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t%IBPOfiATF;8110-fiG9-5'140 for In Jet wing Safely-K I sell of any prows changes that say alta ua:wa,
<br /> 24 TIO FNF; NO-1 9-674Gp-1760 (Safety Klesn) the materials provider. In accordanw with 40 CFR 263.2.1 (b)(3) Clean Narbers andlor
<br /> 24 111 F011 Safety-Klem, as applicable, as Ilia current transporter Is expressly given agancy
<br /> REFFIXF NRR. authority by the generator la act as the generator's agent and accordingly, Clean Harbor
<br /> 1315T1IN(D111 fI7AV112 City 01 Stod tat Wafer 5070777.0 210522956'1 andlor Safety-Keen, as appdicable, may change the transportn'(a) dosignated on the
<br /> Treatment man IJos 1, or add a now: transporter, during Ira:vsportat IOn without the generator's prior
<br /> 2500 Navy Dr , SOVf MEEK: 2022-13 exp Iol I approval, IN THE EVENT OF AN EMERGENCY CALL*"24-lift NUMBER*" 1-500-460-1760
<br /> At in Corrcapolon (Safety-Xleem) A variable recovery fee that fluctuates with the QOE national average
<br /> Stockton CA 95206-1147 S9UC DATE; 04-01-2022 these, price may be applied to yet,' Invoice. for mora Information regarding our recover!
<br /> PHONE 209 937 8006 fee calculation please go to hltp:lssfety-kieen.coml
<br /> customs--set vI colony ronmen[aI-feea(recover Ones. Please nota e-oranifesl fees apPllcate
<br /> DILL.TO CUSTONERII BILL TO ADDRESS: Involhw o dcredit card not rstatement, RECEIPTe included In tire ONLY THIS IS Hill AN IJKOIf�Fotal-21)(As Anti 0111 be ed In the final
<br /> CI26113 Cil Of Stockton
<br /> 2600 Ratty Dr _ IL
<br /> CIO Hunt ci pat Utilities Dept -
<br /> Stockton CA 95206-1147
<br /> PHONE 209-937-6906
<br /> PURCHASE(D1 ERi TAX EXEMPTX
<br /> CUSTOMER I QENERATCR: Paul
<br /> PNW1N.'il�U1CPS ,
<br /> SERVICES7PR000CT Illy UNIT PRICE TAX I'OTMCINw
<br /> 3383 DRUM,H6 OD Pip .4.0 10.00 11.00 40.0FILT
<br /> ff
<br /> VVICE TENN 24 WEEK
<br /> 83383 FIGIIEfIB ASIS OIL3.03.0 60.00 D.OD 240,9 THAN5PDRTER: Qotnez,Raymond
<br /> UP
<br /> SERVICE TERM 24 WEEK
<br /> '875120 i 1.0 4'16.00 0,00 ' 416.0
<br /> 178owl LCCDO 66CIL LP
<br /> ------ ---------------------------------------------
<br /> ---------- - - - - -
<br /> ----- ----------------- -- ----- ----------------- --
<br /> AEROSOLS FOR INC
<br /> CSTa SK-SSL-DDX-23 Gommwa,DaytDmd 04.01-2022 05
<br /> SERVICE TFNN 24 WEEK :16
<br /> PAGE
<br /> MOUNTS; 1 TSUFe SJ MANIfESTII: 608 FORM CO: Ul. SHIPX 2367MO SHIPPIM Wo1FdlT
<br /> CNTII 2203315OVO QTY: 150 Wt1901.P PH FII 1789957 SXDOTX 85568711 IN THE EVENT of AN EMER(IENCY CAI,"*24-Hr-Number"* 1-800-460-1760(SAFFIY-KLFFN SYSTEM!
<br /> 8764¢0,1REFERENCE MR,
<br /> 1789989 C110-0HAZARDOUS 2,0 262.00 0.00. 524.0 80707774- 21002201161
<br /> SRI-ID 650. CUSTOMER I Id NEOATOR, CI28112 City Of Stockton
<br /> SERVICE 151124 WEEK Water Troatmmt
<br /> 4CONTS: 2 TSDF: SJ HANIFFSTN: 0(10344466SKS FORM CO; US SHIPII 236753608 2500 Navy Or
<br /> CNTX 220331 03551 QTY: 200(Tf1VO P PIiOFX 1789989 SNDDTX 8579644 Atin Concepcion
<br /> CHT1 220331503560 (IT Y: 200 1117 lilt P PRIFII 1189959 SRROIX 6579644 Stockton Ch&5206-1147
<br /> 1011001 FEE, FUEL SURCNARM 1.0 20.09 0100 20,09 PHONE 200-937.8906 -
<br /> 100065 F-Manifost Foe 1,O 20.00 0,00 20,0 ("ERATON Mph ID. CAL000039681
<br /> 3230 TAX HANM.INGRIC 4.0 DA) 0.00 0.00 GENERATOR STATE;
<br /> DRAM DROP 30
<br /> __---------------_----------------- MANIFFSTI: 090365642SKS TO CD ; 10 SHIPD 236760243
<br /> TOTAL$FHUIC'EIPRODUCTS 008,00 0.00 1260.09 TlliffORTED 1 T*naoo612c Safely Klem
<br /> TOTAL CHARQE 1260.09 TRANSPORTER 2
<br /> CBFDITS0.00
<br /> `-------- -----------------
<br /> TOTAL DVF 1260.09
<br /> --------.____ __-___m_ _- IIS DOT DESCRIPTION (INCdUDING PROPER SHIPPING NAME, HAZANO CLASS, AMI ID)
<br /> NON-NCRA NA7ANOOJS WASTE, SOLID
<br /> UNPAID OALhNCE THIS RECEIPT 260,19 (DRAINED111NQRAINED USED DIL FILTERS)
<br /> FEHFRAL WASTE CODES NONE
<br /> STATE WASTE CODES: 223
<br /> TOThL CONY 3 14PE; ON WTIVOL P SKROT 7872676
<br /> GFNEAATOR STATUS 0-210 Ibslmonth 0911 220330494244 SZ: 65 01.1205 L C041AINERS OTY: 250 PRCF6 166033 CA CT COIF
<br /> CN(X 220330494245 SZ: 66 OAL12OD L CONTAINERS QTY: 260 PROFS 156033 CA CT FART
<br /> Customer cerlilles that (1) Ilia I have established a program to reduce the vo,ulae CNTN 220331503562 SZ: 56 GAL1205 L CONTAINERS QTY: 250 PROF1 156033 CA CT CODE
<br /> abova-namad µ
<br /> materials are properly or mntlty and toxicity of the hazardous waste
<br /> classified, packatiol, marked and (o the degree to be mmomhcally practicable. Labeled,
<br /> and are In proper mnditien for transportation accordirgi to the applicable regulations of BESIGME FACILITY NAMEIRIBS;
<br /> the Department of Transportation(1I) no materlal dan0a has occurred at[hot In the TNERMO FLUIDS INC
<br /> characteristics of the wastolmaterial a In the process ggmorating the waslelsalerial, slid� )2533 SF FLUIDS
<br /> INC DR r '
<br /> (111) the above referenced Generator Status Is correct. Customer agrees to pay ilia above 12B33AMAS
<br /> Ni as and to be bound by the terms and conditions(1)set forth In(a) the Gonerai Tenors CL 97015-8908
<br /> and Cmdltloca Provided ageprotely'to Customer or (b) any SK agreemont signed by Customer TSO PHONE: 603-705.4616
<br /> still SK, and(2) hea tmeraCed herein byrreforancd, Unless otherwise Indicated in the r,
<br /> payment recolved section, SK(Ist antharlead to charge Customers Account for this FACILITY USEPh ID NU DRD1100025197 _
<br /> transaction. If Detamar fit 4 to lake*pwymenI.WI I rIle, an amount equal to the lesser of FACILITY STATE ID NO
<br /> (I) 1.63 par mouth (1011 per Tansmt) Lo It the the maxhautl amount allowed by law, will be
<br /> ackud to all tmpaid anmunts oulstandI. .ustomer certifies that the individual signing
<br /> this Service Acknowladgesent Ls duly authorized la sign mud bind Customer, Catstomer . OWATOR 19TATLLS 0220 Ibslrenth
<br /> adcnowdadoes that it Is responsible formalnisining Its Generator Status mrd obtaining an
<br /> EPA IA numbar If reµtire d by applicable law. Tla fallowing provision is applicable to
<br /> Safety-Rloons to cleaner and pahnt Sun cleaner services; Customer agrees flat it 9111
<br /> not tut 11 It any substance Into the solvent or aqueous a(,mismg solution, Including
<br /> without 11 Italian any hazardous waste or hazardous waste cored luenl, except to the LJ'•.,..._„_,r,aJ
<br /> axis Dr.rch Inlrodictim Is LnofIdol to tfw a Dial use of the machine. Customer further
<br /> agrees thel II will not clean po'tslPoint gum Lha( have been contaminated with or
<br /> otherwise udrotuce Iwlychle In to biphenyls (PCOs)I•Iarblclits, pesticides, (Horcha or (:Ua�YTO IT 1 QENFAATOR: pard .
<br />
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