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man na-nu-WNU-vi Josepa K Lima Jr U9/4i/ie Ua:g9 PAI SHIPPING DOCUMENT REFERENCE F CUSTOMER#/GENERATOR: ST42948 Stockton Delta Resort, LLC 77867149-180453[ 14900 W Higkway 12 Lodi CA 95242-0000 PHONE 209-283-1589 GENERATOR USEPA ID. CAL000420023 GENERATOR STATE MANIFESTO, 0O639I504SKS FORM CO: 10 SHIP# 226542607 TRANSPORTER I TXRGDO081205 SAFETY-KLEEN SYSTEMS, INC. SOSO SALIDA BLVD SALIDA,CA. 95168 IMP PHONES 209-545-1011 TRANSPORTER 2 US OOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND 0) NDN-RCRA HAZARDOUS WASTE, LIQUID (USED OIL) FEDERAL WASTE LODES NONE STATE WASTE CODES 221 70TAL CONT 1 TYPE Tr WT/VDL G SKODT 11249 CHT#; 180905552$19 SZ: BULK VOLUME CONTAINER QTY: 110 PRor# 156017 DESIGNATED FACILITY NAME/ADDRESS: SAFETY-KLEEN OF CALIFORNIA 6880 SMITH AVE. NEWARK CA 94560 TSO PHONE: 510-795-4400 FACILITY USEPA ID NO CMDOUS7418 FACILITY STATE ID NO If high risk source, rep. certifies that load specific PCB & Silicon testing have been completed prior to pumping this load. GENERATOR STATUS CESQG. 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 Department of Transportation (ii) no material change has occurred 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 Costumer'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 (181 per annum) or (ii) the maximum amount allowed by law, will be added to all unpaid amo:nts 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-Klean'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 willoat clean parts/paint guns that have been contaminated with or otherwise introduce polychlorinated biphenyls (PCB's), herbicides, pesticides, dioxins or listed hazardous waste into the solvent or aqueous cleaning solution. Safety-Kleen 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 il is responsible for properly classifying i d waste streams as Use o or Nonhazardous Waste in accordance with the provision of 40 LFR 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, ar listed hazardous wastes) except to the extent such introductian is incidental to the normal use of the SK Property. In the event of the introduction of such non -conforming hazardous waste, Customer agrees that it will he responsible for all costs and remediation expanses related to or arising from the proper management and disposal of the non-conformino waste, including the cost of equipment decontamination and subsequent disposal. Final invoicing will be based an the actual services provided, which may include additional charges far off specification waste and surcharges. Final invoice amount may be more than the amount listed on the printed receipt. If any legal action is commenced because of an alleged dispute, breach, default or misrepresentation, the Customer alta agrees that the prevailing party will be entitled to recover reasonable attorney's fags and costs associated with the non -conforming contamination event. Safety-Klean's failure to screen Customer's material or, take a retain sample, in no way 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-Klean of any process changes that may alter the characteristics of the materials provided. IN THE EVENT OF AN EMERGENCY CALL **24 -HR NUMBER** i-800-468-1760 (Safety-Kleen) A variable recovery fee that fluctuates with the DOE national average diesel Price may be applied to your invoice. For more information regarding our recovery fat calculation please go to http://safety-kleen.com/ customer-service/environmental-fees/recovery-fors. Please note e -manifest fees applicable to this order may not be included in the .....' . _".dA* rand