Laserfiche WebLink
CSG Sk-SSL-UMO-01 David McCarroll <br /> - 12/33/10 09:23 PAGE 2 <br /> SHIPPING DOCUMENT` <br /> CUSTUNER#/GENERATOR: CA47958 Cal-Trans Shop 10- Lodi Cws REFERENCE NBR, <br /> 845 E Pine BE 78729082 <br /> Lodi CA 9.5240-1108 <br /> GENENATUd -6053 <br /> USEPA 10. CAD9H24853510GENERATOR NE 3STATE <br /> MANIFEST#: 086887 SRS FOR61 C0: 10 SHIP* 227223578 <br /> TRANSPDRTER 000 US SAFETY-RLEEN SYSTEMS, INC. <br /> SOSO SALIDA BLVD <br /> SALIDA,CA. 95368 <br /> TRANSPORTER 2 TNSP PHONE; 209-545-1011 <br /> US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND IO) <br /> NON-RCRA HAZARDOUS WASTE, LIQUID <br /> (USED OIL) <br /> FEDERAL WASTE CODES NONE <br /> STATE WASTE CODES 221 <br /> TOTAL CONTI TYPE TF WT/VOL G SNOUT 11240 <br /> CNT#: 181213460297 SZ: BULK VOLUME CONTAINER QTY: 126 PROF# 156017 CA <br /> DESIGNATED FACILITY NAME/ADDRESS: <br /> SAFETY-KLEEN OF CALIFORNIA <br /> .6860 SMITH AVE, <br /> NEWARK CA 94560 <br /> TSD PHONet $10-785.4400 <br /> FACILITY USEPA ID NO CAUDS0887418 <br /> FACILITY STATE IO NO <br /> If high risk source, rep• certifies that load specific pC8 &Silicon <br /> testing have been completed prior to pumping this load, <br /> GENERATOR STATUS <br /> SQG/LQG: Vahicle <br /> Customer certifies that (i) the ahnve-caned nmterials are properly <br /> classified, packaged, marked and labeled, and are in pr <br /> for transportation accarvHtrU to oper cont;Liao <br /> the applicable re0nlations of the <br /> eith <br /> bepo`tmo:t of TrnusportalloI. ({i) no material change ],as occurred <br /> ar ;n 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 cbarges <br /> and to be 4ound by the terms and conditions (1) set forth in (a) the <br /> Leneral Terns and Conditions provided separately to Customer or (b) <br /> any SK agreement signed by Cnstanmr sell SR, and (2) incorporated <br /> herein UY referonc*. Unless otherwise indicated in the <br /> received section, SR is author{ payment <br /> xod to chege Cust*in*r'a account farthis transaction. Tf Custmner fails to n,oke Payment when due, an <br /> anowrt equal to [he lesser of (i) 1.5% Per month (i8% pe• annun0 or <br /> (11) the maximmn amount allowed by law, will be added to 411 unpaid <br /> anounts outstanding. Cust.mr certifies that the individual signing <br /> eat is <br /> Costo is Service er' CustauerwIt acktiowledges that it tis,'jaed to respensiblenfordmaiuta{ping <br /> its Generapplicable <br /> Status and obtainiOU an EPA IO number if required by <br /> app-;cable law. Tire following provision is applicable Le <br /> Safety-that it parts cleaner and paint gun cleaner services: Costumer <br /> agrees that it will not introduce any substance into the solvent ur <br /> aqueous cleaning solution, including without limitation any hoae•dons <br /> waste or haaarduus waste onstituent, extant to the extent such <br /> introduction is incidental to the normal use of the maddne. Customer <br /> felt]'¢,' agrees that it will net clean pmts/paint guns that have been <br /> comae;nutad with or otherwise introduce polychlorinated biphenyl; <br /> (PCB's), herbicides, Pesticides, dioxins orlisted hazardous wnzte <br /> into the solvent or aqueous oaaniug solution SePety-Rlean hes, the <br /> capacity and is Permitted to accept, store, and/or reclaim the spent <br /> Parts wash¢• solvent paint tbinuers, solvents and paints generated by <br /> customer; or A:'y c7eau$nU filter cartridges, Powder, and still <br /> residues containing pet•chloroethylene, petroleum naphtha, or <br /> trif7ura "iehloroathaue dray cleaning solvents. Castanet. <br /> is resagrees that it <br /> peaible farproperly elass{Py{n9 its west* streans as Used Oil - <br />