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BRANCH 7142 CSG 24 David Buxt* 03/01/13 12:07 PAGE 1 <br />Safety-Kleen Systems, Inc. <br />2600 N Central Expy, Suite 400 <br />Richardson, TX 75080 <br />800-669-5740 <br />209-545-1011 <br />REFERENCE NBA. <br />CUSTOMERH 10007042 MCNEILUS TRUCK 60277792 <br />3100 N Ad Art Rd SRVC WEEK: 2013-9 <br />ATTN• RALPH CORTEZ SRVC DATE: 03/01/13 12:07 <br />Stockton CA 95215-2218 ' <br />PHONE 209-931-4262 <br />BILL TO CUSTOMER# HILL TO ADDRESS: <br />0010007042 MCNEILUS TRUCK <br />3100 N Ad Art Rd <br />ATTN: RALPH CORTEZ <br />Stockton CA 95215-2218 <br />PHONE 209-931-4282 <br />PURCHASE ORDER# <br />TAX EXEMPTION N9R <br />PRODUCT/SERVICES <br />SERVICE/ TOTAL <br />PRODUCT QTY UNIT PRICE TAX CHARGE <br />7646 ABSORBENT, OIL AND LIQUID 12.000 5.0000 4.80 64.80 <br />SERVICE TERM 24 WEEK <br />8003369 DRUM, 55 GL BLACK STEEL 0 1.000 68.0000 5.44 73.44 <br />SERVICE TERM 24 WEEK <br />----------------------------------------- <br />TOTAL SERVICE/PRODUCTS 73.0000 10.24 138.24 <br />TOTAL CHARGE 138.24 <br />CREDITS 0.00 <br />--------------- <br />TOTAL DUE-------138_24-- <br />UNPAID BALANCE THIS RECEIPT 138.24 <br />GENERATOR STATUS <br />0-220 lbs/month <br />Customer certifies that (i) the above-named materials are properlV <br />classified, packaged, marked and labeled, and are in proper condition <br />.for transportation according to the applicable regulations of the <br />Department of Transportation and (ii) no materia] change has occurred <br />either in the characteristics of the waste/material or in the process <br />generating 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 aqreement signed by Customer and SK, and (2y <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 />signinq this Service ACkn Dwledgement is duly authorized to sign and <br />bind Customer. The following provision is applicable to Safety-Kleen's <br />parts cleaner and paint gun 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 listedhazardous 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 and paints generated by <br />customer; or dry cleaning filter cartridges, powder, and still <br />residues containing perchlorcethylene, petroleum naphtha, or <br />triflurotrichloroethane dry cleaninq 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 # 1-800-468-1760 (Safety-Kleen Contract # 94138) <br />�o�rCZ <br />CUSTOMER / GENERATOR: Ralph Cortez <br />LAST PAGE <br />Page 24 <br />RECEIVE) <br />AUG 0 7 2015 <br />ENVIRONMENTAL. <br />11-1 F-ALT.H')FPARTM!:NT <br />