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• <br />BRANCH SSL CSG 60 Joseph Lima Or 04/04/14 15:46 PAGE 1 <br />Safety-Kleen Systems, Inc. <br />2600 N Central Expy, Suite 400 <br />Richardson, TX 75080 <br />CORPORATE: 800-669-5740 <br />24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br />2095451011 <br />REFERENCE NBR. <br />CUSTOMER# MC22499 Mcneilus Truck 63400500 <br />3100 N Ad Art Rd SRVC WEEK: 2014-14 <br />Attn: Ralph Cortez SRVC DATE: 04/04/14 15:44 <br />Stockton CA 95215-2216 <br />PHONE 209-931-4282 <br />BILL TO CUSTOMER# BILL TO ADDRESS: <br />MC22499 - Mcneilus Truck <br />310D N Ad Art Rd <br />Attn: Ralph Cortez <br />Stockton CA 95215--2218 <br />• PHONE 209-931-4282 <br />PURCHASE ORDER# <br />TAX'EXEMPT# <br />PRODUCT/SERVICES <br />SERVICE/ <br />TOTAL <br />PRODUCT QTY UNIT PRICE <br />TAX <br />CHARGE <br />66647 USED OIL NO CHARGE (NON P 200.000 0.0000 <br />0.0n <br />0.00 <br />SERVICE TERM 24 WEEK <br />HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br />100001 FEE, FUEL SURCHARGE 0.000 0.0000 <br />0.00 <br />0.00 <br />-----------'—`--------------------------- <br />TOTAL SERVICE/PRODUCTS 0.0000 <br />0.00 <br />0..00 <br />TOTAL CHARGE <br />0.00 <br />CREDITS <br />0.00 <br />TOTAL DUE <br />--------------- <br />0.00 <br />UNPAID BALANCE THIS RECEIPT 0.00 <br />If high risk source, SK rep. certifies that load specific PCB & <br />Silicon testing have been completed prior to pumping this load. <br />GENERATOR STATUS <br />CESQG: Vehicle <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 according 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 />generating 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 (21 <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 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 />Page 20 <br />RECEIVEU, <br />AUG o 7 2015 <br />ENVIRONMENTAI <br />+JCA'Tu r)Cr36S nXChIT <br />