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03/27/201$ TUE 16: 20 FAX IQ�O11/025 <br /> CSG SK-SSL-BOX-23 Raymond Gomez 06/08/1.7 13:7.9 PAGE 2 <br /> SHIPPING DOCUMENT <br /> REFERENCE NBA, <br /> CUSTOMER II/GENERATOR: 21030 Soo.% Lubin. F, Smog 73861229-1702739373 <br /> 1403 Country Club Blvd <br /> Stockton CA 95204-4910 <br /> PHONE 209-943-3633 CON'CAM NAML: Bobs Lube S smog <br /> GENERATOR USEPA ID. 0982357717 GENERATOR STATE D0006 <br /> MANIFEST$: 005895993s a FORM CD: 1D SHIP# 222535914 <br /> TRANSPORTER 1 TXR0000 1205 SAFETY-KLEEN SYSTEMS, INC. <br /> 5050 BALIDA BLVD <br /> sALIDA,CA, 95368 <br /> TNSP PHONE: 209-545-1011 <br /> TRANSMRTER 2 <br /> US DOT DESCRIPTION (I LUDING PROPER SHIPPING NAME, (IAZARD CLASS, AND ID) <br /> NON-RCRA HAZARDOUS WAS E, LIQUID <br /> (AQUROUR PARTA WARNER OLUTION) <br /> FEDERAL WASTE CODES NO E <br /> STATE WASTE COU68 134 <br /> TOTAL CONT I T PE OM WT/VOL G SKDOT 14941 <br /> CNTII: 170530398597 S t 30 GAL/114 L CONTAINERS (2TY: 20 rfwk 156023 cA CAT CODE:G <br /> DESIGNATED FACILITY N E/ADDRESS; <br /> SAFETY-KLEEN SYSTEMS, INC, <br /> 6000 08TH STREET <br /> SACRAMENTO CA 95828 <br /> TO PHONE; 916-386-99 3 <br /> rACILITY USEPA ID NO C 0000084517 <br /> FACILITY STATE IO NO <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br /> Customer certifies tha Ii) the above-named materials are propwrly <br /> classified, packaged, arked and labeled, and are in proper condition <br /> for transportation acc rding to the applicable regulations of the <br /> Department of Transpor ation (ii) no material change has occurred <br /> either in the phsnccte ietics of the waste/material or in the process <br /> generatln4 the waste/m tetial, and (iii) Lhe above rererenced <br /> Generator Status is co rcct, Cu*tomcr agrcen t.o pmy Lhe dbuve charyes <br /> and to be bound by the terms and conditions (1) set forth In (a) I:hr <br /> General Terms and Cond tions provided separately to Customer nr (h) <br /> any SK agreement Signe by Customer and SK, and (2) incorporated <br /> herein by reference, less otherwise indicated in the payment <br /> rrreived secllun, SK i authorized to charge Customer's account for <br /> chin t.rmnsartiun. If C Lumer falls to make payment when due, an <br /> amount equml to the lam er of (i) 1,5i per month (188 per annum) or <br /> (ii) the maximum amount allowed by law, will bo added to all unpaid <br /> amounts outstanding. Cu tomer certifies that the individual signing <br /> this Service Acknowledg ment is duly authorized to sign and bind <br /> Customer. Customer ackn wledges that it is responsible for mal)tLalninq <br /> Sts Generator Status an obtaining an EPA IO number if required by <br /> applicable law. The fol owing provision is applicable to <br /> Sofety-Kleen's parts cl aner and paint gun cleaner services: Customer <br /> agree* that it will not introduce any substance into the solvent or <br /> aqueous cl.oani.ng snlut,i n, including wilhouL 11m1LaLiuh any hazardous <br /> waste or hazardous wast eonst.ituont, oxcnpt. t:n (•.ha nxt.ent. much <br /> introduction is .inciden.al to the normal use of the mmr•hi.nr.. Customer <br /> turther agrees that it ill not clean parts/paint guns that have been <br /> contaminated with or of erwise introduce polychlorinated biphonyls <br /> (PCB'a), herbicides, pe ticides, dioxins or listed hazardous waste <br /> i.nt.n thn nolvent or aqu ous cleaning solution. safety-Kleen has the , <br /> capacity and is permitt d to accept, store, and/or reclaim the spent <br /> part, washer solvent; Pint thinners, solvents and paints generated by <br /> r, <br /> custome , or dry cleans 9 filter cartridges, powder, and still <br /> residues containing per hloroethylene, petroleum naphtha, or <br />