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X50 SHIPPING ,DOCUMENT REFERENCE SBR. CUSFOMERS/GENERATOR: SA32602 Sanborn Chevrolet 73548126 1210 S CherokeeLn Lodi CA 95240-5994 SRVC DATE: 04/27/17 PHONE SS9-479-2632 CONTACT NAME: Sanborn Chevrolet GENERATOR USEPA ID. CAD054598289 GENEHAIOR STATE MANIFESTS: 005947920SKS FORM CD: 1D SHIPS 222248977 TRANSPORTER 1 TXROOOOSIIOS SAFETY-KLEEN SYSFEMS, INC. SOSO SALIDA BLVD %ALIDA,CA. 95368 TNSP PHONE: 209-54S-1011 TRANSPORTER 2 US DO] UESCHIPIION (INCLUDING ROPER SHIPPING NAME, HALARD CLASS, AND 10) NON-RCRA HAZARDOUS WASTE, LIQUID (USED OIL) FEDERAL WASTE CODES NONE STATE WASTE CODES 221 TOTAL CONT 1 TYPE TT WT/VOL G SKDOT 11249 CNTS: 170427723421 SZ: BULK VOLUME CONIAINER QTY: 175 PHOFS 156017 CA DESIGNATED FACILITY NAME/ADDRESS: .-� — rte_ SAFETY-KLEEN OF CALIFORNIA 6880 SMITH AVE. NEWARK CA 94560 TSD PHONE: S10-795-4400 FACILITY USEPA ID NO CAD980887418 MAY2 2017 FACILITY STATE ID NO If ting risk source, rep. certifies that load specific PCB & silicon ENVIRONMENTAL HEALTH • testing have been completed prior to pumping this load. GENERATOR STATUS DEPARTMENT SQG/LQG: Vehicle Customer certifies that (i) the above-named materials are properly classified, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the �w, Department of Transportation (i i) no material change has occur�r either in the characteristics of the waste/material or in the process generating the waste/material, and (iii) the above referenced Generator Status is correct. Customer agrees to pay the above charges and to be bound by the terms and conditions (1) set forth in (a) the General Terms and Conditions provided separately to Customer or (b) any SK agreement signed by Customer and SK, and (2) incorporated herein by reference. Unless otherwise indicated in the payment received section, SK is authorized to charge Customer's account for this transaction. If Customer fails to make payment when due, an amount equal to the lesser of (i) 1.5% per month (18% per annunQ or (ii) the maximum amount allowed by law, will be added to all unpaid amounts outstanding. Customer certifies that the individual signing this Service Acknowledgement is duly authorized to sign and bind Customer. Customer acknowledges that it is responsible for maintaining its Generator Status and obtaining an EPA ID number if required by applicable law. The following provision is applicable to Safety-Kleen's parts cleaner and paint gun cleaner services: Customer agrees that it will not introduce any substance into the solvent or aqueous cleaning solution, including without limitation any hazardous waste or hazardous waste constituent, except to the extent such introduction is incidental to the normal use of the machine. Customer further agrees that it will not clean parts/paint kuns that have been contaninated with or otherwise introduce polychlorinated biphenyls IpCB's), herbicides, pesticides, dioxins or listed hazardous waste into the solvent or aqueous cleaning solution. Safety-Kleerr has the capacity and is permitted to accept, store, and/or reclaim the spent parts washer solvent; paint thinners, solvents and paints generated by customer; or dry cleaning filter cartridges, powder, and still residues containing perchloroethylene, petroleum naphtha, or triflurotrichloroethane dry cleaning solvents. Customer agrees that it is responsible for properly classifying its waste streams as Used oil or Nonhazardous Waste in accordance with the provision of 40 CFR 262.11 and applicable state laws. Customer agrees that it will not introduce any non-conforming substance into the SK Property, including, without limitation, any hazardous waste or hazardous waste constituent,(i.e., polychlorinated biphenyls ("PCBs"), herbicides, pesticides, dioxins, or listed hazardous wastes) except to the extent such introduction is incidental to the normal use .)f the SK Property. In the event of the introduction of such non-conforming hazardous waste, Customer agrees that it will be responsible for all costs and remediation expenses related to or arising from the proper management and disposal of the non-conforming waste, including the cost of equipment decontamination and subsequent disposal. Final invoicing will be based on the actual services provided, which may include additional charges for off specification waste and surcharges. Final invoice amount may be more than the amount listed on the printed receipt. If any legal action is coiuienced because of an alleged dispute, breach, default or misrepresentation, the Customer also agrees that the prevailing party will be entitled to recover reasonable attorney's fees and costs associated with the non-conforming contamination event. Safety-Kleen's failure to screen Customer's material or take a retain sample, in nu waX constitutes a waiver of Customer's obligation to properly classify its materials. Safety-Kleen relies on Customer's representations and Customer is responsible for informing Safety-Kleen of any process changes that may alter the characteristics of the materials provided. IN THE EVENT OF AN EMERGENCY CALL +•24-HR NUMBER** 1-800-468-1760 (Safety-Kleen) I have established a program to reduce the volume or quantity and toxicity of the hazardous waste to the degree to be economically practicable. I S!gnahrre CUSTOMER / GENERATOR: Sanborn Chevrolet jim 4✓ ore TRANSPORTER: Joseph R Lima Jr LAST PAGE ,.,.A