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SHIPPING DOCUMENT CUSTOMER8,1GENERATOR: HE28099 Heartland Express of Iowa Inc REFERENCE NBR. 12550 Harlan Rd !8725300-!896920986 Lathrop CA 9S390-0000 GENERATOR USEPA ID. CAL00042248q�ENE�TOR6-6010 STATE MANIFEST*: 0066875I4SKS FORM CD: 10 TRANSPORTER l T%H000081Z05 SAFETY-KLEEN SYSTEMS, I�27217518 s SOSO SALIDA BLVD SALIDA,CA. 95368 TRANSPORTER 2 TNSP PHONE: 209-545-1011 US 001 OESCR1Pf1ON (LNCI-UU1NG PHOpt" SHIPPING NAME, HAZARD CLASS, ANU ID) NON RCRA HAZARDOUS WASTE.LIQUID ETHYLENE GLYCOL SOLUTION (LESS THAN 5010 FEDERAL WASTE CODES NONE STATE WASTE CODES 133 TOTAL CONT 1 TYPE TT WT/VOL G SKOOT 651 CNTp: 181212440860 SZ: BULK VOLUME CONTAINER QTY: 35 PROf1 156030 CA DESIGNATED FACILITY NAME/ADORESS: SAFETY-KLEEN OF CALIFORNIA 6880 SMITH AVE. NEWARK CA 94560 TSO PHONE: 510-795-4400 FACILITY USEPA ID NO CAD980887418 FACILITY STATE ID NO If high risk source, rep. certifies that load specific PCB ai silicon testing have been camgmleted prior to pumping this load. GENERATOR STATUS CESQG: Vehicle Customer certifies that (i) time above-Hammed nalerials are properly 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 either in the characteristics of the waste/material or in the process generatinGeneratorgthe Statusaisecorrecta7Custauerii) the agrees tope referenced and to be bound by the terms and conditions (1) set Forthay the in charges General Termgreen and Conditions provided separately to Custaner orr (b)e any SK agreement signed b;os and SK, And (2) incorporated herein by reference. Unless otherwise indicated in the payment received section, SK is Authorized to charge Customer's account for this transaction. If Customer fails atto make payment when due, an ount equal to the lesser of (i) I.S% per month (18% per annuli) or (i i) the maximum amount allowed by law, will be added to all unpaid amounts outstanding, Customer certifies that the individual signing this Service Acknowledgement Customer, Custatkr Acknowledges duly authorized to sign and bind s that it is responsible for maintaining its Generator Status and obtaining an EPA ID linumber if required by 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, waste or hazardous waste coincluding without limitation any hazardous nstituent, except to the extent such introduction is incidental to the nonoral use of the machine. Customer further agrees that it will not clean parts/paint guns that have been contaminated with or otherwise introduce Polychlorinated biphenls GCB's), herbicides, pesticides, dioxins or listed hazay into the SOlvent or aqueous cleaning solutionwaste . Safety-Kleen rdous xhas the capacity and is permitted to accept, store. And/or reclaim the spent parts washer solvent; paint thinners, solvents and paints generated by customer; or dry cleaning filter cartridges, powder, and still residues containing perchloroethylene, petroleum naphtha, or trifluretrichloroethane dry cleaning solvents. Customer agrees that it is responsible for properly classifying its waste streams as Used oil or Nonhazardous Waste in accordance with the provision of 40 CFR 262.11 And applicable state Taws. Customer agrees that it will not ciintroduce any non-conforming substance into the SK Property, ncluding, without limitation, any hazardous waste or hazardous waste constitaent.(i.e.. Polychlorinated biphenyls ("PCBs„), herbicides, Pesticides, dioxins, or listed hazardous wastes) except to the extent such introduction is incidental to the normal use of the SK Property. In the event of the introduction Of such non-con(ontming hazardous waste, Customer agrees that it will be responsible for all costs and remediation expenses related to or arising from the proper nanaganent and disposal of the non-COnfonning waste, including the cost of equipment decontamination and subsequent disposal, Final invoicing will be based on the actual services provided, which may include Additional charges for off specification waste and su invoice amount nay be more than the amount listFinal ed on the rcharges.ages. d receipt. If any legal Action is comteuced because of an alleged dispute, breach, default or misrepresentation, the Customer also agrees that the Prevailing party will be entitled to recover reasonable attorney's fees and costs Associated with the non-confortniny contamination event. Safety-Kleen's f4i7ure to screen Customer's material or take a retain sample, in no way constitutes it waiver of Customer's obligation to properly classify materials. its Safety-Klee” relies on Customer's representations and is amer is responsible for informuiny Safety-Klee" of any And changes that may alter the Characteristics of the Materials provided. IN THE EVENT OF AN EMERGENCY CALL ••24-HR NUMBER"* 1-800_468-1760 (Safety-Kleen) A variable recovery fee that fluctuates with the DOE national average diesel price nay he Applied to your invoice. For more informmatie" regarding our recovery fee calculation please go to http://safety-kleen.com/ customer-service/eevironmantal-fees/recovery-fees. Please note e-"manifest fees applicable to this order may not be included in the total above and will be included in the final invoice or credit card statement. RECEIPT ONLY - THIS I5 NOT AN INVOICE