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CSG SK- SSL-BOX- 23 Raymond Gomez 09 / 20 / 18 08 : 23 PAGE 2 <br /> SHIPPING DOCUMENT <br /> REFERENCE NSR , <br /> CUSTOMER# / GENERATOR : C0103025 Corto Olive Co . 77789406- 1804367532 <br /> 10201 Live Oak Road <br /> Stockton CA 95212 - 0000 <br /> PHONE 209 - 365 -7177 <br /> GENERATOR USEPA ID . CAL000385078 GENERATOR STATE <br /> MANIFEST # : 011837257fle FORM CD : 1D SHIP # 226342348 <br /> TRANSPORTER 1 TXR000081205 SAFETY-KLEEN SYSTEMS , INC . <br /> 5050 SALIDA BLVD '.. <br /> SALIDA , CA . 95368 <br /> TNSP PHONE : 209- 545 - 1011 <br /> TRANSPORTER 2 <br /> US DOT DESCRIPTION ( INCLUDING PROPER SHIPPING NAME , HAZARD CLASS , AND ID ) <br /> NON-RCRA HAZARDOUS WASTE , LIQUID <br /> ( AQUEOUS PARTS WASHER SOLUTION ) <br /> FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES 134 <br /> TOTAL CONT 1 TYPE DM WT /VOL G SKDOT 14941 <br /> CNT # : 180825388848 SZ : 30 GAL / 114 L CONTAINERS QTY : 20 PROF# 156023 CA CAT CODE : G <br /> DESIGNATED FACILITY NAME /ADDRESS : <br /> SAFETY-KLEEN SYSTEMS , INC . <br /> 6000 88TH STREET <br /> SACRAMENTO CA 95828 <br /> TSD PHONE : 916- 386- 4913 <br /> FACILITY USEPA ID NO CA0000084517 <br /> FACILITY STATE ID NO <br /> GENERATOR STATUS <br /> 0 - 220 lbs /month <br /> Customer certifies that ( i ) the above - named materials are properly <br /> classified , packaged , marked and labeled , and are in proper condition <br /> for transportation according to the applicable regulations of the <br /> Department of Transportation ( ii ) no material change has occurred <br /> either in the characteristics of the waste /material or in the process <br /> generating the waste /material , and ( iii ) the above referenced <br /> Generator Status is correct . Customer agrees to pay the above charges <br /> and to be bound by the terms and conditions ( 1 ) set forth in ( a ) the <br /> General Terms and Conditions provided separately to Customer or ( b ) <br /> any SK agreement signed by Customer and SK , and ( 2 ) incorporated <br /> herein by reference . Unless otherwise indicated in the payment <br /> received section , SK is authorized to charge Customer ' s account for <br /> this transaction . If Customer fails to make payment when due , an <br /> amount equal to the lesser of ( i ) 1 . 5 % per month ( 18o per annum ) or <br /> ( ii ) the maximum amount allowed by law , will be added to all unpaid <br /> amounts outstanding . Customer certifies that the individual signing <br /> this Service Acknowledgement is duly authorized to sign and bind <br /> Customer . Customer acknowledges that it is responsible for maintaining <br /> its Generator Status and obtaining an EPA ID number if required by <br /> applicable law . The following provision is applicable to <br /> Safety-Kleen ' s parts cleaner and paint gun cleaner services : Customer <br /> agrees that it will not introduce any substance into the solvent or <br /> aqueous cleaning solution , including without limitation any hazardous <br /> waste or hazardous waste constituent , except to the extent such <br /> introduction is incidental to the normal use of the machine . Customer <br /> further agrees that it will not clean parts /paint guns that have been <br /> contaminated with or otherwise introduce polychlorinated biphenyls <br /> ( PCB ' s ) , herbicides , pesticides , dioxins or listed hazardous waste <br /> into the solvent or aqueous cleaning solution . Safety-Kleen has the <br /> capacity and is permitted to accept , store , and/ or reclaim the spent <br /> parts washer solvent ; paint thinners , solvents and paints generated by <br /> customer ; or dry cleaning filter cartridges , powder , and still <br /> residues containing perchloroethylene , petroleum naphtha , or <br />