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BRANCH SSL CSG Z6 _ Brandon Gaither • 03/27/14 10:01 PAGE Z •
<br /> SHIPPING DOCUMENT BRANCH SSL CSG 26 Brandon Gaither 03/27/14 10:01 PAGI
<br /> REFERENCE NBR.
<br /> CUSTOMER#/GENERAIOR: WE28460 West Lane Automotive 63157886 Safety—Kl ee n Systems, Inc.
<br /> 2303 West Ln 2600 N Central Expy, Suite 400
<br /> Stockton CA 95205-2795 SRVC DATE: 03/27/14 Richardson, TX 75080
<br /> PHONE -- CORPORATE: 800-669-5740
<br /> GENERAIOH USEPA ID. CAL000352849 GENERATOR STATE 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen)
<br /> MANIFEST#: FORM CO: DP SK SHIP# 212746379 2095451011
<br /> TRANSPORTER 1 IXR000081205 SAFETY-KLEEN SYSTEMS, INC. REFERENCE NB
<br /> 5050 SALIDA BLVD63157886
<br /> SALIDA,CA. 95368 CUSTOMER# WE28460 West Lane Automotive SRVC WEEK: 2014
<br /> TNSP PHONE: 209-545-1011 2303 West Ln
<br /> Stockton CA 95205-2795 SRVC DATE: 03/27/14 10:
<br /> TRANSPORTER 2 PHONE --
<br /> BILL TO CUSIDMER# BILL TO ADDRESS:
<br /> US 001 UFCrRIYttrt!L (Ir�rntmtr:u. Wept-" �RI'-PlrJr. r�zMs, nzrzP.0 r._. zne+ AM26382 Amteeol
<br /> 810 Wright Ave
<br /> DRAINED USED OIL FILTERS
<br /> Richmond CA 94804-3640
<br /> FEDERAL WASTE CODES NONE
<br /> PHONE 510-235-7979
<br /> STATE WASTE CODES PURCHASE ORDER# TAX EXEMPTI
<br /> TOTAL CONT 1 TYPE OM WT/VOL P SKOOT 14476 PRODUCT/SERVICES
<br /> CNf#: 140311101093 S2: 55 GAL/2OS L CONIAINERS QIY: 200 PRUF'ILt: 015016/C TOT.
<br /> DESIGNATED FACILITY NAME/ADDRESS: SERVICE/PRODUCT QTY UNIT PRICE TAX CHAR(
<br /> 6000 88TH
<br /> SYSTEMS, INC. 83383 DRUM,55 WASTE O.F. 1.000 0.0000 0.00 0.1
<br /> 6000 88TH STREET SERVICE TERM 8 WEEK
<br /> SACRAMENTO 91 95828 �()EfV
<br /> TSD PHONE: 916-386-4913 3383 DRUM,55 GAL FOR O.F. 1.000 0.0000 0.00 0.1
<br /> SERVICE TERM 8 WEEK
<br /> FACILITY USEPA ID NO CA0000084517 100001 FEE, FUEL SURCHARGE 0.000 0.0000 0.00 0.!
<br /> FACILITY STATE ID NO 3230 TAX HANDLING N/C DRUM DROP 301.000 0.0000 0.00 0
<br /> APR10 7015 TOTAL SERVICE/PRODUCTS 0.0000 0.00 0.
<br /> FOTAL CHARGE 0.0
<br /> GENERATOR STATUS NMENTA� CREDITS 0.0
<br /> 0-220 lbs/month \/ID O
<br /> r11:�� V i� On�hoc", TOTAL DUE 0.0
<br /> Custooler cert ifir, that (i) the above-na,!!rd neater;al. are Prn,..•.e},a1T1„a11C
<br /> classified. packayrrl, •!!arkrr! a::d la!relr:!, -...! ...- ;TT ;n••••• I. I. ,•t
<br /> for transpurtaL iun accord my to Lha applicable rcyuldl ous oftheUNPAID BALANCE THIS RECEIPI 0.00
<br /> Department of Tre!!,!•ur!m&!, 4 r;;l .m �n•• .ham ha .. .!.r..�.!
<br /> either• in the rho...,ter• of the �a.t.::..et•-r;..l ... .., fhr ••.«.c
<br /> generating the waste/material. Cue Lower ayrecs to pay Lit. abuve
<br /> charges and to be bound by rho- tern:. codd;l ioo. (1) ..r fortt• •••
<br /> (a) the General Terms .s••! r....,I:1;,,... ..•;d«,t _: ,sal, 1.. r,.a.....«..
<br /> or (b) any SK agreement .;goed by CusLuner and "K,anal (7)
<br /> incorporated herein by +'.f«...•.« 11nl«.. ...h«...:..« :•..l;.at«.1 ;o it,. GENERATOR STATUS
<br /> payment received ,act iun, SK ';, author;zed to charge Cu,Lomer', 0-220 lbs/month
<br /> account for this tr'a.l.y.t: C.rcn.,,..«., t.r.n;f;«c hero( •Ir«
<br /> cigning this Service A.kn• l.At,r,eut i. July sunhur; e.t to .iyu andCUSt0111C 1' CCrt If ICs that (1) the ..bol•. u•o.rJ meter;als are properly
<br /> bind Custwlner. The foll.,.;.yPruv;s fuer i aPpl:cable to Safe Ly-glean', CldS,lf lCd. pJ u ackaaeJ, ,ked and labeled.laele . and err in I"'" I. cunJll wn
<br /> >
<br /> parts cleaner and paint aft, cl«ev«.. a appli_ablc regulaL;uns of Lhe
<br /> for transportdt run dLLVral trig to t?•
<br /> will out introduce any ,shot Burr ;an tLr "•.1—al ++ .•our ele.n;ou De,.artlur.t of Transpurtati ..o11 (i i) n.• :.air rtT c1-.. a has to—r+rd
<br /> solution, including without lim;Lat;on any haznrduus —Le or _ either in the charactar•;sL ce c•f the - - ._1 V!, it, tnr prvccn�
<br /> haZGrd.u> r:astc comt;tuer.l, cceept !c• thr r-trrlt >sch ;r.i-',^lar?�+s: i generating the waste/material. Cu,tun!cr dgl— i-yp.•s "he above
<br /> incidental to the normal use of Lhe n!aeh;.e. Custumer further agr'ecc charges and to be bound by the tees!, and ,..f;I.r,r. (1) .rt fo,•th ;r,
<br /> that it will not dean Irarr�7l.ao,t at n, rl.ar boor h..., .00t.un;oalyd .� r_ ^ a','„ ••-^••="-a -^� a«el; to Cstr:•xr
<br /> (a) the Genern! Terms and C..nditi^rs ,...
<br /> with or otherwise introdrlt•• ch.or;n+red CB's), +
<br /> _ h iplrery 7. ro '
<br /> ""ly 7 Y'' or (b) any SK agreement signed by Custou!er dna SK, ane 2 r• th.
<br /> herbicides, pesticides, dioxins or listed hazardous vias Le into the ;n.•.rpor•ated hr.•r;n Ly rrf.r.•n•.. !lost«.� ..tS.�:..;c. ;...nL a1«d
<br /> solvent or aqueous clean;.., c•.lul;a.,. eaF«t y_Klre,: bac the ,apar;I, payment receival sect;•,••. SH ._ -.-rt.:.,.:_c.� _ ._I,-..�c Cs Lv!mc is
<br /> and is permitted to accept. ,Lure, and/or eta u Lhe >Pel VaLacconot for t6;, ta„ ai..... r'sl,•^:«.' " Iha1 11.« ;n.l;.•;.L,el
<br /> '•"
<br /> washer solvent; paint th;oorrc, ,•.town, .,•.I lu;olc by signing this Cr ry;,r u,k«.•.l..lge:.:ru! i. .L.ly raIhor;zZnl t. sign a.u1
<br /> customer; or dry cleaning filter cartrldyCs• po,der, anal ,till bind Customer. The fullo..iny pruv;s;ml i> dpYli—lalc to SafeLy
<br /> residues cunt.;n;ngbur vrats clean— awl
<br /> triflurotrichlvrotthane r ,+.•••r!! .... ,1�� irt.o t.h..e
<br /> o :_,ol•.c r'.r.r.. e
<br /> a
<br /> •• ..- ;q.:^-._
<br /> is responsible for pr•uper•1; tlass;fy;rg its acre err•--••!s es II>r•� 0;1 solution• including r.ithuul limitation any�hazarduus %. tt or
<br /> or Nonhazardous Waste in aLeurdance with Lhe•provision uF 40 CFR ••• ., Lhc .x LcnrL �::'L ;atrvduLt ;.
<br /> 1hdzdrdu.s . Ste C:in_- __-... zxCcpt ,t.: fy 1•...r•. F.r•'1lrrr
<br /> 262.11 and applicable stats axs. CuStomcr ayrccs that it v`.11 n.., itrt;dental to the no+':�� '--r:-- ••F the °" •" s introduce any an non-conforn!in, sulastance into ll•e SK Pro,rrty;
<br /> Y J 1 that it will not clean gar Ls/paint guru Lhat have been wnLaninaLrJ
<br /> including, without limitation:, any hazardo.:s c:amtr r haza-loco "...:tr
<br /> •'-"' •' with or otherwise introduce pulychlur mated Lipheuyl> (PCB's),
<br /> constituent,(i.e., polychlorinated biphenyls ("PCH,"), herbiL;de>, F.r:hirid-:, pectin idr:, d-r-arc or li:trd •`•:-•'-•':�° '^'-'r "`= "•`
<br /> pesticides, dioxins. of, listed !ndadrJou, .,dsLes) C)._epL to the extent solvent Or' nque.u> Llenr•arry solution. Safety-Klecit has LFII LdpdLnt)
<br /> such introduct;orr is incidental to the normal use of the s!t Properly and is perunitted to accept, store, dnJ/ur r'eelain, lire spent parts
<br /> In the event of the introduction of such nen-cunfvrmi:tg hazardous washer solvent; paint th;ooe.•c• u,lverrt. nmol ;. :pts ..at.J by
<br /> ;caste, Customer Agrees that it trill be respOus;blc Fvr all c:•s t, and customer; or dry cleaning filter Lar'tridyes, pwvdcr, and still
<br /> r'emediatiun expenses related to or arising fr•.rrr tier ;•c ;nrr saragr:::rr.! residues containing perchl or•o«thyl roes net rvl«ern nr;•6l!•�, n•
<br /> and disposal of the nun-conform;ng waste, includ;og the cast of tr.iflurutrithlo.•nrthane dry ale-niny snl.,:.ots Cu.1 u•••.• a «� r1...1 :1
<br /> gr«
<br /> equipment IIP<:n!rtN•!lnat iun are! cubs«q•.,.rn rl i>1.r•cal TF ar•y leges •••!;•••• is rrspumibla For properly 11...;f}ing ;Il waste a.•e.uus as llsrd Oil
<br /> is commenced because of an alleged dispute, br•ea,_h. default or or .,a 'duo, Waste in dccur•dance with the pr'ov;,;on of 40 CFR
<br /> !n;srelrresentation• the Customer also agrr«s that the p.--al;oo .•a.ty262.11 and applicable state lava. Customer agrees that it Trill not
<br /> will be entitled to recover reasonable etturney's fe-s anal cysts introduce any non-conforming substance into the SK Property,
<br /> a—bated with the non-confo-4ng cool a:v;,•at ion .vont safa•ty-Kl..••'s includiny, without li.vitation, arty l:aear•Juu, t= ur hasn:•Juu_ ""Le
<br /> failure to screen Customer's material or take d retain satlglle, in no constituent,(i.e., polychlorinated biphenyls ("PCBs"), herbicides•
<br /> way constitutes it waiver of Customer's Obligation to properly claes.Fy tenet it ides, di--, or li,trd hazard... ...te,) rant•! I. the e.tenl
<br /> its materials. Safety-Kleen relies on Customer's representation, an!! such introduction is incidental to the normal use of the SK Property.
<br /> Customer- is responsible for infornrinU Safety Kleen of any Pr'oCt>S Tn the event of the ;ntruJuction of such nun-runfur.u;og hazardous
<br /> changes that may alter the chardcter•;stics of the materials provider!. waste. Customer agrees that it will be responsible for all costs and
<br /> IN THE EVENT OF AN EMERGENCY CALL 24 HR EMERGENCY # 1.800-468-1760 reunediation evellse, related too or ar is;ng fru:: the proper marrag,~".en!
<br /> (Safety-Kleen) and disposal of the non-conforming waste, including the cost of
<br /> eGu;1m!ent decOnt N!!;nat;on a+^1 >rrhsrou«rt •I;>,cent. Tf eay legal ar!'r••••
<br /> is commenced because of an a1leued d;sputc, breach, default or
<br /> urisrepresentation, the Customer also agree, that Lhe Prevailing Pnr'Ly
<br /> will be entitled to recover reasonable attorney's fees and costs
<br /> a»Oc inter! ••';'!•
<br /> the r.On-eoufurrm;ny .vr
<br /> :!a•cir.ei;.•.
<br /> r
<br /> -ver.! sefrty-larc::'o
<br /> failure to seer•. Customer's material or take aret.;u .Nnple• in no
<br /> wayconstitutes a waver of Custwuer', obl igat;.,a to nrolmr•1} 1...;r,
<br /> its materials. Safety-Kleen relies on Custouer'n reprc,en Lnt;un> and
<br /> Customer is responsible for informing Safety-Klaen of ant• prvicess
<br /> changes that ay alter the .borne ter ist ir> of Thr west«,•ials pr.vid«d.
<br /> CUSTOMER /GENERATOR: qui huynh IN THE EVLNf OF AN LMLRGENCY CALL 24 HR EMERGENCY # 1-SOO-468-1760
<br /> (Safety-Kleen)
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