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UNPAID BALANCE THIS RECEIPT 444.61 <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 regulations of the <br />Department of Transportation and (ii} no material change has occurred <br />either in the characteristics of the waste/material or in the process <br />generatinq the waste/material. Customer agrees 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 following provision is applicable to Safety-Kleen's <br />parts cleaner and paint qun cleaner services: Customer agrees that it <br />will not introduce any substance into the solvent or aqueous cleaning <br />solution, including without limitation any hazardous waste or <br />hazardous waste constituent, except. to the 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-Kieen has the capacity <br />and is permitted to accept, store, and/or reclaim the spent parts <br />washer solvent; paint thinners, solvents and paints generated by <br />customer; or dry cleaning filter cartridges, powder, and still <br />residues containing perchloroethylene, petroleum naphtha, or <br />triflurotrichlorcethane 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 # 1-800-465-1760 (Safety-Kieen Contract # 941381 <br />60�_Ilfe. <br />CUSTOMER / GENERATOR: Ralph Cortez <br />Page 9 <br />0 <br />mECEIVEC9 <br />AUG 0 7 2015 <br />ENVIRONMENTAL. <br />t4FA!TP r)C04or�n�r�r <br />BRANCH 7142 CSG 24 David Buxton* <br />06/24/13 <br />11:52 <br />PAGE 1 <br />Safety-Kleen Systems, <br />Inc. <br />2600 NCentral Expy, Suite <br />400 <br />Richardson, TX 75000 <br />800-669-5740 <br />209-545-1011 <br />REFERENCENBR. <br />CUSTOMER# 10007042 MCNEILUS TRUCK <br />61013116 <br />3100 N Ad Art Rd <br />SRVC WEEK: <br />2013-26 <br />ATTN: RALPH CORTEZ <br />SRVC DATE: <br />06/24/13 <br />11:51 <br />Stockton CA 95215-2218 <br />PHONE 209-931-4292 <br />HILL TO CUSTOMER# BILL TO ADDRESS: <br />0010007042 MCNEILUS TRUCK <br />3100 N Ad Art Rd <br />ATTN: RALPH CORTEZ <br />Stockton CA 95215-2216 <br />PHONE 209-931-4282 <br />PURCHASE ORDER4 <br />TAX <br />EXEMPTION <br />NBR <br />PRODUCT/SERVICES <br />SERVICE/ <br />TOTAL <br />PRODUCT QTY UNIT <br />PRICE <br />TAX <br />CHARGE <br />3383 DRUM,55 GAL FOR O.F. 0.000 <br />0.0000 <br />0.00 <br />0.00 <br />SERVICE TERM 24 WEEK <br />CAUSE CODE Void -SERVICE NOT NEEDED <br />876190 SPECIFIC PROCESS METAL DR 0.000 <br />0.0000 <br />0.00 <br />0.00 <br />SERVICE TERM 24 WEEK <br />CAUSE CODE Void -SERVICE NOT NEEDED <br />63383 DR1JM,55 WASTE O.F. 0.000 <br />0.0000 <br />0.00 <br />O.UO <br />SERVICE TERM 24 WEEK <br />CAUSE CODE Void -SERVICE NOT NEEDED <br />7646 ABSORBENT, OIL AND LIQUID 4.000 <br />5.5000 <br />1.76 <br />23.76 <br />SERVICE TERM 24 WEEK <br />40604463/ <br />875060 ORGNC SLD FOR FUEL 55GL 1.000 <br />330.0000 <br />0.00 <br />330.00 <br />SERVICE TERM 24 WEEK <br />N CONTS: 1 TSDF: MANIFEST#: 003824087SES FORM CD: US SK <br />SHIP# 210578293 <br />CNT#: 130624320040 QTY: 300 WT/VOL P PROFILE: 040604463SKDOT <br />7168378 <br />8003369 DRUM, 55 GL BLACK STEEL O 1.003 <br />66.0000 <br />5.44 <br />73.44 <br />SERVICE TERM 24 WEEK <br />100001 FEE, FUEL SURCHARGE 1.000 <br />16.1200 <br />1.29 <br />17.41 <br />3230 TAX HANDLING N/C DRUM DROP 30 0.000 <br />0.0000 <br />0.00 <br />0.00 <br />........................................ <br />TCTAL SERVICE/PRODUCTS <br />419.6200 <br />0.49 <br />444.61 <br />TOTAL CHARGE <br />444.61 <br />CREDITS <br />0.00 <br />TOTAL DUE <br />--------------- <br />444.61 <br />UNPAID BALANCE THIS RECEIPT 444.61 <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 regulations of the <br />Department of Transportation and (ii} no material change has occurred <br />either in the characteristics of the waste/material or in the process <br />generatinq the waste/material. Customer agrees 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 following provision is applicable to Safety-Kleen's <br />parts cleaner and paint qun cleaner services: Customer agrees that it <br />will not introduce any substance into the solvent or aqueous cleaning <br />solution, including without limitation any hazardous waste or <br />hazardous waste constituent, except. to the 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-Kieen has the capacity <br />and is permitted to accept, store, and/or reclaim the spent parts <br />washer solvent; paint thinners, solvents and paints generated by <br />customer; or dry cleaning filter cartridges, powder, and still <br />residues containing perchloroethylene, petroleum naphtha, or <br />triflurotrichlorcethane 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 # 1-800-465-1760 (Safety-Kieen Contract # 941381 <br />60�_Ilfe. <br />CUSTOMER / GENERATOR: Ralph Cortez <br />Page 9 <br />0 <br />mECEIVEC9 <br />AUG 0 7 2015 <br />ENVIRONMENTAL. <br />t4FA!TP r)C04or�n�r�r <br />