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ENERATOR STATUS
<br /> CSG SK-BWP-UMO-01 Li 10- 11 -2021 10 : 33 PAGE 2
<br /> ustomer certifies that t gram to reduce the volume
<br /> 6ove-named materials are properly or quantity and toxicity of the hazardous waste a "g
<br /> lassified , packaged , marked and to the degree to be economically practicable , labeler/ , IN THE EVENT OF AN EMERGENCY CALL **24-Hr Number * * 1-80(1- 468- 1760 ( SAFETY-KLEEN SYSTEMS , INC .
<br /> id are in proper condition for transportation according to the applicable regulations of REFERENCE NOR .
<br /> )e Department of Transportation ( ti ) no material change has occurred either in the 87141089 - 2104779793
<br /> raracteristics of the waste/material or in the process generating the waste/material , and CUSTOMER / GENERATOR : L024138 Lovelace Material
<br /> ii ) the above referenced Generator Status is correct . Customer agrees to pay the above Recycling Center
<br /> rarges and to be bound by the terms and conditions ( 1 ) set forth in ( a ) Io General Terms 2323 Lovelace Rd
<br /> id Conditions provided separately to Customer or ( b ) any SK agreement signed by Customer Manteca CA 95336-9233
<br /> id SK , and ( 2 ) incorporated herein by reference . Unless otherwise indicated in the PHONE 209-610- 2001
<br /> yment received section , SK is authorized to charge Customers account for this GENERATOR USEPA 10 . CAL000289578
<br /> ansact ! on . If Customer fails to make payment when due , an amount equal to the lesser of GENERATOR STATE :
<br /> ) 1 . 5X per month ( 18l per annum) or ( ii ) the maximum amount allowed by law , will be
<br /> ded to all unpaid amounts outstanding . Customer certifies that the individual signing MANIFEST# : 008143367SKS FORM CO ; 10 SHIP# 23.5451899
<br /> is Service Acknowledgement is duly authorized to siyn and bind Customer . Customer
<br /> knowledges that it is responsible for maintaining its Generator Status and obtaining an TRANSPORTER 1 TKRUo0081205 SAFELY-KLEEN SYSTEMS INC .
<br /> 4 ID number if required by applicable law . The following provision is applicable to TRANSPORTER Z
<br /> fety-Kleens par is cleaner and paint gun cleaner services : Customer agrees that it wi I I US DOT DESCRIPTION ( INCLUDING PROPER SHIPPING NAME , HAZARD CLASS , AND TO )
<br /> I introduce any substance into the solvent or aqueous cleaning solution , including NON-RCRA HAZARDOUS WASTE , LIQUID
<br /> Ihout limitation any hazardous waste or hazardous waste constituent , except to the ( USED OIL)
<br /> tent such introduction is incidental to the normal use of the machine . Customer further
<br /> ees that it will not clean parts /paint guns that have been contaminated with or FEDERAL WASTE CODES NONE
<br /> rerwise introduce polychlorinated biphenyls ( PCOs ) , herbicides , pesticides , dioxins or STATE WASTE CODES : 221
<br /> ; ted hazardous waste into file solvent or aqueous cleaning solution . Safety- Kleen bas the TOTAL CONT I TYPE : IT WIIVOL (i SKDOT 11249
<br /> ;achy and is pernd fled to accept , store , and/or reclaim.. lhe spent parts washer solver( ; CMT# 210918958930 SZ : Bt, VOLUME CONTAINER
<br /> QTY : 320 PROFIT 156017 CA CT CODE _ A
<br /> fit thinners , solvents and paints generated by customer ; or city cleaning filter
<br /> fridges , powder , and still residues containing per chloroethylene , petroleum naphtha , or
<br /> flurotrichlor' oethane dry cleaning solvents . Customer agrees that it is responsible, for FACILITY NAME/ADDRESS :
<br /> CALIFORNIA
<br /> perly classifying its waste streams as Used Oil or NonhazardousSAFETY-KLEEN DESIGNATED Waste in accordance 6880 SMITH AVE .
<br /> Ir the provision of 40 CFR 262 . 11 and applicable state laws . Customer agrees that it
<br /> I not introduce any non-conforming substance into the SK Property , including , without NEWARK
<br /> itation , any hazardous waste or hazardous waste constituent , fi . e . , polychlorinated CA 94560
<br /> henyls ( "PCBs " ) , herbicides , pesticides , dioxins , or listed hazardous wastes ) except to TSD PHONE : 510- 795-4400
<br /> extent such introduction is incidental to the normal use of the SK Property . In the
<br /> it of the introduction of such non-conforming hazardous waste ,, Customer agrees that it FACILITY USEPA ID NO EAD980887418
<br /> I be responsible for all costs and remediation expenses related to or arising from the FACILITY STATE ID NO
<br /> )er management and disposal of the non-conforming waste , including the cost of
<br /> tment decontamination and subsequent disposal . Final invoicing will be based on the GENERATOR STATUS CESQG : Vehicle
<br /> rat services provided , which may include additional charges for off specification waste
<br /> surcharges . Final invoice amount may be more than the amount listed on the printed
<br /> ript . If any legal action is commenced because of an alleged dispute , breach , default
<br /> ; isrepresentation , the Customer also agrees that the prevailing party will be entitled
<br /> ecover reasonable attorneys fees and costs associated with the tion-conforming
<br /> T
<br /> amination event . Safety-Kteens failure to screen Customers material or take a retain CUSTOMER / GENERATOR : adriana
<br /> le , in no way constitutes a waiver of Customers obligation to property classify its
<br /> rials . Safety-Kleen reli �s on Customers representations and Customer is responsible
<br /> informing Safety-Kleen of any process changes that may alter the characteristics of
<br /> materials provided . In accordance with 40 CFR 263 . 21 ( b ) ( 3 ) Clean Harbors and/ or
<br /> ly-Kleen , as applicable , as the current transporter is expressly given agency
<br /> Drily by the generator to act as the generator ' s agent and accordingly , Clean Harbors TRANSPORTER : Lima Jr , Joseph R
<br /> if Safety-Kleen , as applicable , may change the transporter ( s ) designated on the
<br /> Test , or add a new transporter , during transportation without the generator ' s pr tot
<br /> icit approval . IN THE EVENT OF AN EMERGENCY CALL **24-HR NUMBER* " 1-800-468- 1760
<br /> sty-Kleen ) A variable recovery fee that fluctuates with the DOE national average
<br /> d price may be applied to your invoice . For more information regarding our recovery
<br /> ;atculation please go to lit tp : / safety-kleen . coml
<br /> nmer -service/environments I - fees /recovery- fees . Please note e-manifest fees applicable
<br /> uis order may not be included in the total above and wi11 be included in the final
<br /> ce or credit card statement . RECEIPT ONLY - THIS IS NOT AN INVOICE
<br /> TRANSPORTER 2 :
<br /> CUSTOMER 1 GENERATOR : adriana
<br /> LAST P-6E
<br /> TRANSPORTER : Lima Jr , Joseph R
<br />
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