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cicie% aaiisnea a program to reduce the volume or quantity and thematerials proVlOeO IM INC tVCNI ur HNtMCMUCNLY LALL"'"L4-hM NUMOtM I-OUV-400-I(OV <br /> ty of the hazardous waste to the degree to be economically (Safely-Kleen) A variable recovery fee that fluctuates with the DOE national average <br /> icticable. <br /> diesel price may be applied to your invoice, For more information regarding our recovery <br /> fee calculation please go to http;!safety-kleen.coml@2550,5;MF226 <br /> to this order may not be included in the total above and will be included in the final <br /> invoice or credit card statement. RECEIPT ONLY- THIS IS NOT AN INVOICE <br /> Signature <br /> CUSTOMER /GENERATOR: bill <br /> CUSTOMER 1 GENERATOR: bill mauch <br /> TRANSPORTER: Lima Jr,Joseph R <br /> Signature <br /> TRANSPORTER: Joseph R Lima ]r ------ ---"------ <br /> ------------------------------ <br /> --------------------" -------------•------- <br /> CSG SK-SSL-UNO-01 Lima Jr,Joseph R 06-09-2020 08:42 PAGE 2 <br /> SK-SSL-UMO-01 Joseph R Lima Jr 01/15/20 10:43 PAGE 2 SNIPPING DOCUIENT <br /> IN THE EVENT OF AN EMERGENCY CALL 24-Hr-Number 1-800-468-1760 (SAFETY-KLEEN SYSTEMS, INC. <br /> REFERENCE NOR, <br /> SHIPPING DOCUMENT 83479712- <br /> HE EVENT OF AN EMERGENCY CALL **24-Hr-Number** 1-800-468-1760(safety-Kleen) CUSTOMER 1 GENERATOR: ST26431 Stockton Unified <br /> REFERENCE NUR. 1932 EI Pinal Or <br /> IMER#/GENERATOR: ST26431 Stockton Unified School DI 81984095-1006530163 Attn Don <br /> 1932 E1 Pinal Or <br /> Attn Don Stockton CA 95205-2548 <br /> Stockton CA 95205-2548 PHONE 209-933-7005 <br /> PHONE 209-933-MS GENERITOR USEPA 10. EAD981163975 <br /> :ATOR USEPA 10. CAD981163975 GENERATOR STATE GENEAITOR STATE; <br /> 'EST#: 007276431SKS FARM CD: 1D SI¢pk 230476795 <br /> PORTER 1 T3ROODD81205 Safety Kleen <br /> 5050 SALIDA BLVD MAN I FE STN: 007461864SKS FORM CD ; 10 SH I PN 231672184 <br /> SALIDA,CA. 95368 <br /> PORTER 2 7NSP PHONE: 209-545-1011 TRANSPORTER 1 TXR000081205 Safety Kleen <br /> T DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID) TRANSPORTER 2 <br /> US DO1 DESCA I PT I ON (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND I D) <br /> :RA HAZARDOUS WASTE, LIQUID NON-A[RA HAZARDOUS WASTE, LIQUID <br /> OIL) (USED OIL) <br /> 4L WASTE CODES NONE <br /> WASTE CODES 221 FEDERI L WASTE CODES NONE <br /> CONT I TYPE TT nT/VOL G SKDOT 11249 STATE WASTE CODES; 221 <br /> 1: 200115175005 SZ: BULK VOLUME CONTAINER QTY: 155 PROFS 156017 CA TOTAL CONT 1 TYPE: TT WT/VOL G SKOOT 11249 <br /> IATED FACILITY NAkle/4ODRESS: CNTN 00609922930 SZ; BULK VOLUME CONTAINER QTY: 190 PROFN 156017 CA CT CODE: A <br /> 'Y-KLEEN OF CALIFORNIA <br /> SMITH AVE. <br /> ;K CA 94560 <br /> HONE: 510-795-4400 DESIENATEO FACILITY NAME/ADDRESS: <br /> SAFEI Y-KLEEN OF CALIFORNIA <br /> TY USEPA ID NO CA0980887418 6880 WITH AVE. <br /> TY STATE ID No NEWARK <br /> TO STATUS CA 941,60 <br /> Vehicle TSD Pt ONE: 510-795-4400 <br /> FACILITY USEPA ID NO CA0980887418 <br /> FACILiTY STATE ID NO <br /> GENERATOR STATUS CESQG: Veh i c I e <br /> I <br /> 3lgnaturg <br /> CUSTOMER /GENERATOR: bill CUSTOMER 1 GENERATOR: bill mauch <br /> f <br /> TRANSPORTER: Lima Jr,Joseph R <br /> rft�nature - - - - - • - - - - - - - - - - - - - <br /> TRANSPORTER: Joseph R Lima Jr <br /> ----------------------------------- <br /> I I - <br /> I � - <br />