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11111N
<br /> 1111111
<br /> 111M
<br /> 11111
<br /> VIII VIII VIII Hi
<br /> IIII 7080 N HIGHLAND DRIVE Service Receipt
<br /> MORRIS,IL 60450
<br /> Phone: (815)416-0400
<br /> www.southwest-oil.com DATE: ORDER NO:
<br /> 08/25/2020 96606
<br /> DRIVER COPY
<br /> Employee: ERNIE
<br /> WESTWIND TRANSPORTATION Vehicle: 14
<br /> 7050 SOUTH ARCHER IEPA Transporter#:: 0344
<br /> BEDFORD PARK,IL 60638
<br /> 773-491-8713
<br /> ILD#: 0630605176
<br /> A c No: 9381700 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
<br /> usEPA ID#:: ILR0001615161513
<br /> Code Qty Total Service Additional:
<br /> 0.35 OIL RATE 800.00 $280.00 USED OIL REMOVAL
<br /> GEN ERATOR/OFFERER'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged,marked,and labeled/placarded,and
<br /> are inall respects in proper conditions for transport according to applicable international and national governmental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the
<br /> terms of the attached EPA Acknowledgement of Consent.I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)or(b)(if I am a small quantity generator)is true.
<br /> Southwest Oil,Inc.collects,transports,and markets used oils and non-hazardous wastes in accordance with the requirements of 40 CFR Part 279 and applicable regulations.Generator is responsible for properly classifying their waste
<br /> streams as used oil or non-hazardous waste in accordance with the provisions of 40 CFR 262.11 and applicable state laws.Southwest Oil vnll collect and transport the non-hazardous materials,based on Generator's representation of the
<br /> materials,in accordance with all applicable local,state,and federal regulations.Based on representation made by the Generator regarding the type of material generated,Southwest Oil may screen the materials at the time of collection;
<br /> and may take and retain a sample of the materials collected.Southwest Oil's failure to screen Generator's material,or take and retain a sample,in no way constitutes a waiver of Generator's obligation to property classify their waste streams.
<br /> Southwest Oil relies on the Generator's representations,and the Generator is responsible for informing Southwest Oil of any process changes that may alter the characteristics of the materials(s)collected.Generator agrees to provide
<br /> access to collection tanks and/or containers for sampling and additional analysis for unacceptable materials.If collected material(s)hereunder are not as represented by Generator and confirmed unacceptable through further analysis,
<br /> Generator agrees to accept return of malerial(s)and all materials subsequently contaminated;or the proper disposal of material(s);and Generator is responsible for all costs and expenses related to,or arising from the proper management
<br /> Customer Signature:
<br /> CUSTOMER COPY
<br /> Acct No: 9381700 Order No: 96606
<br /> WESTWIND TRANSPORTATION
<br /> Date/Time: 8/25/20 12:00 am
<br /> BEDFORD PARK , IL 60638
<br /> Code Qty Total Service
<br /> 0.35 OIL RATE 800.00 $280.00 USED OIL REMOVAL
<br /> GENERATOR/OFFERER'S CERTIFICATION:I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged,marked,and labeled/placarded,and are
<br /> in all respects in proper conditions for transport according to applicable international and national governmental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of
<br /> the attached EPA Acknowledgement of Consent.I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)or(b)(if I am a small quantity generator)is true.
<br /> Southwest Oil,Inc.collects,transports,and markets used oils and non-hazardous wastes in accordance with the requirements of 40 CFR Part 279 and applicable regulations.Generator is responsible for property classifying their waste streams
<br /> as used oil or non-hazardous waste in accordance with the provisions of 40 CFR 262.11 and applicable state laws.Southwest Oil will collect and transport the non-hazardous materials,based on Generator's representation of the materials,in
<br /> accordance with all applicable local,state,and federal regulations.Based on representation made by the Generator regarding the type of material generated,Southwest Oil may screen the materials at the time of wilecfion:and may take and
<br /> retain a sample of the materials collected.Southwest Oil's failure to screen Generator's material,or take and retain a sample,in no way constitutes a waiver of Generators obligation to properly classify their waste streams.Southwest Oil relies on
<br /> the Generators representations,and the Generator is responsible for informing Southwest Oil of any process changes that may alter the characteristics of the materials(s)collected.Generator agrees to provide access to collection tanks and/or
<br /> containers for sampling and additional analysis for unacceptable materials.If collected materials)hereunder are not as represented by Generator and confirmed unacceptable through further analysis,Generator agrees to accept return of
<br /> materials)and all materials subsequently contaminated;or the proper disposal of materiels);and Generator is responsible for all costs and expenses related to,or arising from the proper management and disposal of the unacceptablOrejected
<br /> Employee Signature:
<br /> 7080 N HIGHLAND DRIVE For Service, Call
<br /> MORRIS,IL 60450 (6
<br /> 11,1111,
<br /> I1111
<br /> IVIII 11I11
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<br /> Phone:
<br /> www sou hwe t-oil..com (815) 416-0400
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