|
CSG SK-SSL-UMO-G Joseph R Lino Jr 05/18/17 11:45 PAGE 2
<br /> SHIPPING DOCUMENT 41-5 C1
<br /> REFERENCE NBR.
<br /> CUSTOMER-/GENERATOR: SA12602 Sanborn Chevrolet 73798333
<br /> 1110 S Ch.rokee Ln
<br /> Lodi CA 95240-5994
<br /> PHONE 559-479-2632 CONTACT NAME: Sanborn Chevrolet
<br /> GENERATOR USEPA ID. CAUOS4598289 GENERATOR STATE
<br /> MANIFEST/: 006099716SKS FORM CD: 1D SHIP.212411145
<br /> TRANSPORTER 1 TXR000081205 SAFtTY-►LEEN SYSTEMS, INC.
<br /> SOSO SALIDA BLVD
<br /> SALIDA,CA. 95368
<br /> TNSP PHDNE: 209-545-1011
<br /> TRANSPORTER 2
<br /> US U01 ULS(RIPIION LINLLUULNG PRUVIH SHIPPING NAME, HAZAHO LLASS, -0 111)
<br /> NON-RCRA HAZARDOUS WASTE. LIQUID
<br /> (USED OIL)
<br /> FEDERAL WASTE CODES NONE
<br /> STATE WASTE CODES 221
<br /> TOTAL CONT I TYPE IT WT/VOL G SKOOT 11249
<br /> CNIS: 170518151152 S/: BULK VOLUME CONTAINER QTY: 110 PROF. I"Oil (A
<br /> DESIGNATED FACILITY NAME/ADDRESS:
<br /> SAFETY-KLEEN OF CALIFORNIA
<br /> 6880 SMITH AVE.
<br /> NEWARK CA 94560
<br /> TSO PHONE: SIO-79S-4400
<br /> FACILITY USEPA ID NO CAD980807418
<br /> FACILITY STATE ID NO
<br /> If high risk sourcI.P. certifies that load specific PCB L Silicon
<br /> testing have beencomyleted prior to pumping this load.
<br /> GENERATOR STATUS
<br /> SQG/LQG: Vehicle
<br /> Cust.nirr tarsiIles that (i) thr above-n•nwd nwteri.ls•e properly
<br /> cl•ssi/ieJ, V•alayed, ualrk eJ..I labeled, and• n proper condition
<br /> for transportation a ording to the applicjbl. regulations of the
<br /> D.yartn,.nt of Tr...,art.tion (i i) n material ch..V.has occurred
<br /> either in the c h....terist i<s of[he w st-Awal-ri•l o n the rpr.....
<br /> yenerat my the waste/material, and (iii) the above referenced
<br /> Generator Status i c act. Customer•y tees to pay the above ch.rges
<br /> and to be Lound bystherlernrs and conditions (I) set forth in (a) the
<br /> General Terms and Conditions provided seyar.tely to Custwner ar led("any SK aY retment signed by Cust o'-r and SK, and (2) i ary...ted
<br /> herein by rt/e tante. Unless otherwise indicated in the Payment
<br /> e< ped sectio., SK is au thori.ed to charge Cust wneis a ant for
<br /> this i transaction. If Custom, r fails to—he P.yment when due,
<br /> int eq u•1 to the lesser of (i) 1.54 per month (184 per annw,J or
<br /> (ii) the m nm unt allowed by Lw, rill be added to all unpaid
<br /> thiants outetmJiny�Custwner certifies tliat the i.Jividual signing
<br /> s Service Acle...l.dya nt is July.uthoriaeJ to sign and bind
<br /> Custanrr. Customer •Lk...ledges that it is responsible fur,. in t.i„iny
<br /> its Generator Status and obtaining.a EPA ID n,nber if repo ireJ by
<br /> +pylic able law. The following provision i applicable to
<br /> Safety-Kleen's parts cleaner and paint Vun cleaner s Cuslonier
<br /> agrees s that it will not introduce any substance in tae thecsolvent o
<br /> ague clu illy solution, including witLaut limitation any h.a•rd...
<br /> .steuor ha.ardous wast, --tit..nl, a 1.,t to the e.tent such
<br /> introduction i cident•lto the n rural u o1 the machine. Cusco—r
<br /> further ayreeasth•t it will nut clean parts/ya int guns that have been
<br /> <ont-4-1:1 with o otherwise introduce pillychlor in•itd biphenyls
<br /> PCB's), he rb is iJesr Vest is ido, dio:ins or listed huardous waste
<br /> into the..1,ent o aqueous cleaning solus ion. Safety-Nleen has the
<br /> capacity and is permitted to•ccep t, store, and/or ec la La the spent
<br /> Parts washer solvent; paint thinners, solvents and pines yoated Ly
<br /> useomer; or dry clean illy filter cartridges, pun r, and still,
<br /> of idues contain illy pe rchloro<thylene, Prlrale,ni naphtha, or
<br /> triflurutrichloruethane dry cltu,iny solvents. Cost w„er•yrees th.t it
<br /> esponsible for properly classi(yiny its waste.eters.as Used Oil
<br /> it NunhatarJous Wu to i orJance Witt the provision of 40 CFR
<br /> 26Z.Ii and apps is able sta tecta.... Custwner ay roes tlu[ it will not
<br /> introduce any nen- onfoi,,dng substance into the SK Properly,
<br /> wcludiny, withoutcl lin itation, any haAardo,4s wast. ar haAe"uus waste
<br /> nst i[uent,(i.e., polychlorinated biphenyls ("PCBs'"), herL is ides,
<br /> pesticides, dio.in s, or listed halard...wastes) .ccep[ to the..lent
<br /> b introduction i cidental to then m•1 u of the SK Property.
<br /> In the a ant of then introduction of suchen —I m,i. hoe.rdous
<br /> ate, Customer•yrees that it will be respells ibl. far all costs and
<br /> „ediatiwn..yens rel.ted to o my frau the proper n n•Vemmnt
<br /> and disposal of thesn n-confunning.&sit, including the costof
<br /> e9u iPnent decent rninat ion id suL+equent Jispos.l. final invoicing
<br /> w T1 be based on the actual services yravi Jed, which nay include
<br /> dditional charges fur off specification waste•nJ s rcharyes. Fin•1
<br /> inv •roust m.y be m e than th. r ant listed,.nuthe printed
<br /> rece ip t. If any loyal action is cwnnen�c•d because of an alleged
<br /> dispute, brant h, de/welt or
<br /> reyresentatian, the lust weer o
<br /> r sDoaalso
<br /> •yrees that the pre p-it illy yar11 rill be entiled to —o
<br /> r
<br /> ble-it Fees and costs• iated with the
<br /> union ntrninat lull
<br /> .—t. sale tY-Klaen'> failure la s
<br /> C..tw,.r's -teri.l or take•retain sample, T way c nstitulesee
<br /> of Custainer's abliyAt_ to grave rly Ll.S.i , itson,aterials.
<br /> Safely-Kleen relies on Cust...is r.present.tons and Custw,er ti
<br /> esponsible far informinV Safety-Kleen of any'process changes that stay
<br /> alter the characteristics of the maleri.ls provide J. IN THE EVENT OF
<br /> AN EMERGENCY CALL ••24-HR NUMBER•• 1-800-468-1760 LS•ftty-Klten)
<br /> I halt established a yragrrn tv reduce ibt valwoe ar quantity and
<br /> to,
<br /> city of the li—rdous waste to the degree to be econwnically
<br /> practic.ble. �•+�� +
<br /> I'aa�
<br /> MAY 19 2017
<br /> ENVIRONNIENTAL HE,�LTH
<br /> DERARTMENT
<br />
|