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— — — — — — — — — - - — — <br /> Received by EHD 9/19/2025 - - - - - - - - - - - <br /> CSG SK—BWP—UMU-02 McCarroll,Oavld 09-20-202414:52 <br /> SHIPPING DOCUMENT <br /> ENERATOR STATUS <br /> :SQG,Vehicle IUTHEEVENTOFANEMEIIGENCYSAL 24-11r—Number" I-600-465-176OISAFEIY—I[LEEN SYSTEMS,INC.I <br /> REFFRENCE NOR. <br /> we estahP d a program la reduce the volume or quantity and toxicity of Me hazardous Wade to the degree N be 95331052 —2434656179 <br /> momica able.Customer certifies that lil the above—named materials are properly classified,packaged, CUSTOMER f GENERATOR: TR34017 Tracy Material Recovery <br /> rked and iaheled,and are in proper condition tar transportation according N the applicable regulations of the 30703 S Macarthul Blvd <br /> parlment of kansportabon liil no material change has occurred either in the characteristics of the raste7material ar Tracy CA 95376—0000 <br /> he process generating the Mesta?material,and lilt no above referenced Generator Status is correct.Cnalomer PHONE:610—260-9688 <br /> am to pay the above charges and N be hound by the terms and conditions ll)set forth in lal the General Terms and <br /> nditions provided separately to Customer or(1sl any SK agreement signed by Customer and SK,and 12l incarporated GENERATOR OS£PA ID:CAL600091449 <br /> ein by reference.0nless alhervise indicated in the payment received section,SK is authorized to charge Customers GENERATOR STATE ID: <br /> ounl for this transaction,It Customer fails to make payment rites due,an amount equal to the lesser of ill 1,5`'per MANIFESTO:U09208246SKS FORM CO:10 SHIPO 2436972O3 <br /> nth 11836 par annumt or lid the maximum amount allevad by late,41 be added to all unpaid amounts outstanding. <br /> stonier certifies that the individual signing this Service kknoviedgemor is duly authorizad to sign and bind TRANSPORTER 1 TXROGOO61206 Safety Kean <br /> Oomer.Customer acknoWedges that it is responsible for maintaining its Generator Status and obtaining an EPA 10 Address Ttansportert:SAFETY—KLEEN SYSTEMS INC. <br /> nbor ifrequired by applicable late.The lalloving provision is applicable to Safety—Klaens parts cleaner and paint gun 1722 COOPER CREEK RD <br /> aner services:Customer agrees that it vill not introduce any substance into the solvent or aqueous cleaning Ste 100 <br /> ution,including vithout limitation any hazardous waste or hazardous vasto consdmen4 except to the extant such DENTON,Tx <br /> -oduction is incidental to the normal use of the machine.Customer further agrees that it 4 not clean partslpainl US PoslolCode:76205 <br /> is that have been contminatad wth or otherwise introduce polychlorinated biphenyls IPCBsI,herbicides,pesticides, Phone:800—669—5840 <br /> xins or listed hazardous vasto into the solvent or aqueous cleaning solution.The receiving helily has the TRANSPORTER 2 <br /> uopriate permigs)for,and wll accept,the yesto the generator is shipping.Customer agrees that it is responsible <br /> properly classifying its mite streams as Used Dil ar flonhazardous Waste in accordance wth the provision of 40 CFR <br /> 211 and applicable state lave.Customer agrees thatit rill not introduce any non—conforming substance into the SK <br /> tperty'€ncluding,wthoul limitation,any hazardous caste or hazardous veste constituent(i.e.,polychlorinated US BUT DESCRIPTION(INCLUDINS PROPER SHIPPING NAME,HAZARD CLASS,AND ID) <br /> Phenyls{"PCBs"l,herbicides,pesticides,dioxins,or listed hazardous vastest except to the extent such introduction NON—Il HAZARDOUS WASTE,LIQUID <br /> ncidental to the normal use of the SK Property.In Lie event of the introduction of such non—conforming hazardous (USED OI?STE <br /> ste,Customer agrees that it wll he responsible far all costa and remediaton expenses related b or arising from the FEBERAL CODES NONE,NONE <br /> aper managernonl and disposal of the non—conforming costa,including the cost of equipment decontamination and STATE CODES:221osequenl disposal.Final invoicing wll be based an the actual services provided,Mich may include additional charges TOT CO1 TYP/E'. WTIVOL G SKOOT 11249 <br /> off specification caste and surcharges.Final invoice amount may be more than the amount listed on to printed CN q 240824705779 SZ:B LKT70LUME CONTAINER OlY 101 PROFH 156017 CA CT CODE A <br /> :eipl.lf any legal action is commenced because of an alleged dispute,breach,default or misrepresentation,the <br /> choir trees that the prevailing parry rill be entitled to recover reasonable adarneys fees and costs DESIGNATED FACILITY NAMEIADORESS: <br /> sosiata� die non—conforming contamination event.Satety—Kleens failure to screen Customers material or take a SAFETY--KLEEN OF CALIFORNIA <br /> bin sample,in no vey canstimtes a miser of Customers obligation to property classify its materials.Safety—Kieen 6080 SMITH AVE. <br /> es on Customers representations and Customer is responsible fir iniorming Safely—Kieen of any process changes that NEWARK <br /> €y alter the characteristics of the materials provided.W THE EVENT OF AN EMERGENC Y CALL°24—HA N0M8ER" CA 94560 <br /> -810-468—1760 18afety—Kleenl A variable recovery fee that fluctuates With the DOE national average diesel price may he TSD PHONE:510—786—4400 <br /> plied to your invoice.For more information regarding our recovery fee calculation please go to <br /> p:lisafety—Ideen.camf custom er—$orvicefonvironmental—is as7reco very—feet A variable Chemistry Fee that fluctuates FACILITY USEPA ID NO CADBUUB87418 <br /> sod on internal material costs may be applied ta your invoice.A variable Product Delivery Fee that fluctuates may be FACILITY STATE 10 NO <br /> plied to your invoice.Please note a—manifest fees applicabla to this ardor may no 1 be included in the total above and <br /> II be inciudad in the fnal invoice or credit card statement.RECEIPT VJLY—THIS 15 NOT AN INYOMF <br /> GENERATOR STATUS CESGG:Vehicle <br /> /Alp / � - 2 0 <br /> CUSTOMER I GENERATOR:raul flares CUSTOMER 1 GENERAT011 rani fiorea <br /> TRANSPORTER McCarroll,David TRANSPORTER.MCCdrroll,Davld <br /> a I <br /> I <br /> I <br /> I V <br /> II I <br /> I I <br />