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03/27/2018 TUE 16: 18 FAX X005/425 <br /> CSG SK-SSL-BOX-23 Raymond Gomez 03/13/17 12:38 PAGE 2 <br /> SHIPPING DOCUMENT <br /> REFERENCE NBR. <br /> CUSTOMERN/GENERATOR: 021035 Boba Lube & Smog 73019531-1700988615 <br /> 1403 Country Club Blvd <br /> StnukLon CA 95204-4910 ERVC DATE; 03/13/17 <br /> PHONE 209-943-3633 CONTACT NAME; Robn Luhe 6 Rmog <br /> GENERATOR USFPA ID. C D982357711 GENERATOR STATE D0006 <br /> MANIFEST#; 005894938a a FORM CU: 1D SHIPS 221745795 <br /> TKANSNUNTER 1 TXKOOOO 1205 SAFETY-KLL;9N SYSTEMS, INC. <br /> 5050 SALIDA BLVD <br /> SALIOA,CA. 95368 <br /> TNSP PHONE: 209-545-1011 <br /> TRANSPORTER 2 <br /> U6 DOT DESCRIPTION (IN LUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) <br /> NDN-RCRA HAZARDOUS WAS E, LIQUID <br /> (AQUEOUS PARTS WASHER OLUTION) <br /> FEDERAL WASTE CODES NO E <br /> STATE WASTE CODES 134 <br /> TOTAT, PONT t T PR T)M WT/VOT, 0 FKWT 14941, <br /> CNT11: 161224250127 S,: 30 GAL/114 1, CONTAINERS QTY: 20 PROFN 1.56023 CA (AT CODE(, <br /> UESIGNATED FACILITY N E/ADURESSi <br /> SAFETY-KLEEN SYSTEMS, INC. <br /> 6000 86TH STREET <br /> SACRAt4ENT0 CA 95828 <br /> TSD PHONES 916-904-49 3 <br /> FACILITY USEPA ID NO 0000084517 <br /> FACILITY STATE 11) NO <br /> GENERATOR STATUS <br /> 0-220 !ba/mvrith <br /> Cltr,tomer rnrti. .ptha (i) tho nbovn-nginnd mr.i. <br /> ntnnlr, are properly <br /> classified, packfiarged, arked and labeled, and are In proper Condition <br /> for transportation acc rding to the applicable regulations of the <br /> Department of Transpor a n on (ii) no material change has occurred <br /> either In the characte iatics of the waste/material or in the process <br /> generating the waste/m terial, and (1111 the above referenced <br /> Generator Statue is co rest. Customer agrees to pay the above charges <br /> and to ba bound by the terms and conditions (1) set forth In (a) the <br /> General Terms and Cpnd tion* provided separately to Customer or (b) <br /> any SK ogrccment Digne by C.vatomcr and SK, and (2) lncurporated <br /> herein by rcfcrenco, nless othorwi!oc tndinnt.nd In Din payment. <br /> received ser,.t.ion, SK I authorized to charge Cuatomnr'a ncnnnnt. for <br /> this transaction, If. C stomer fails to make payment when due, an <br /> amount equal to the le ser of (1) 1.5% per month (188 per annum) or <br /> (11) the maximum amount allowed by law, will be added to all unpaid <br /> enx)unt.a outstanding, C stomer certifies that the individual signing <br /> thin Service Acknowled ment la duly authorized to sign and bind <br /> Customer, Cuat.omee ack wledyem that It is responsible for maintaining <br /> its Generator Gt.atUS an obtaining an EPA ID number if required by <br /> applicable law. The fol owing provision is applicable to <br /> Safety-Klean's parts cl aner and paint gun cleaner services: Customer <br /> agrees that It will not introduce any substance into tho solvent or <br /> aqueous cleaning soluti n, including without limitation any hazardous <br /> waste or hazardous wast constituent, except to the extent such <br /> introduction is inciden al to the normal use of the machine, Customer <br /> further agrees that it ill nut clean parte/paint guns that have been <br /> panr.nminal.ed W1Lh or ul.,erwlar. 1nLruduce pUlychiurihated biphenyls <br /> (PCR's), hnrhir:idr.s, pn hir.idn.s, dinxin-n or lidLed hazardous waste <br /> into the solvent or aqu ous cleaning solution. Aafety-KI.rcn has the <br /> capacity and is permitt d to accept, stare, and/or reclaim the ,sprint <br /> parte washer solvent; p int thinners, solvents and paints generated by <br /> customer; or dry cleans g filter cartridges, powder, and still <br /> residues containing per hloroethylene, petroleum naphtha, or <br />