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<br /> TRANSPORTER: Miguel Onsure2
<br /> c5G SK-SSL-UNO-02 Miguel Onsurez 11/20/17 11:09 PAGE Z
<br /> +'.Pk a Liw.yr Y PKt. SHIPPING DOCUMENT
<br /> SHIPPING DOCUMENT
<br /> 4USIOMER#/4ENERAnm:OR14348 O'Reilly 8 3460 REFERENCE NOR,
<br /> 1210 75394512
<br /> cullalewr N Tracy Blvd
<br /> /LENkxglat:ONt4.ltl. 0'Ne itlr•2161 REF[e[nfE 1a8. T—Y CA 95376-3435
<br /> 146 E Hardin➢..y fo9p5. ANIFEST#U0 z 10. 1AL00039123 GENERA IDRSSTATE 00006
<br /> Stocht+n ..952os-SIO. MAN1FE57#:00628611]SkS
<br /> AkN[ealYN USkVa IU.LALua HMWE 9)t-55y-t11>CONTKF NgxERe illy 01/0./1> FORM Co: ID
<br /> xAnues'rr:o057zeeoz5x5 Al vo.OYtyvvv Y isa> TRANSPORTER I I%ROOp0a1205 SAFETY- SHIP#274025814
<br /> txgnygw Ox 1 1WI0Yooetro5 sArpn..... Stl ivA iziia8ape KLEEN SYSTEMS, INC.
<br /> 5050 SALIDA BLVD
<br /> sosansKloA... SALIDA.CA. 95368
<br /> ALIDPioNi 91368 TRANSPORTER 2 INSP PHONE: 209-SIS-1011
<br /> MN15POxTEe 1 MSP PHarf:209-s.5-1011
<br /> rn UOr otscxlvrlwl UKLwux,vnuvtx snlwla;--1,--cLasy arO 101 I/1.01 UtSCHIP1111
<br /> (1NCLWING
<br /> WASTE,LIWPROPER SHIPPING NAME, HALARD CLASS, AND In)
<br /> nox-RtRA xgzMpa,S co NON-RCRA HAZARDOUS WASTE,
<br /> DISED O5U
<br /> fe4l WASH f00e5— (USED OIL) L.IQDIO
<br /> STA
<br /> TE WasTE cones:zI :ItFRAL WASTE CODES NONE
<br /> T CN 701 T111 It .IAIE WASTE CODES 121
<br /> o..o9s,9 1,;wn.x vOtuN wylaHtx00T It": TOTAL CONT 1
<br /> Rlr:gas vxovr Isaotz TYPE UC WT/VCC G SKDOT 11249
<br /> ---FEN
<br /> Or CA IFoocIawess: an (Nle: 121120969)6/12: tlUl.k VULUML CONTAINER
<br /> x f n or IgtlfORlla,Mc. QTY: 139 PROF.1S6U3/
<br /> nss9 SCA AYE. DESIGNATED FACILITY NAME/ADIIRESS: CA
<br /> FWMM G p.SO
<br /> 110 PX6VF:sin Ips. SAFETY-KLEEN OF CALIFORNIA
<br /> FKulry r6EVA toIp cwvwYYlun 6880 SMITH AVE.
<br /> EKulry srAtE to no NEWARK CA 94560
<br /> TSD PHONE: 510-795-4400
<br /> tf tiny ri>l b>ou, rP rif ie>tlut load spa if is oea A Sil irwu IAl LI USEPA ID NO CPD9801I67418
<br /> es have eenaaw�ylteuev ur o yapi,w this lead. FACILITY STATE ID NO
<br /> CfSp6:
<br /> 6EOG: R STATUS
<br /> vehicle .iyh risk 5 rep. certifies that lead fie PER a Silicon
<br /> Cuetwiwr cert ifie>that(i)thr aLuve-n+i.J nu Sala a arty 0 have been conipl at.,Prior to Pw„p ing th lstload.
<br /> clew>if ieJ,yaakeyeJ,uwrleJ ar,J leLeleJ,anJ a, uonJ it Sun
<br /> (er trenaYurtt Sun accordmy to the.1Plicablr reYul tion>ruf the
<br /> .nl of Traroyrrtal Sun(i i)„u enter Sal chenYe he h..a red STATUS
<br /> Sther in the aharecter i>t Sas uI twaste/nw er Sal a theryruaa» ala
<br /> •f.l i'YS[eEu'e; Sal„+nd(iii)the ebovr referred ed
<br /> te,n+temta rw>l onr aYne>to yaE the ab"r al,a`yes
<br /> b be beunJ 4y>tLert< a Jition> ifle5 that (i) the above-naneA ruder Sets are properly
<br /> tiy-j Suns rov;ded eSk...dy m fu>lawr u.@) aged, arked and labeled, and a n prose —.ditiun
<br /> .M•dart ,�J Lr fu o.u..r and Sx,anJ(i)n,<oryorete,l on a urding to the applicable reyulat i.—yf the
<br /> n ferr„r. Unle»a kern ise i JiateJ yn the paWue"t por'as Sun(o i)no uteCi'alu cha yr I.—.......d
<br /> tion.SL author i+eJ to aherye Custwnr•>actounl fur
<br /> t Sen.If Cu>twiar fail.Lu nide Peynwnl when Jue,a to i tiC< a the wa t/ to 1 u, N thrprod... _
<br /> .to tneyYo>er of(i)LSY Per n.++tn pas vrr+,,w�O o to ial, nd (iii) the above rrfrrrnted
<br /> el laced by len,will be added to el lr unye;J frecl. Cu>lwr,er agrees to
<br /> pay the ebovr char Ye>
<br /> inY•fu>laar certif ie>that the inJ iv iJual sign i,rY 11"..and c nA i[1or,5 (I) sal forth in GJ the
<br /> ledyo,wnt is July eulhuri+eJ to>iw,anJ Lint
<br /> eal�,unleJYe.tLat i e>Puna ible fur na int.in my lions Vrevide,seVareanJy 2) inaorpurat<J(L)
<br /> d.bte innmy an EPA>10 nm6er if raga ireJ by eY Crrs the rwia.d indi.—j(in the--ul
<br /> wig�r nor
<br /> .PPI
<br /> ic.ble t 'µthwrie J to cha rye C.-I". edea t Nur
<br /> �i u^+ ^i„•�i.r >,r, ioxter fails to uL t nem dam
<br /> ..Sun any beauvlawa` of(i) 1.SW Per,lanthw(181 Per Ww,J
<br /> rad by 1 w,rill U..dd.d all, g k0
<br /> artifi..that 11'.inJivlau A \
<br /> 1.duly autheriaad to 5iv'r-a b :
<br /> �o
<br /> ;.e
<br /> TRANSPORTER: Ray,nond 6Y111e1 Sal`ety—Kleen Systems,
<br /> 600 N Central Etpy,Suite 100 Inc.
<br /> Richardson, T% 75060
<br /> �A N Im[ COwPORAIE:800-a6f-1740
<br /> 'MEBGEWV:800-168-1)60($efety-kleen)
<br /> r Sa.
<br /> IU-SSL-BOX-21 Raymond Gonia: 01/10/18 15:01 PAGE 2 L xo9sulo1l
<br /> US'fOMfFI 0x14364 O'Reilly t 2567 REFERENCE taw.
<br /> 3140 E Xardin4 Way 75918159-180041]Bb
<br /> SHIPPING DOCUMENT P Stockton CA 95205-3104 uC TE: 2018-5
<br /> PCA 972 147 SRVC DATE; iil. 18
<br /> W10 17 CUSTOMER. BILL To ADDRESS:
<br /> REFERENCE NBR. oxmzl7 O'Reilly Auto Parts d5
<br /> LUSIOMER#/btN[RAIOR: OR14384 O'Reilly 0 256/ /5948159-180044/846 233 S Patterson Ave
<br /> 1610 E Herding Way Sttn Tax Sebaldt
<br /> Stockton CA 95205-3101 prinOfield MO GSa02-2210
<br /> PHONE 972-555-1247 PURCHASE ORDER# PHONE 972-26S-2485
<br /> f EST.:U006193UUISNS SEPA 10, 0019a+18 FORMENERAIOR CD: III STATE SHIPP##224614541 PRODUCT/SERVICES TAX EXEMPT*
<br /> PORTER 1 IMO00081205 SAFETY-KLEEN SYSTEMS, INC. SERVICE/
<br /> 5050 SALIDA BLVD PRODUCT QTY UNIT PRICETOTAL
<br /> 81635 WASTE SGL-1,SNAVNG TA% CHARGE
<br /> SALIDA,CA. 9538 1
<br /> SERVICE TERR 24 WEEK .000
<br /> TRANSPORTER 2 TNSP PHONE: 2096-54S-1011 # .1415: 2 ISDF: S3 MANIFEST#: 04446
<br /> ENT#: 180126263670 FORM CO:6BL SNIP#2246044) 19
<br /> CNTS: 1801262634171 Q11: 25 WI'/VOL P PROF#6469)1 SkWT/432418
<br /> US 001 DESLR1P11UN""C"0`4 PROPER SHIPPING NAME, HAZARD CLASS, AND IU) - QTY- 25 WT)VOL PROF.6469/1 SKUOI]432418
<br /> 3635 BRAKE SHAVINGS SGL
<br /> NOY-RCRA NAIAROWS WASTE,SOLD SERVICE TEPoI 4 WEEK 1.000
<br /> OMAINED/UNDRAINED UStD OIL FILTERS) 93167 DI M,SS MAST:O.F. 1.000
<br /> FEDEBAL WASTE CODES NONE SERVICE 7,=S5 WEEK
<br /> STALE WA57E[ODES 223 4CR CADGE CODE vai1Wead.randLine-CANN10T ENTER WASTE 1Y)
<br /> Bt3e3 p .55 WASTE O.F.
<br /> TOTAL CONT 1 TYPE DM CR )06 PAIL, S.S GL So k PoLY w 1.000
<br /> 1.OND
<br /> CATS: 180126261 Y0S S2: SS Gal/LOS �OPN1g1NERST 7872676
<br /> ________________..-_-_-_____-...__--
<br /> DESIGHAlEO FKIL1'ry rygME/gpURE15: QN' 110 VNOF.I5O033 < l TOTAL SERVICE/PRODIKIS
<br /> 1NFeMp FLUIDS INC
<br /> 15113 sE fARPEnlfR oR TOTAL CHARGE
<br /> CLKEAMAI oil 9]015-8968 CREDITS
<br /> 110 Pn011C:SOT-]88-1616
<br /> 70TAL WE
<br /> r:l-Ir.r.>t,•n qn wnwyy„l p, 1, _______—______
<br /> 7aM STAR35 I1hpAI0 BALANCE THIS RECEIPT
<br /> b/mantA
<br /> ids that (i) the above-.axed materiels are properly
<br /> ed, mart,d And to thebeleJ, anJ are in proper coed it Sun
<br /> cord
<br /> Ing(ii) no�ateriale heyulatioil$ of the
<br /> tics of the waste/umatehialeurdinothelled
<br /> Sal, and (iii) the above referenced process
<br /> Customer agrees to Pdy the above c -that (i) tilt above-nailed materials are properly
<br /> d conditions (1) set barged 9 marked and labeled, and are in proper condition
<br /> vide)se forth In (a) the ording to the applicable regulations of the
<br /> r -in pit, do y to tElSt01Uer or (b) tation (ii) no material change has occurred
<br /> wise i"d;,_a*Pd(z) incorporated istics of the Waste/materidl or in the process
<br /> char TM the Payment vial, and (iii) the above referenced
<br /> ye fustomer•s account for ;t. CustOmer aYrees to pay
<br /> to Make payment wh... A.._ ._A_--A1.-_.. t
<br />
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