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CSG SK-SSL-OIL-01 Joseph R Lime lr 03/11/16 23:59 PAGE 1 <br /> Safety-Kleen Systems , Inc . R E C EI VL D <br /> 2600 N Central Espy. Suitt 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800.669-5710 MAR 2 1 2016 <br /> 26 HR Ey1ERGENCY: 800-168-1760 (Safety-Kletn) <br /> 2095651011 <br /> REFERENCE W. <br /> CUSlUlDRz 00100482 Coca Cola Refreshments Usa Inc 69749113 ENVIRONMENTAL <br /> 3667 E1 pins] Or SRVEK <br /> C ME : 2016-11 <br /> Stockton CA 95205-2672 SWC DAIS: 03/11/16 13:59 HEALTH DEPARTMENT <br /> PHONE 209-513-7017 <br /> BILL TO CUSTOMER# BILL TO ADDRESS: <br /> C098361 Coca Cola Rafr calumnts Us*Inc <br /> 1555 Old Bayshore Hwy <br /> San lose CA 95112-1303 <br /> PHONE 707-717.2071 <br /> PURCHASE OROERa TAX EXENPTI <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT On UNIT PRICE TAX CHARGE <br /> 10256 FEE, USED OIL STUD CHARGE 1000 215.0000 0.00 215.00 <br /> 66636 USED OIL NON-PREWAL SEMI 230.000 0.2900 0.00 66.70 <br /> SERVICE TERN 21 WEEK <br /> HALOGEN /CLOR-D-IECT TEST RESULT PASS: PPM . 20W <br /> _______________________ <br /> TOTAL SEWICEJIMOOICTS 215.2900 0.00 281.70 <br /> TOTAL CHARGE 281.70 <br /> CREDITS 0.00 <br /> TOTAL WE 293.70 <br /> UNPAID BALANCE THIS RECEIPT 281.70 <br /> If high risk source, rep. certifies that load specific PCB 6 Silicon <br /> testing have been c.,,I.t.d prior to pPaupir, this load. <br /> GENERATOR STATUS <br /> CESQG: Vehicle <br /> Custwier certifies that (i) the above-named materiels are properly <br /> classified, packaged, marked and labeled, and are in proper cvnditivn <br /> for transportation according to the applicable regulations of the <br /> Department of Transportation and (ii) no material change bas occurred <br /> either in the characteristics of the waste/material or in the process <br /> generating the casteJnaterial. Cast.,, agrees to pay the above <br /> Charge. and to be bound by the terms and cvnditivn. (1) set forth in <br /> (a) the General Teens and Conditions provided separately to Customer <br /> or 00 any SK agreement signed by Customer and Sk, and (2) <br /> incorporated herein by reference. Unless otherwise indicated in the <br /> payamnt received section. SK is authorized to charge Customer's <br /> account for this transaction. If Customer fails to make payment when <br /> due, en amount equal to the lesser of (i) 1.5% per month (18K per <br /> .enurd or (it) the maximum amount allowed by law, will be added to all <br /> unpaid amounts outstanding. Custo mr certifies that the individual <br /> signing this service Acknowledgement is duly authorized to sign and <br /> bind Custmuc. The following provision is applicable to Safety-Kleen's <br /> parts c1taner and point gun cleaner services: Custm,er agrees that it <br /> ,:ill not Introduce any subst once into the solvent o aqueous elean+ny <br /> solution, including without limitation any hazardous waste or <br /> hazardous wash constituent, except t0 the extent such introduction is <br /> incidental to the normal use of the machine. Custaner further agrees <br /> that it will not clean ports/paint guns that have been con laainat.d <br /> with or otherwise introduce pal ychlorinated biphenyls GCB's). <br /> herbicide., pesticides, dioxins or listed hazardous waste lot. 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 /> e sidues containing perchloroethylenc. petroleum naphtha, or <br /> trifluratrichlaroethane dry cleaning solvents. Customer agrees that it <br /> is r cyan.ible for properly classifying its sante streams as Used Oil <br /> or Nonhazardous Nast. in accordance with the provision Of 10 CFR <br /> 262.11 and applicable state laws. Custonar agrees that it will not <br /> introduce any n n-conforming substance into the SK Property. <br /> including, without limitation, ant hazardous wash or hazardous waste <br /> const levee[.(i.e, palYehlorinated biphenyls ("PBi). herbicides, <br /> pesticides. dioa ins, or listed hazardous wastes) except to the extent <br /> such introduction is incidental to the normal use of the SK Property. <br /> In the a ant of the introduction of such n n-confveming hazardous <br /> w.ste. Customer agrees that it will be ...Poasible for all costs and <br /> remediation egroua related to or arising frau the propar iolne,enent <br /> sad disposal of the non-conforming waste. including the cost of <br /> ...ipvent deconlaoinsti.n and subsequent disposal. Final invoicing <br /> will be based on the actual Parolees provided, which may include <br /> additional charges for off specification waste and surcharges. Final <br /> invoice smunt muy be more than the amount listed an the printed <br /> receipt. If any legal action is canmenced b...... of an alleged <br /> dispute, breach, default ormisreprtsentation, the Customer also <br /> agrees that the prevailingpart5 ;ill be entitled to recover <br /> reasonable attorney's fees and costs associated with the <br /> non-conforming contamination event. Safety-Kleen's failure to ev reen <br />