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03/27/2014 TUE 16: 26 FAX 1 005/007 <br /> CSC, SK-SSL-BOX-23 Raymond Gomez 02/12/18 12;07 PAGE 2 <br /> SHIPPING DOCUMENT <br /> REFERENCE NBR, <br /> CUSTONER4/GENERATOR; 021038 Bobs Lube 4 smog 75919ti99-1800360252 <br /> 1403 Country Club Blvd <br /> SLoukLon CA 95204-4910 <br /> PHONE 209943-3613 <br /> GENERATOR USEPA ID. 009112,157117 GENERATOR STATE D0006 <br /> MANIFEST#t 0063256965 s FORM CU: 1U SHIP# 224534512 <br /> TRANSPORTER 1 TXR0000 1205 SAFETY-KLEEN SYyTEMs, INC. <br /> 5050 SALIDA BLVD <br /> SALIDA,CA. 95368 <br /> TNSP PHONE: 209-545.1011 <br /> TRANsroRTSR 2 <br /> US DOT DESCRIPTION (I7CLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) <br /> NON-RCRA HAZARDOUS WA TE, I,TQUTD <br /> (AQUEOUS PARTS WASHFR SOLUTION) <br /> E''EUENAL WASTE CUUEB N E <br /> STATE WASTE CODES 134 <br /> TOTAL CONT 1 ryPE DN WT/VOL C, AKDOT 14941 <br /> CNT#: 180120177985 Z; 30 GAL/114 L CONTAINERS QTY: 20 PROF# 156023 CA CAT CODE:G <br /> DESIGNATED FACILITY N t/AUURLBS: <br /> SAFETY-KLEEN SYSTEMF3 INC. <br /> 6000 BOTH STREET <br /> SACRAMENTO CA 95828 <br /> TOD VIIONE: 916-386-4)13 <br /> FACILITY UEEPA ID NO A0000084517 <br /> FACILITY STATE ID NO <br /> GENERATOR STATUS <br /> U-220 Lbs/monLlt <br /> Custommr ror.tifie- that (i) the above-named materials are properly <br /> classified, packaged, marked and labeled, and are in proper condition <br /> for transportation a ording to the applicable regulations of the <br /> Department of Transportation (11) no material change has occurred <br /> either in the charact ristics of the waste/material or in the process <br /> generating the waste/ aterial, and (iii) the above referenced <br /> Generator Statue is correct. Customer agrees to pay the above chargee <br /> and to be bound by the terms and canditlona (1) set forth in (a) the <br /> General Terins end Conditiona provided meparotely to Cuatamer or (b) <br /> any SK agreement .ylgn.d by Guotommr and SK, and (2) i,nr..orporoted <br /> hnrr..Ln by rofornnco. Un.1.oss otherwi.se indicated in the Payment <br /> received section, SK is authorized to charge Customer's account for <br /> this transaction. if Customer fails to make payment when due, an <br /> amount equal to the lesser of (1) 1.5% per month (186 per annum) or <br /> (11) the maximum amouriL allowed by law, will txt added to all unpaid <br /> dmoutiLa ouLeLdnding. Cunknmer rerki.f.i.nr t.hat the. i.ndi.virfiml signing <br /> thin Servi.cc Acknowl .gement is duly authorized to sign and bind <br /> Customer, Customer acknowledges that it is responsible for maintaining <br /> its Generator Status and obtaining an EPA 10 number if required by <br /> applicable law. The following provision is applicable to <br /> Safety-Kleen's parts cleaner and paint gun cleaner services: Customer <br /> agrees that it will rot introduce any substance into the solvent or <br /> aqueous cleaning aol tion, including without limitation any hazardous <br /> wbate or ha2brdoua w ate Catialituent, except to the extent such <br /> introduction 1.5 incl ental 1;0 the horma,l, use of the machine, CubLomer <br /> farther ngreem thatIt willnot. clean parte/paint guns Lhar. h;7vo benn <br /> contaminated with or othorw.tae Introduce polVchlor.inated blphonyls <br /> tPC9'e), herbicides, pesticides, dioxins or listed hazardous waste <br /> Into the solvent or aqueous cleaning solution. Safety-Kleen has the <br /> capacity and is permitted Lu accept, &tore, end/or reclaim the spent <br /> pnrtn wdahrt solvent; pd1hL• Lhinnera, nolVrnLa and palnLn gener&Led by <br /> nuntemhri or dry r..l.n,ning fiAt.nr r.nr.hridgna, powrinr, and shill <br /> residues containing erchloroethylone, petroleum naphtha, or <br />