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regarding our recoveryrfee calculationpleasego to http://safety-kleen.com/ customer-service/environmental-fees/recovery-fees. Please note I have established a program to reduce the volume or quantity and e-manifest fees applicable to this order may not be included in the toxicity of the hazardous waste to the degree to be economically total above and will be included in the final invoice or credit card pwicticable. statement. RECEIPT ONLY - THIS IS NOT AN INVOICE I have established a program to reduce the volume or quantity and toxicity of the hazardous waste to the degree to be economically practicable. Signature CUSTOMER / GENERATOR: bill Mauch Signature CUSTOMER /GENERATOR: Bill Mauch ` Signature f TRANSPORTER: Joseph R Lima ]r Signature •--•--•-••------------------------------------------------------ CSG SK-SSL-UMO-01 Joseph R Lima Jr 02/19/19 10:53 PAGE TRANSPORTER: Benjamin 0 Taylor ----------------------- ------ - ------..... . --------------------------------- SHIPPING DOCUMENT IN THE EVENT OF AN EMERGENCY CALL **24-14r-Number** 1-300-468-1760(Safety-Kleen) CSG SK-SSL-UMO-01 Benjamin D Taylor 11/02/18 11:48 PAGE 2 REFERENCE NBR CUSTOMER#/GENERATOR: 5726431 Stockton Unified School 01 79118704-190047633: 1932 El Pinal Or SHIPPING DOCUMENT Attn Don Stockton CA 95205-2548 REFERENCE NOR. PHONE 209-933-7005 CUSTOMER#/GENERATOR: ST26431 Stockton Unified School D1 78365378-1805590432 GENERATOR USEPA ID. CA0981163975 GENERATOR STATE 1932 El Pinal Or MANIFEST#: 006776925SKS FORM CO: 30 SHIP# 227765690 Attn Don TR,NSPORTER 1 TXR000081205 Safety Kleen Stockton CA 95205-2548 5050 SALIDA BLVD PHONE 209-933-7005 SALIDA,CA. 95368 GENERATOR USEPA ID. CAD981163975 GENERATOR STATE 9060019999 TNSP PHONE: 209-545-1011 MANIFEST#: 006776098SKS FORM CD: 1D SHIP# 226882977 TRANSPORTER 2 TRANSPORTER 1 TXR000081205 SAFETY-KLEEN SYSTEMS, INC. 5050 SALIDA BLVD US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) SALIDA,CA. 95368 TNSP PHONE: 209-545-1011 NON-RCRA HAZARDOUS WASTE, LIQUID TRANSPORTER 2 (USED OIL) FEDERAL WASTE CODES NONE US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) STATE WASTE CODES 221 NON-RCRA HAZARDOUS WASTE, LIQUID TOTAL CONT 1 PE TT WT/VOL G SKOOT 11249 CNT#: 190219720670 TYSZ: BULK VOLUME CONTAINER QTY: 305 PROF# 156017 C, (USED OIL) FEDERAL WASTE CODES NONE DESIGNATED FACILITY NAME/ADDRESS: STATE WASTE CODES 221 SAFETY-KLEEN OF CALIFORNIA TOTAL CONT 1 TYPE TT WT/VOL G SKOOT 11249 6xao SMITH AVE- : CNT#: 181101668668 SZ: BULK VOLUME CONTAINER QTY: 162 PROF# 156017 CA NEWARK CA 94560 DESIGNATED FACILITY NAME/ADDRESS: TSD PHONE: 510-795-4400 SAFETY-KLEEN OF CALIFORNIA FAI:ILITY USEPA ID NO CAD980887418 6880 SMITH AVE. FA:ILITY STATE ID NO NEWARK CA 94560 TSD PHONE: 510-795-4400 GENERATOR STATUS FACILITY USEPA ID NO CAD960887418 CE:;QG: Vehicle FACILITY STATE ID NO If high risk source, rep. certifies that load specific PCH & Silicon testing have been completed prior to pumping this load. GENERATOR STATUS CESQG: Vehicle Customer certifies that (i) the above-named materials are properly Signature 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 CUSTOMER / GENERATOR: bill mauch 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 CUStarrler or (b) any SK agreement signed by Customer and SK, and (2) incorporated ` herein by reference. Unless otherwise indicated in the pAlment received section, SK is authorized to charge Customer's account for this transaction. If Customer fails to make payment when dne, an amount equal to the lesser of (i) 1.596 per month (18% per annum) or 6i) the maximum amount allowed by law, will be added to all unpaid Signature amounts outstanding. Customer certifies that the individual signing this Service Acknowledgment 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 TRANSPORTER: Joseph R Lima Jr applicable law. The following provision is applicable to Safety-Kleen'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 anv hazardous