f --NG P-UMO- 01 Lima Jr , J 021 10 : 27 PhfiE 2
<br /> GENERATOR STATUS CES(_. S111rritfu iii'k kj, ;
<br /> "` IN THE EVENT OF AN EMERGENCY CALL *24-Hr -Number ** 1- 800-468- 1760 ( SAFETY-KLEEN SYSTEMS , INC . )
<br /> Customer certifies that ( i ) the I have established a program to reduce the volume REFERENCE NOR ,
<br /> above-named materials are properly or quantity and toxicity of the hazardous waste 87825707 - 2106141924
<br /> classified , packaged , marked and to the degree to be economically practicable . labeled , CUSTOMER I GENFRATOR : L024138 Lovelace Material
<br /> and are in proper condition for transportation according to the applicable regulations of Recycling Center
<br /> the Department. of Transportation ( ii ) no material change has occurred either in the 2323 Lovelace Rd
<br /> characteristics of the was telmaIerial or in the process generating the was IelmaIerial 211CManteca CA 95336 -9233
<br /> ( iii ) the above referenced Generator Status is correct . Customer agrees to pay the above PHONE 209-610-2001
<br /> charges and to be bound by the terms and conditions ( 1 ) set for in ( a ) the General Terms GENERATOR USEPA Ill . CAL000289578
<br /> and Condi lions provided separately to Customer or ( b) any SK agreement signed by Customer GENERATOR STATE :
<br /> and SK , and ( 2 ) incorporated herein by reference . Unless otherwise indicated hr the
<br /> payment received section , SK is authorized to charge Customers account for this MANIFEST# : 008116549SKS FORM CD : 10 SHIPH 236043164
<br /> transaction . If Customer fails to make payment when due , an amount equal to the lesser of
<br /> ( i ) 1 . 5R per month ( 18% per annum) or ( ii ) the maximum amount allowed by law , will be TRANSPORTFR 1 IXII000081205 Safety Kleen
<br /> added to all unpaid amounts outstanding . Customer certifies that the individual signing TRANSPORTER 2
<br /> this Service Acknowledgement is duly authorized to sign and bind Customer . Customer
<br /> aclaiowledges that it is responsible for maintaining its Generator Status and obtaining an
<br /> EPA ID number it required by applicable law . The following provision is applicable to
<br /> Safely-Kleens parts cleaner and paint gun cleaner services : Customer agrees that it will
<br /> not introduce any substance into the solvent or aqueous cleaning solution , including US DOT DESCRIPTION ( INCLUDING PROPER SHIPPING NAME , HAZARD CLASS , AND IU )
<br /> without limitation any hazardous waste or hazardous waste constituent , except to the NON-RCRA HAZARDOUS WASTE , LIQUID
<br /> extent such introduction is incidental to the normal use of the machine . Customer further ( USED OIL )
<br /> agrees that it will not clean partslpaiirt guns that have been contaminated with or FEDERAL WASTE CODES NONE
<br /> otherwise introduce polychlorinated biphenyls ( PCBs ) , herbicides , pesticides , dioxins or
<br /> listed hazardous waste into the solvent or aqueous cleaning solution . Safety-Kleen has the STATE WASTE CODES : 221
<br /> capacity and is permitted to accept , store , andlor reclaim the spent parts washer solvent TOTAL CONT I TYPE : Tf WTIVOL G SKOOT 11249
<br /> paint thinners , solvents and paints generated by customer ; or dry cleaning filter ENT# 211204394688 SZ : BULK VOLUME CONTAINER QTY : 22b PROF11 156017 CA CT CODE : A
<br /> cartridges , powder , and still residues containing per chloroethylene , petroleum naphtha , or
<br /> tri Ilurotrichloroethane dry cleaning solvents . Customer agrees that it is responsible for
<br /> properly classifying its waste streams as Used Oil or Nonhazardous Waste in accordance DESIGNATED FACILITY NANEIADDRESS :
<br /> with the provision of 40 CFR 262 . 11 and applicable state laws . Customer agrees that it SAFETY-KLEEN OF CALIFORNIA
<br /> will not introduce any nonconforming substance into the SK Property , including , without 6880 SMITH AVE .
<br /> limitation , any hazardous waste or hazardous waste const ituent , ( i . e ' . polychlorinated t NEWARK
<br /> biphenyls ( "PCBs " ) , herbicides , pesticides , dioxins , or listed hazardous wastes ) except Ir CA 94560
<br /> the extent such introduction is incidental to the normal use of the SK Property . In the ISO PHONE : 510- 795-4400
<br /> event of the introduction of such non-conforming hazardeuS Waste , Customer agrees that it FACILITY USEPA ID NO f.A0980887418
<br /> will be responsible for all costs and remediation expenses related to or arising from the FACILITY STATE 10 NO
<br /> proper management and disposal of the nonconforming waste , including the cost of
<br /> equipment decontamination and subsequent disposal . Final invoicing will be based on the
<br /> actual services provided , which may include additional charges for off specification wast
<br /> and surcharges . Final invoice amount may be more than the amount listed on the printed GENERATOR STATUS CESQG : Vehicle
<br /> receipt . If any legal action is commenced because of an alleged dispute , breach , default
<br /> or misrepresentation , the Customer also agrees that the prevailing party will be entitled
<br /> to recover reasonable attorneys fees and costs associated with the non- conforming
<br /> contamination event . Safety-Kleens failure to screen Customer' s material or take a retain —"-
<br /> sample , in no way constitutes a waiver of Customers obligation to properly classify its
<br /> materials . Safety-Kleen relies on Customers representations and Customer is responsible CUSTOMER / GENERAIOR : glen lindsay
<br /> for h-Jo ming Safety-Kleen of any process changes that may alter lite characteristics of
<br /> the materials provided . In accordance with 40 CFR 263 . 21 ( b) ( 3) Clean Harbors and/ or
<br /> Safety-Kleen , as applicable , as the current transporter is expressly given agency
<br /> authority by the generator to act as the generator ' s agent and accordingly , Clean Harbors
<br /> and/ or Safety-Kleen , as applicable , may change the transporter ( s ) designated on the
<br /> manifest , or add a new transporter , during transportation without the generator ' s prior , TRANSPORTER : Lima Ji Joseph R
<br /> explicit approval . IN THE EVENT OF AN EMERGENCY CALL "*24-1111 NUMBER " 1 -800- 468- 1760
<br /> ( Safety- Kleen ) A variable recovery fee that fluctuates with the DOE national average
<br /> diesel price may be applied to your invoice . For more information regarding Our recovery
<br /> fee calculation please go to I)ttp : lsafety- l: leen . coni/
<br /> custot;;er -service/environmental - feesh ecovery- fees . Please note e-manifest fees applicable
<br /> to this order may not be included in the total above and will be included in the final
<br /> invoice or credit card statement . RECEIPT ONLY - THIS IS NOT AN INVOICE
<br /> - - - .
<br /> CUSTOMER ! GENERATOR : alen lindsay TRANSPORTER 2 :
<br /> LAST PAGT
<br /> TRANSPORTER : Lima Jr Joseph R
<br />
|