 /> generating 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 SH agreement signed by Customer and SK, and (2) incorporated <br /> herein by reference. Unless otherwise indicated in the payment <br /> received section, SK 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 (i) 1.536 per month (18% per annum) or <br /> (ii) the maximum amount allowed by law, 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 EFA ID number if required by <br /> applicable law. The folloanng Provision is applicable to _ <br /> Safety-Kleen's parts cleaner and pair.': tjan cleaner services: Customer <br /> agrees that it will not introduce any substance into the solvent or <br /> aqueous cleaning solution, irecludiny Without limitation any hazardous <br /> waste or hazardous waste constituent, except to the extent such <br /> introduction is incidental to ttijt norutial use of the machine. Customer <br /> further agrees that it will sdo'_ clean ?+arts/paint guns that have been <br /> contaminated with or, otherwise intr _ Polychlarinated biphenyls <br /> (PCB's), herbicides, pesticides, di.,:;:,, or listed hazardous waste <br /> into the solvent or aqueous cleaninn st r ;,;- Safet,Y-Kle,-,n has The <br />