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>f, SK-SSL f3Dd
<br /> SHIPPING f1aCL11ENT
<br /> Safety-Kleen System, Inc. IN THE EVENT OF AN EHFRGENCY CALL **24-Nr-Number- I-S011-458-1760 (SAFFTY-KLI
<br /> 42 Longwaler Drive dEFERENCE NOR.
<br /> Norwell, MA 02061 CUSTOMER I GENERATOR: F127451 First Student 20312 87340542 210499437/
<br /> CORPORATE: Boo-659-5740
<br /> 24 HR ENERGFNCY: 81)0-468-1760 (Safety-Kieen) 2005 Navy Or
<br /> 209545 10 11 Slockton CA 95206-1142
<br /> REFERENCE NOR. PHONE 513-419-3315
<br /> USTOMERII F12741il First Student 20312 87340542 - 21(14994371 GENERATOR USEPA 10, CALUtl0036948
<br /> 2005 Navy Or SRVI WEEK: 21121-40 GENERATOR SfpTE:
<br /> Starl.ton CA 95206-1142 SRVC DATE; 10-05-2021 HANIFESIsa: UU811c3341SKS
<br /> PHONE. 513-419-3315 FORM CD : 10 SfllP# 235353523
<br /> ILL TO CUSIOMFHII RILL TO ADDRESS: TRANSPORTER I TXR00,181205 Safety Kleen
<br /> 121832 FirstGroup America, Inc. TRANSPORTER 2
<br /> 600 Vine St, Ste. 14(111 US AOT DESCHIPTIDN (INCLUDING PROPER SHIPPING NANF, HAZARD CLASS, AND ID)
<br /> Ci„cianati OH 452022400 NON-RCRA HAZARDOUS WASTE, SOLID
<br /> PHONE 513-'419-3315 (ORAINEDIUNDRAINFD USED OIL FILTERS)
<br /> llfl(:HASE GR(lERB TAX EXfI1i'i4 FEDERAL WASTE CODES NONE
<br /> PROIKTISERV I CB STATE WASTE COl9ES: 223
<br /> RViCESIPAODUCT Qly UNIT PRICE TAX 10TALCHARGE TOTAL CONT .1 TYPE: DN WTIVOL P SKDOT 781267f,
<br /> 383 DRUM,55 GAL FOR 1,0 10.08 0.00 10.0 CNT4 210929193263 SZ: 55 GA11215 L CONTAINERS DTV: 250 PROFa 156033 CF
<br /> O.F.
<br /> 103369 DRUM, 55 GL BLACK 20 85.00 15.311 185.3
<br /> STEEL OH RECON DESIGNAIED Ill NAHFIAODRESS:
<br /> SERVICE TERM 24 WEEK THERMO FLUIDS INC
<br /> ]1137 MODEL 90 W12387$ 0.0 0,00 (1.00 0.00 12533 SE CARPENTER OR
<br /> 6365 CLACKAMAS
<br /> 19583 TAG TODOOLIDOXX90209565 CLEAN 2.5 SPENT t1.0 OR 97015-8988
<br /> SERVICE TERN 12 WEEK SEANNED NO TSD PHONE: 503-788-4616
<br /> CAUSE CODE V0I0HFAUFRANULil1E - SERVICE NOf NILLDED FACILITY USEPA ID N0 OR000G025197
<br /> 3383 DRt1M,55 WASTE D.F. 1.0 81),00 0.00 86.1) FACILITY STATE 1D NO
<br /> 38550 CARTRIDGE OIL LO 257.50 0,00 257.5
<br /> FILTERS 556L
<br /> 7.5460 1 GENERATOR STATUS 11-220 Ibslmonth
<br /> 1848583 CNU-NON HAZARDOUS I.0 262.00 0.00 262 [)
<br /> SOLID 5551-
<br /> 24
<br /> SERVICE TERN 24 WEEK
<br /> ;ONTS; I TSDF: OL MANIFESIB: U0811925fSKS FIRM C0: US SHiPI1 235398170
<br /> 1111 21 1[3(15299273 QTY: 201) WTIVOL P PROF1 18485!13 SKDOT4 8637213
<br /> 100131 FEE, FULL SURCHARGE LO 14,14 1.27 15.41 CUSTOMER 1 GENEHAf(1H: ward
<br /> 11)%5 E-Manifest Fee 1.0 2U,00 0.011 20.0
<br /> ?30 fAX HANDLING NTC 1,.0 0.00,UU u 0U 0.110
<br /> DR
<br /> DRUM DROP 30
<br /> TOTAL SERVICFIPROOLICTS 728,64 16.57 83011 TRANSPORTER: Goirez,Rayirund
<br /> TOTAL CHARGE 833,21
<br /> CREDITS 0.00
<br /> TOTAL DUF 830.21 _
<br /> UNPAID BALANCE 1 H 15 RECEIPT 830.21
<br /> NLRh10R ST41US 0-220 Ihslmonth
<br /> ,sEomer certifies that (i) the I have established a program to reduce the volume TRANSPORTER 2:
<br /> love-named malerials are p,uperly of quantity and toxicity of the l waste
<br /> 3assified, paciaged, mailed and to tf,e degree to he economically practicable. labeled,
<br /> ,d are in proper condition for traaisporlalion acco[ding 10 the applicable regulations of
<br /> re lrlment of Tianspurlalion (ii) no material charge has occurred either in the
<br /> raraclerislirs of the wastelmalerial ur in the, process geneiating the wasLelmaterial, and --------------- '
<br /> ii) the ahove referenced Generator Status is correct. Customer agrees to pay [lie above CSH SK-SSL-B0X-23 Gonie2,Raymnrrd 10-05-2021 It:12
<br /> ranges and to be bound by the terms and conditions (1) set forth in (a) the General terms
<br /> rd Conditions piuvided separately to Cuslomer or (b) any SK ayreemenl signed by Customer SHIPPIME OOCi1tEf1T
<br /> ,d SK, and (2) incorporated herein by reference. Unless otlserwise indicated in the IH DHE EVENI OF AN EMERGENCY CALL "24-Hr-Number'"" 1-800-468-'176U (SAF-ETY-Kl
<br /> ryment received section, SK is aulhorized to charge Cuslomers account for this REFERENCE l'ansaction. If Cuslomer' Tails to make payment when One, a„amount equal to the lesser of 87340542 - 2104994371
<br /> 1 1.5X per month (16''A per a,muin) 1)r (it) the maximum amount allowed by law, will be CUSIOMER I GENERATOR; F1274SI First Sluclent 20312
<br /> Ided to all unpaid amocmis outsl Customer certifies that the individual signing 2005 Navy Of
<br /> cis Service Acl.nowledgemei,l is duly autheri2ed io sign and bind Customer. Customer Stockton EA 95205-1142
<br /> .Lnawledges that ii is responsible for main[ain]no its Generator Status and obtaining an PHONE 513-419-3315
<br /> )A ID number if requiter]by app Iical)Ie law. The falIowing provisiun is applicable to GENFRATI9R USEPA 10. CAL000035948
<br /> rfety-Kleems parts cleaner and pain} gun cleaner services: Customer ag,ees that it will DENERAIOR STATE:
<br /> A introduce any substance into the solvent m aqueous cleaning solution. including
<br /> thou} Iimilalion any ka2arLlenS waste or hazardous waste constituent, except to lire HANIFESIIt: 008029085SKS FORM CD : 10 SHIN 235353521
<br /> <lant such introduction is incidental to the normal use of the machine. Customer Turther
<br /> frees t6l: ii will not clean partslpainl guns that have been contaminated with or TRANSPORTER 1 TXR(IUDU812U5 Safety Kleen
<br /> het wise introduce polychlorinated biphenyls (PCO51• herbicides, pesticides, dioxins 131 TRANSPORTER 2
<br />
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