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L'S4 SK-SSL-BO!i-3 Da:•id L Buxton `A: 2
<br /> SHIPPING DOCUMENT
<br /> REFERENCE NOR.
<br /> CUSTDbiERltjGENERAIOR: STZi 754 Stockton Honda Yamaha Sead
<br /> 69196801
<br /> 3295 N Ad Art Rd
<br /> Stockton CA 4S?11-2)00 SRV(' palF• 01/08116
<br /> PHONE 209-931-7940
<br /> iu. CALUUCI I.'.'UU 4La::A:U1: ":A1=
<br /> MANIFtST:Y: FORM CU: UP SHIP# 218154401
<br /> Pt:.i,?OI,TL!C 1 l:S.:L000:10: SArLTY KLLLN :AnTL"S. ZitC.
<br /> s0so SALIDA BLV
<br /> SALIDA,CA. 95368
<br /> TNSP PHONE: 209-545-1011
<br /> TRANSPORTER 2
<br /> ui w Tr.xnir Ii V;• µiw:vuu �nvr to ncMv CLAY— ww ii)?
<br /> DRAINED USED OIL FILTERS
<br /> FEDERAL WASTE CODES NONE
<br /> STATE WASTE CODES
<br /> TOTAL CONT 2 TYPE UM WT/VOL P SKD01 1441b 67 C
<br /> CNT#: 160107236114 SZ: 30 GAL/114 L CONIAINERS QTY: ZOO pVRUFA wnl•s 15015U1I67 C
<br /> (N W 1F111Q1/i(;11G G7' 3Q r.Al/114 L Cf1N1 a1 NF(t::
<br /> DESIGNAItU FACILILY NAMt/ADDRtSS:
<br /> SAFETY-KLEEN SYSTEMS, INC• '~
<br /> SOSO SALIDA BLV
<br /> SALIDA CA 95368
<br /> TSD PHONE: 209-545-1011 it V
<br /> FACILITY UStPA IO NO CA1000614968 11 11 M
<br /> FACILITY STATE ID NO
<br /> JAN 1 1 2010
<br /> GENERATOR STATUS p'•ryry p
<br /> 0-220 lbs/month gkly! �;� gW r��� 9
<br /> .w„rr .«rl:f:«. 16..: t;l 16« wluv«_aw„a.l .,w.i.. w7. ..« 1..•ul.r rlv �:--wlTr�l'+C74C?TA 3Ct11"..�
<br /> classified, packaged, marked and labeled, and are in proper condition -
<br /> for Lranapur•LaLiun al.curJmy Lu Lite ayVl icable r•eyulaliuna or Lt..
<br /> Oepar Lm.ol of T,ao.pur Laliun and (ii) no uwCcr Tal cbanye ha. .......d
<br /> iLhe :u Lite Lcr Tal ic. ur Lhe waaleJivalcr Tel or in ill. pruce>.
<br /> WN:I rating Ll:a :.ail_4ua!-•r Tal. CcuLc:_: agrccc 1-j pal the abvv,_
<br /> charges and to be bound by the terms and condiiiuna (1) seL Furth in
<br /> (a) the General Telma and Condition% provided separately io Customer
<br /> or (b) any SK agreement eeent .iyoeJ by Cu.tuner and SK, and (2)
<br /> inLrpurnled herein by 1'CrCI'CIIIC. U,IIC.. o'I I. i.e ind icalcd :u the
<br /> pay,..t,t received >ecLiuo, SK is aulhurized Lu c�laryc Cu Lkm r*.
<br /> auounl fur Lb:. Lrwlaacliml. Ir Cu.Lomer fails Lu make ueul when
<br /> due, an amount equal to the lesser of (i) LSTs ,ler month (1891 per
<br /> o
<br /> auuwl3
<br /> us- (ii) Lite uwa:wuao anrouuL allowed b) las, will be added Lu all
<br /> unpaid muuuu La uul.CanJin J. Cu>lmlrcr cert if ie> iilai Lite inJ iv idaal
<br /> signingthis Service Acknowledgement is dul) authorized to sign and
<br /> bind C..Lumer. The following pruv:siun is appli.able to safety-Kleen's
<br /> poria cleaner .,NJ paint U.N. cicauer aero ice>: Cu.LWucr agLee.7 Lh.t yt
<br /> ot irtr�d_ce ----Y„ =ubsta.c, into tl:-- LcIvzTt c-
<br /> ; r
<br /> sulut.Tun, inclYJing wiLhuuL limiLnl.iuu ao) hazarduu> .—Le of' •,>a
<br /> bazardwu> was ie wn>i::ueui, ew�cyi Co Mc a >uuI in iruwuu tun r
<br /> ins iJeu:al Lo u,e uw,i.:ai w>c or i:,c w,ovL 61e.4:w>:.wie. rw, , agI ec>
<br /> LI,.L :: will u L clean Part.%Pa Tui gull. Ch.L
<br /> ur i>e inlruduce PulycLave becu vuu:a Tasted
<br /> with I,Lilerwhluriu.Led bipileuyls (PCt3:a),
<br /> i i.ido, J:w.,..> w is>icd La<a.loos wa>ic w'w C.c
<br /> c>
<br /> S,u'u Iv Idea. P ..n-..• e.r.... vi..._. 1... ,1... :,
<br /> aid i> perwitled L. aueyL, %lure, andAur reclaiw the agent Parra .
<br /> • arJ 6m J•at it
<br /> ...lac.-.L: a:::L ':::::r..:� -clvc:a' r•., .� ti
<br /> wl:cr
<br /> Lalaller; ur Jr•y cleaning filler urCr idyea, pu�Jer, 1 7
<br /> rc.iducs Lula in my PCrl111 UI'VCIh)lCi1C, PCII'Yl'LWII n+yh Lha, ur it
<br /> L irlurviri�lluruet'neuc Jr) cleauiuy >uTveni>. tiva�umm ayreo
<br /> is reayuuaible fol' Prupel•l}
<br /> claaalf}iuy its wa>Le•>il'eama as DacJ 0i1
<br /> ur Nunlrncarduu. Has ie iu aca.urJmlcc wiW Lhc Pr w u Tun of 30 CFR
<br /> 262.11 dud aPpl:cabl. .Late Tnwa. Cusiwncr agrees LLat iL will nut
<br /> :::• -.. ..� .:::� :loos,Sow% ..w>ic v �Jwa> ..w>ic ,
<br /> u�lwdiuy, wia,oul liw:iotinn, oY) iherbicidca,
<br /> lY1UlILYC1II.(i.c.. PolyclllurinaLcu blyhenyl. l?v-os"), -"`.•`
<br /> >Yr.h•lllil'VYYll 1"' 1% iuc:de iLal•iu The-uurmnT u>c of lhe,iw-rruperly.
<br /> In Lhe evc..L of Lite :u Lruductiuu or such nun-L•Irurw my Lazarduw_ }
<br /> ren,ed iaL:on eaPeuaea relaLcJ•Lu ur or i>i'Iy int.lud inc LLel�wa u fye11Kt'1
<br /> m4 di.p..al ur Lite non- oururuli„y r,asle. Y
<br /> I.
<br /> equ iPlucnL
<br /> de_
<br /> lmn ival iuY and sub>cyuenC di.poaih icl low) Incl ode lg
<br /> will be ba.ed un Lt,. actual >c vices Pr'uv idcJ, IaI
<br /> add is i na, aryea , wrr >yc, av Iv„ a Ir aI ye, 4„
<br /> • w ant I,ay :rw :Lau l:le an,ou,Ii l ,.:wuuw C'a Pr:,
<br /> 1'Ctc IPI. If mly1lcyal 1n1L1U11 la LWIIn.o,ed belays. ur NI alleged
<br /> ion, Lhe Customer.also
<br /> dispute, breach, default or misrepresentat
<br /> lbw 16« nr« w:l:nw „«,•Iv ..:71 L« «.,1:il-J i.. r«•
<br /> reawlmble,aL turncy'a reef nnJ Lala aaaul inicJ with
<br /> nwu-wurw uuwg w„ m.:.,a.im, cv ,.:• $arc::-w)cc,.'> ^a:' .., :w >.,
<br /> waiver of>Customer's wobligation clu properly classify its 'Iva als.
<br /> Surety-Klernl rel ie. un Custumcr,. repreaent.L;.n anJ Cu1-11cr i.
<br /> responsible for inrurminy Safety-Kleer, of any pruces. chnuyes Lbat "")kalter Lite characteri>Lics of the uwLerials provided. IN THE EVENT OF
<br /> AN tMtltk:NCY CALL '•'24-HR NU)11Lt".. 1-800-468-1100 (Safety-K1een)
<br />
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