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BRANCH 7142 CSG 24 David Buxton 03/21/13 13:23 PAGE 1 Safety-Kleen Systems, Inc. 2600 N Central Expy, Suite 400 Richardson, TX 75080 600-669-5740 209-545-1011 REFERENCE NBA. CUSTOMER# 10007042 MCNEILUS TRUCK 60438112 3100 N Ad Art Rd SRVC WEEK: 2013-12 ATTN: RALPH CORTEZ SRVC DATE: 03/21/13 13:22 Stockton CA 95215-2218 PHONE 209-931-4282 BILL TO CUSTOMER# BILL TO ADDRESS: 0010007042 MCNEILUS TRUCK 3100 N Ad Art Rd ATTN: RALPH CORTEZ Stockton CA 95215-2218 PHONE 209-931-4282 PURCHASE ORDER# TAX EXEMPTION NBR PRODUCT/SERVICES SERVICE/ TOTAL PRODUCT QTY UNIT PRICE TAX CHARGE 8003369 DRUM, 55 GL BLACK STEEL 0 1.000 60.0000 5.44 73.44 SERVICE TERM 24 WEEK 12400/ 876530 CAL UNIVERSAL AEROSOLS 1.000 385.0000 0.00 365.00 SERVICE TERM 24 WEEK # CONTS: 1 TSDF: 7221 MANIFEST#: 41268 FORM CD; BL SK SHIP# 209820657 CNT#: 130108973026 QTY: 125 WT/VOL P PROFILE: 012400 SKDOT 19038 40604463/ 875061 FUEL BLENDING SOLIDS >5,0 0.000 0.0000 0.00 0.00 SERVICE TERM 8 WEEK CHANGE TERM 24 WEEK CAUSE CODE Void -PRICING ERRORS H CONTS: I TSDF: 7401 MANIFESTH: 003773881SKS FORM CD: US SK SHIP# 209620664 CNT#: 130319949349 QTY: 150 WT/VOL P PROFILE: 040604463SKDOT 7056990 100001 FEE., FUEL SURCHARGE 1.000 17.1100 1.37 16.48 -----------`----------------------------- TOTAL SERVICE/PRODUCTS 470.1100 6.61 476.92 TOTAL CHARGE 476.92 CREDITS ------- -0_00 -- TOTAL DUE 476.92 UNPAID BALANCE THIS RECEIPT 476.92 GENERATOR STATUS 0-22C lbs/month Customer certifies that (i) the above-named materials are properly classified, packaged, marked and labeled, and are in proper condition fortransportation according to the applicable regulations of the Department of Transportation and (ii) no material change has occurred either in the characteristics of the waste/material or in the process generating the waste/material. Customer agrees to pay the above charges and to be bound by the terms and conditions I1) set forth in (a) the General Terms and Conditions provided separately to Customer or (b} any SK agreement signed by Customer 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. Customer certifies that the individual siqninq this Service Acknowledqement is duly authorized to siqn and bind Customer. The followinq 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, includinq without limitation any hazardous waste or hazardous waste constituent, except to the extent such introduction is incidental to the normal use of the machine. Customer further agrees that it will not clean parts/paint quns that have been contaminated with or otherwise introduce polychlorinated biphenyls (PCR'S), herbicides, pesticides, dioxins or listed hazardous waste into the solvent or aqueous cleaning solution. Safety-Kleen has 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 cleaninq filter cartridges, powder, and still residues containing perchloreethylene, petroleum naphtha, or triflurotrichlorcethane dry Cleaning solvents. Safety-Kleen and customer agree that this agreement is intended to satisfy the requirements cf 40 CFR 262.201e1. IN THE EVENT OF AN EMERGENCY CALL 24 HR EMERGENCY # 1-800-468-1760 (Safety-Kieen Contract P 94138) X CUSTOMER / GENERATOR: Ralph Cortez LAST PAGE Page 14 • RECEIVED AUG 0 7 2015 ENVIRONMENTAL. FAM4 r)!=0b PTI1,=4j-r