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BRANCH SSL CSG UMO-01 Jo& Lima Jr 10/22/15 14:57 PAGE 2
<br /> S iF. IF.L) SHIPPING DOCUMENT
<br /> REFERENCE NSR.
<br /> CUSTOMER#/GENERATOR: LE15364 Les Schwab Tire Center 657 68491512
<br /> NOV 16 2015 3554 E Hamner Ln
<br /> Stockton CA 95212-2820 SRVC DATE: 10/22/15
<br /> PHONE 559-673-3101 CONTACT NAME: Les Schwab Tire Ce
<br /> ENVIRONMENTAL GENERATOR USEPA ID. CAL0002926TDR STATEI
<br /> MANIFESTtr: OO5064213SK5 FO FORMMCD:CD: 1D SHIPM 217479681
<br /> TRANSPORTER 1 -MO00081205 SAFETY-KLEEN SYSIEMS, INC.
<br /> HFAiTi I f1CDAIDTIlAFA1T $050 SALIDA BLVD
<br /> SALIDA,CA. 95368
<br /> TNSP PHONE: 209-545-1011
<br /> TRANSPORTER 2
<br /> US D01 UESCR1PIION (INCLUDING PHUPER SHIPPING NAME, HALARU CLASS, AND 10)
<br /> NON-RC
<br /> RA HAZARDOUS WASTE, LIQUID
<br /> (USED OIL)
<br /> FEDERAL WASTE CODES NONE
<br /> STATE WASTE CODES 221
<br /> TOTAL CONT 1 TYPE 1T WT/VOL G SKDOT 11249
<br /> CNI#: 1S1U2176•1022 SZ: BULK VOLUME C'ONIAINER Q1Y: 15 PROFS 156017 CA
<br /> DESIGNATED FACILITY NAME/ADDRESS:
<br /> SAFETY-KLEEN OF CALIFORNIA, INC.
<br /> 6880 SMITH AVE.
<br /> NEWARK CA 94560
<br /> TSD PHONE: 510-795-4400
<br /> FACILITY USEPA ID NO CAD980887418
<br /> FACILITY STATE ID NO
<br /> If high risk source, SK rep. certifies that load specific PCB &
<br /> Silicon testing have Leen completed prior to pumping this load.
<br /> GENERATOR STATUS
<br /> CESQG: Vehicle
<br /> Customer certifies that (i) the above-na.ied materials are properly
<br /> classified, packaged, marked and labeled, and are ill proper conditiou
<br /> for transportation according to the applicable regulations of the
<br /> Department of Transportation mrd (ii) no material change has occurred
<br /> either in 111e clmraetrristics of the, wash/uateriwl or in tire, process
<br /> generating the waste/material. Custmuer agrees to pay the above
<br /> charges and to be bound by the terms and conditions (1) set forth in
<br /> (a) the General Terms and Conditions provided separately to Customer
<br /> or (b) any SK agreement signed by Customer and SK, and (2)
<br /> incorporated herein by reference. Unless Otherwise indicdted ill the
<br /> payment received section, SK is authorized to charge Customer's
<br /> account for this transaction. If Customer, fails to make payment when
<br /> due, an amount equal to the lesser of (i) 1.5% per month (1896 per
<br /> annunO or (ii) the maximum amount allowed by law, will be added to all
<br /> unpaid aiwunts outstanding. Customer Lei.tlfles that the individual
<br /> signing this Service Acknowledgement is duly authorized to sign and
<br /> hind Customer. The following provision is applicable to Safety-Kleen's
<br /> parts cleaner and paint gun cleaner services: Custauer agrees that it
<br /> will not introduce any substance into the solvent or aqueous cleaning
<br /> solution, including without limitation any hazardous waste ur
<br /> hazardous waste constituent, except to the extent such introduction is
<br /> incidental to the normal use of the machine. Custoner further agrees
<br /> that it will not clean parts/paint guns that have been contaminated
<br /> with or otherwise introduce polychlorinated biphenyls (PCB's),
<br /> herbicides, pesticides, dioxins or listed hazardous waste into the
<br /> solvent or aqueous cleaning solution. Safety-Kleen has the capacity
<br /> and is permitted to accept, store, and/or reclaim the spent parts
<br /> washer solvent; paint thinners, solvents and paints yenerated by
<br /> customer; or dry cleaning filter cartridges, powder, and still
<br /> residues containing perchloroethylene, petroleum naphtha, or
<br /> triflurutrichluroethane dry cleaning SOIVCntS. Custmuer• dgree5 that it
<br /> is responsible for properly classifying its waste streams as Used Oil
<br /> or Nonhazardous Waste in accordance with the provision of 40 CFR
<br /> 262.11 and applicable state laws. Customer agrees that it will not
<br /> introduce any non-conforming substance into the SK Property,
<br /> including, without limitation, any hazardous waste or hazardous waste
<br /> constituent,(i.e., polychlorinated biphenyls ("PCBs"), herbicides,
<br /> pesticides, dioxins, or listed hazardous wastes) except to the extent
<br /> such introduction is inLedental to the normal use of the SK Property.
<br /> Ar the event of the introduction of such nun-conforming hazardous
<br /> o
<br /> waste, Custuer agrees that it will be responsible for all costs and
<br /> remediation expenses related to OF' ar•iS-illy from the proper nanagement
<br /> and disposal of the nun-conforminy waste, including the cost of
<br /> ipme :!z at .� subs-g.: •!i:;:;. _'. Fir:al is✓uiz. nu .
<br /> will be based oil actual services provided,jwhich may include
<br /> additional charges for off speLificatiun waste and surcharges. Final
<br /> invoice auuuut may be nwre than the annount listed on the printed
<br /> receipt. If any legal action is commenced because of An alleged
<br /> dispute, breach, default or misrepresentation, the Customer also
<br /> agrees that the prevailing party will be entitled to recover
<br /> reasonable attorney's fees and costs associated with the
<br /> nun-conforming contamination event. Safety-Kleen's failure to Scr•eern
<br /> Customer's material or take a retain sample, in no way constitutes a
<br /> waiver, of Customer's Obligation to properly cldssify its materials.
<br /> Safety-Kleen relies on Customer's representations and Customer is
<br /> responsible for infu•uriny Sdfety-Kleen Of ally Process changes that Indy
<br /> alter the characteristics of the materials provided. IN THE EVENT OF
<br /> AN EMERGENCY CALL *" ,I-HR NUMBER— 1-800-468-1760 (Safety-Kleen)
<br /> I have established a prugran to reduce lite volume or quantity and
<br /> toxicity of the hazardous waste to the degree to be economically
<br /> practicable.
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