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BRANCH 7142 CSG 24 David Buxt* 12/03/12 15:18. PAGE 1 <br />Safety-Kleen Systems, Inc. <br />2600 N Central Expy,-Suite 400 <br />Richardson, TX 75080 <br />BOO -669-5740 <br />209-545-1011 <br />REFERENCENER. <br />CUSTOMER# 10007042 MCNEILUS TRUCK 59615832 <br />3100 N Ad Art Rd SRVC WEEK: 2012-49 <br />Stockton CA 95215-2218 SRVC DATE: 12/03/12 15:17 <br />PHONE 209-931-4282 <br />BILLTO CUSTOMERP HILL TO ADDRESS: <br />0010007042 MCNEILUS TRUCK <br />3100 N Ad Art Rd <br />Stockton CA 95215-2218 <br />PHONE 209-931-4282 <br />PURCHASE ORDER# verbal per Ralph Cortez TAX EXEMPTION NBR <br />PRODUCT/SERVICES <br />SERVICE/ <br />PRODUCT <br />7356 CORN COB SVC 30 <br />SERVICE TERM 8 WEEK <br />3230 TAX HANDLING N/C DRUM DROP 30 <br />TOTAL SERVICE/PRODUCTS <br />TOTAL <br />QTY UNIT PRICE TAX CHARGE <br />1.000 346.0000 0.00 346.00 <br />1.000 0.0000 0.00 0.0.0 <br />---------------------------------- <br />346.0000 0.00 346.00 <br />TOTAL CHARGE 346.00 <br />CREDITS 0.00 <br />--------------- <br />TOTAL DUE S46.00 <br />UNPAID BALANCE THIS RECEIPT 346.00 <br />GENERATOR STATUS <br />0-220 lbs/month <br />Customer certifies that (i) the above-named materials are properly <br />classified, packaged, marked and labeled, and are in proper condition <br />for transportation accordinq to the applicable requlations of the <br />Department of Transportation and {ii) no material change has occurred <br />eitherin the characteristics of the waste/material or in the process <br />generatinq the waste/material. Customer aqrees to pay the above <br />charges and to be bound by the terms and conditions (1) set forth in <br />(a) the General Terms and Conditions provided separately to Customer <br />Or (.b) any SK agreement signed by Customer and SK, and (2) <br />incorporated herein by reference. Unless otherwise indicated in the <br />payment received section, SK is authorized to charge Customer's <br />account for this transaction. Customer certifies that the individual <br />signing this Service Acknowledgement is duly authorized to sign and <br />bind Customer. The follcwinq provision is applicable to Safety-Kleen's <br />parts cleaner and paint gun Cleaner services: Customer agrea5 that it <br />will not introduce any substance into the solvent or aqueous cleaning <br />solution, includinq without limitation any hazardous waste or <br />hazardous waste constituent, except tothe extent such introduction is <br />incidental to the normal use of the machine. Customer further agrees <br />that it will not clean parts/paint guns that have been contaminated <br />with or Otherwise introduce polychlorinated biphenyls (PCB's), <br />herbicides, pesticides, dioxins or listed hazardous waste into the <br />solvent or aqueous cleaning solution. Safety-Kleen has the capacity <br />and is permitted to accept, store, and/or reclaim the spent parts <br />washer solvent; paint thinners, solvents andpaintsgenerated by <br />customer; or dry cleaninq.filter cartridges, powder, and still <br />residues containing perchloroethylene, petroleum naphtha, or <br />triflurctrichloroethane dry cleaning solvents. Safety-Kleen and <br />customer agree that this agreement is intended to satisfy the <br />requirements of 40 CFR 262.20(e). IN THE EVENT OF AN EMERGENCY CALL 24 <br />HR EMERGENCY # 1-600-468-1160 {Safety-Kleen Contract # 94138} <br />CUSTOMER / GENERATOR: Ralph Cortez <br />LAST PAGE <br />Page 5 <br />RECEIVED <br />AUG 4 7 2015 <br />ENVIRONMENTAL <br />HEALTH +1coaRTeACKIT <br />