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CSL! M-01 Joseph R Lim•)r 01/27/17 09:11 PAG ©u)m 14,t SHIPPING DOCUMENT REFERENCE NBA. CUSTOMER//GENERATOR: SA32961 Sanborn Car Wash i Qu ic4 Lube 73548292 1210 5 Cherokee Ln Lodi CA 95241-5918 SRVC DATE: 01/27/17 PHONE 661-948-6044 CONTACT NAME: Sanborn Car Rash 6 GENERATOR USEPA ID. CAD054598289 GENERATOR STATE MANIFEST#: 00594792USKS FORM CD: ID SHIPS 222249313 UTANSPOR TER I lXR000051205 SAFETY-KLEEN SYSTEMS, INC. 5050 SALIDA BLVD SALIDA,L.A. 95368 TNSP PHONE: 209-545-1011 TRANSPORTER 2 US DOI DLS(RIPIION (INLLUULNG PROPEH SNIPPING NAME, HAZARD CLASS, AND 1D) NON-KRA HAZARDOUS WASTE, LIQUID (USED OIL) FEDERAL WASTE CODESNONE STATE WASTE CODES 221 TOTAL CONT 1 TYPE TT WT/VOL G SKDOT 11249 CNT#: 17042772436/S2: BULK VOLUME CONTAINER Q1Y: SSS PROFI 156017 CA DESIGNATED FACILITY NAME/ADDRESS: SAFETY-KLEEN OF CALIFORNIA 6N0 SMITH AVE. NEWARK CA91560 1S0 PHONE: 510-795-1400 - FACILITY USEPA ID NO CAD980887418 FACILITY STATE ID NO If high risk ....... rep. certifies I",_ hat loaf specific PCB 6 Silicon testing have beencaryleled Prior to Punpiny this load. GENERATOR STATUS CESQG: Vehicle Cust•nar certifies that (i) the above-nriad materials a e Prupe rly �1s classified, Pack a9 ed. marked and labeled, and a e in Vroyer condition (or transportation .... arJ inV to the applicable revulal ions of the Department of Transportation (ii) n material change kas occ red either in the characteristics o1 the waste/materiel a n lh.rpr..... Venerat iny the caste/material, +nJ (iii) the above r.ferenced G n.r.tor Status i co roc t. Cu•taner yy.es to gay the above harqu and to be bound bystherte rens and cont iti•na (1) set forth in (a) the bene rel Tern.and Conditions provided separately to Casta,ar or (b) any SK agreement signed by Customer and SK, and (2) incorporated herein by re(erence. Unless otherwise indi :n in the paHnenl received section, SK is au thori sed to chary.Customer's account for this transaction. If Custmar fails to make payment when due, .n •aunt equO to the lesser of Ci) 1.SK per month (1871 ger annum or (ii) the inaa imus anaunt allowed by tau, will be added to all unpaid ants outscored iny. Customer certifias that the individual >ig.iny this Service Acknowledganent is duly authorised to sign and bind Cuataia r. Custatar acknewledyet that it is responsible for main to in I. its Generator Status and obtain iny an EPA ID number 1f required by applicable law. The following provision is applicable to Safet Y-ale. s parts cleaner and paint gun cleaner services: Custaner agrees th.t tit will not int,,d, am substance into the solvent o .quo cleaning aolutiou, 'clad ing without limitation any hazardous asteuor hazardous waste c nstituent, a cert to the stmt such introduction is incidentaloto the normal:c: of the machine. Cast.— further agrees that it will n.t clean parts/paint guns that have Leen .ntaminat.d with o otherwise introduce polychlorinated biphenyls 0•C'5 's), herbicidor Vatic idea, dioa ins or listed hazardous waste into the solvent o aqueous clean inV solution. Safety-Kleen has the capacity and is permitted to accept, store, and/or reclaim the spent parts cher solvent-, Paint tbinn.re, solvents and paints veno toted by ustaner; or dry clean inV fitter cartridges, porde r, and still residues c ntain iny perchio methylene, petroleum naphtha, o tr iflurotr ichloroethane dry cleaning solvents. Cuatatar•E r<es that it is responsible for properly classifying its waste stream as used oil or Nonhazardous Waste in• .rd—..with the Provision of 10 CFA 262.11 and applicable •tat.claws. Customer agrees that it will not intro....any non-confermi:g substance into the SK Property, including, without limitation, any hazardous waste or hazardous waste ns tituent,(i.e., polychlorinated biphenyls ('•PCBi'), herbicides, pesticides, dioxins, or listed hazardous wastes) a ceps to the or'a'l uch Tntrodaction Is incidental to the n1 u of the SK Property. In the •ant of the in o/wchon - mfonniny hazardous este, Cus ta�ur agrees that it will be esponsib1 for all costs and wenadiation e.pe ntes related to or ar is inV frau the yr•per nun•yement and disposal u/the n n-ren(orniiaY waste, including the cos[ of equipment decontamination and subsequent disposal. Final invoicing will be basad on the actual s rvices Provided, which may include additional charges T•r off specification wast.end s rcharyes. Final invoice_ant nay be na a than the•mount listed en the printed t. If any legal action is c red because of an alleged dispute, breach, default o misreprosentation, the Custoaer also agrees that the prevail Tngrparty will be entitled to recover eason•ble att....y's fees and costs associated with the r onfo nning contamination a en[. S+/et r-Kleen's failure to s Customer's material or take a retain sample, in no •y..nsti[ureses r of Cus tanar's obliyt ion to properly classify its nut.rials. Safety-Kleen relies an Castaiar's reyresental Ions and Custaiar is •spansibl.for informing Sa(ety-K leen of any Process changes that nay •iter the characteristics of the materials provided. IN TME EVENT OF afi EMERGENCY CALL ••24-M11 NUIBER•• I-600-468-1760 (Safety-Kleen) I have est+bl fished•pro9r�n to reduce the volume or quantity and tea is icy of the hazardous waste to the..gree to be econanically practicable. RE MAY 19 2017 CUSTOMER/GENERATOR: Sanborn Car wash L Quick Lube Pedro rojo ENVIRONMENTAL HEALTH DEPARTIVIENT SI{Ktnitre TRANSPORTER: Jose ph R Lima Jr LAST PAGE