Laserfiche WebLink
CSG SK-SSL-BOX-23 David L Buxton 04/13/15 15:20 PAGE 2 <br /> SHIPPING DOCUMENT <br /> REFERENCE NBR. <br /> CUSTOMERH/GENERATOR: LR00044 Lkq 69847278 <br /> 2041 Navy Dr <br /> Attn Jerry SRVC DATE: 04/13/15 <br /> Stockton CA 95206-1142 <br /> PHONE 209-464-1111 CONTACT NAME; Lkq <br /> GENERATGR USEPA ID. CAL000268997 GENERATOR STATE 9060019999 <br /> MANIFEST#: 005328398SKS FORM CII: 1D $HIP# 218766690 <br /> TRANSPORTER 1 TXROOOOS1205 SAFETY-KLEEN SYSTEMS, INC. <br /> 5050 SALIDA BLVD <br /> SALIDA,Cas. 95358 <br /> TNSP PHONE: 209-545-1011 <br /> TRANSPORTER 2 <br /> US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, 14A7.ARD 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/V0L G SKDOT 14941 <br /> CNT#: 160319627999 S2: 30 GAL1114 L CONTAINERS QTY: 20 PROF# 156023 CA CAT CODE:G <br /> DESIGNATED FACILITY NAME/ADDRESS., <br /> SAFETY-KLEEN SYSTEMS, INC. <br /> 6006 88TH STREET <br /> SACRAMENTO CA 95628 <br /> TSD PHONE; 916-386-4913 <br /> FACILITY USEPA ID NO CA0000084517 <br /> FACILITY STATE ID NO <br /> GENERATOR STATUS <br /> 0-220 lbsimonth <br /> Customer certifies that fi) 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 (ii7 no material change has occurred <br /> either in the characteristics of the waste/material or in the process <br /> generating the waste/material, and tiii7 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 Ib7 <br /> any SK agreement signed by Cusromer 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 (1) 1.5► per month (18% per annum) or <br /> (III 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 />