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CSG SK- SSL-BOX- 24 Steve Mullan 09 / 11 / 17 14 : 49 PAGE 2 <br /> SHIPPING DOCUMENT <br /> REFERENCE NBR , <br /> CUSTOMER # / GENERATOR : G011213 Gordon Trucking Inc 74725844 - 1704524151 <br /> 12550 S Harlan Rd <br /> Attn Bob <br /> Lathrop CA 95330 -8744 <br /> PHONE 209 - 640 - 0555 CONTACT NAME : Gordon Trucking Inc <br /> GENERATOR USEPA ID . CAL000334985 GENERATOR STATE 9060019999 <br /> MANIFEST # : 006136101SKS FORM CD : 1D SHIP # 223371849 <br /> TRANSPORTER 1 TXR000081205 SAFETY -KLEEN SYSTEMS , INC . <br /> 5050 SALIDA BLVD <br /> SALIDA , CA . 95368 <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 , SOLID <br /> ( DRAINED / UNDRAINED USED OIL FILTERS ) <br /> FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES 223 <br /> TOTAL CONT 4 TYPE DM WT /VOL P SKDOT 7872676 <br /> CNT # : 170908421973 SZ : 55 GAL / 205 L CONTAINERS QTY : 250 PROF# 156033 CA CAT CODE : G <br /> CNT # : 170908421974 SZ : 55 GAL / 205 L CONTAINERS QTY : 250 PROF # 156033 CA CAT CODE : G <br /> CNT # : 170908421975 SZ : 55 GAL/ 205 L CONTAINERS QTY : 250 PROF# 156033 CA CAT CODE : G <br /> CNT # : 170908421976 SZ : 55 GAL / 205 L CONTAINERS QTY : 250 PROF# 156033 CA CAT CODE : G <br /> DESIGNATED FACILITY NAME /ADDRESS : <br /> THERMO FLUIDS INC <br /> 12533 SE CARPENTER DR <br /> CLACKAMAS OR 97015 - 8988 <br /> TSD PHONE : 503 - 788 - 4616 <br /> FACILITY USEPA ID NO ORQ000025197 <br /> FACILITY STATE ID NO <br /> GENERATOR STATUS <br /> 0 -220 lbs /month <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 SK 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 . 5 % 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 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 /> further agrees that it will not clean parts /paint guns that have been <br /> contaminated with or otherwise introduce polychlorinated biphenyls <br /> ( PCB ' s ) , herbicides , pesticides , dioxins or listed hazardous waste <br /> into the solvent or aqueous cleaning solution . Safety- Kleen has the <br /> capacity and is permitted to accept , store , and / or reclaim the spent <br />