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CSG SK-SSL-UMO-01 Joseph R Lima Jr 03/19/18 10:12 PAGE 2 <br /> SHIPPING DOCUMENT <br /> REFERENCE NBR. <br /> CUSTOMER#/GENERATOR: CE22404 Cencal Recycling 76420415 <br /> 501 Port Road 22 <br /> Stockton CA 95203-2909 <br /> PHONE 209-606-3648 <br /> GENERATOR USEPA ID. CAL0002.93408 GENERATOR STATE, <br /> MANIFEST#: 006461986SKS FORM CD: 1D SHIP# 225019816 <br /> TRANSPORTER 1 TXR000081205 SAFETY-KLEEN SYSTEMS, INC. <br /> 5050 SALIDA BLVD <br /> SALIDA,CA. 95369 <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, LIQUID <br /> (USED OIL) <br /> FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES 221 <br /> TOTAL CONT 1 TYPE TT WT/VOL G SKDOT 11249 <br /> CNT#: 180319293984 SZ: BULK VOLUME CONTAINER QTY: 180 PROF# 156183 CA CAT CODE:A <br /> DESIGNATED FACILITY NAME/ADDRESS: <br /> SAFETY-KLEEN OF CALIFORNIA INC - FRESNO <br /> 4139 NORTH VALENTINE <br /> FRESNO CA 93722 <br /> TSD PHONE: 510-795-4400 <br /> FACILITY USEPA ID NO CAD982.446882 <br /> FACILITY STATE ID NO <br /> If high risk source, rep. certifies that load specific PCB & Silicon <br /> testing have been completed prior to pumping this load. <br /> GENERATOR STATUS <br /> CESQG: Vehicle <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. CusLomer 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 .incidentalto 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 /> parts washer solvent; paint thinners, solvents and paints generated by <br />