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BRANCH 7142 CSG 24 41id Buxton 04/17/12 11:32 PAGE 1 Safety-Kleen Systems, Inc. 5360 Legacy Drive. Building 2, Suite 100 Plano, Texas 75024 800-669-5740 209-545-1011 CUSTOMER* 31419% ACME SAW REFERENCE NSR, 214 N Sacramento S[ 57719955 Lodi CA 95290-2132 SRVC MEEK: 2012-16 SRVC DATE: 04/17/12 11:32 BILL TO CUSTOMER, PHONE SILL 10 ADDRESS:209-334-38% 0002743822 ACHE SAM INDUSTRIAL SUPPLY 1204 E Main St PURCHASE ORDFRI Stockton CA 95205-5514 TAX E%EMP'RON NSR PRODUCT/SERVICESSERVICE/ PRODUCT QTY UNIT PRICETOTAL TAX CHARCE 9483] MODEL 94 W/2397 & 6317 1.000 175.7000 13.62 189.32 5/N 6012073 1A 000012bPSK06O12073 CLEAN 4.00 WENT O.ODD SERVICE TERM 8 WEEK SCANNED YES 100001 FEE, FUEL SURCHARGE 1.900 17.1100 1.33 18.44 ------ TOTAL SERVICE/PROOUCTS 11----.14.95._--_.-__- 192.SI00 14.95 201.76 TOTAL CHARGE 207.76 CREDITS 0.00 --------------- TOTAL DUE 207.76 UNPAID BALANCE THIS RECEIPT 207.76 1515___- Machine clean and good condition? Yes Lasemp Assembly Condition Yes EC VE�/ �p�y/}J Decals place and legible? Yes Fusible link installed. Yes Emergency closing of lid unobstructed? Yes Machine properly grounded? Yes Local Phone No. Sticker Affixed to Machine Yes JUN 2 4 2 015 Spent solvent .nets acceptance criteria? Yes ENVIRONMENTAL GENERATOR STATUS 14Ca1Tu 1\C050T11ACKIT 0-220 lbs/month ' Custa,mr certifies that (i) the above-naircJ materiels ere properly classified, Packwood, marked and labeled, end arc in Proper cuuJ it Ten for trarsportatiuu according to the applicable reyulai ions of the Dever buent of Transpertat Tun mW (ii) u. material change Ira, -,cu,-,ed either in the cLarec to rizl ics of the vmste/na ler Tal or ill the yroccs general my the was te/nw ter i.7. Custonrcr agrees to pay the above charges and to be bound by the terns and conditions (1) set forth in (a) the General Tern, and Condit;.,,, provided separately to fust on¢r or (b) any SK agreement signed by Customer and SK, and C2) incorporated herein by reference. Unless othtvwise indicated in till, payment received section. SK is au[LorizeJ to charge Curtanar's account for this tran,activn. Customer certifies that the inJ ividuel sig my this Service Aek...IrJga;unt is duly au[LorizeJ to sig,, and bind Customer. The fol l owi rig provision is applicable to Safety-Klwen's Parts cleaner and Paint oil. I...,r str.ic : Custl, onrr agre c that it will not introduce any substance intothes.Iv .t o apiw... d can Tay solution, including without limitat ion any hazardous caste or hazardous waste constituent, except to the extent such introduction is incidentalhaitwill to the lencia p use of the umchine. Customer further agrees what it will not clean parts/of Puns that have baa; wntanindtwd with or athero Tse introduce polychlorinated biphenyls (PCB's), herbicides, Pesticides, dioxins or listed hazerdans waste into the solvent or aqueous cleaning solution. Safety-Klee. has the capacity wnd is p-,:;ittr,i to .-ft,t, stere, zna/ur rcclafa the spent parts usher solvent Paint thinners, solvents and Paints generated by custonar; or dry cleaning filter cartridges, powder, and still residues containing perchloroethylene, petroleum .aphtha, or - triflurotrichloroethane dry clean in4 solvents. Safety-K7een and customer agree that thi, Urrwoat is untended to satisfy the requiraments of 40 CFR 262.20(e). IN THE EVENT OF AN EMERGENCY CALL 24 3K2 EMERGENCY 8 1-800-468-1760 (Safety-K7een Contract 0 94138) I have established It program to reduce the volume or quantity and toxicity of the hazardous waste to the degree to be econanicaily practicable. CUSTOMER / GENERATOR: Kenny Smith