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TANCH 718501 CSG 24 BLACK,DAAMON/10105 14:16 PAGE 1 <br />Safety-Kleen <br />5400 Legacy Dr. <br />Cluster II, Building 3 <br />Plano, Texas 75024 <br />209-545-1011 REFERENCE NBR <br />USTOMER# 2906934 BOBS GERMAN AUTO REPAIR 0029637247 <br />ERVICE TAX: 0.08000 2230 N WILSON WAY SRVC WEEK: 05-32 <br />OMS TAX: 0.00000 SRVC ATE: 08/10105 14:04 RODUCT TAX: 0.08000 STOCKTON CA 95205 <br />HONE 209-465-2521 <br />URCHASE ORDER# TAX EXEMPTION NBR: <br />JSEPA TRANSPORTER 1 TXR000050930 GENERATOR USEPA GENERATOR STATE CALOOD271456 <br />JSEPA TRANSPORTER 2 <br />IANIFEST DOC # 24264299 FORM CODE 1D <br />JS 001 OESCRIPIION (INCLUDING PHUPER SHIPPING NAME, HAZARD CLASS, AND ID <br />1SED CLEANING COMPOUNDS, N.O.I.B.N. <br />_IQUID (NOT USOOT OR USEPA REGULATED) <br />kQUEOUS PARTS WASHER SOLUTION (8.3#GAL) <br />TOTAL CONT 1 OTY 18 <br />CONTAINER#P5 805002572E DM E QTY 18 WASTE ICODE ICAE134 SKDOT 941 <br />JESIGNATED FACILITY NAMEIADORESS: <br />SAFETY-KLEEN SYSTEMS, INC.. <br />5050 SALIDA BLVD <br />SALIDA CA 95368 <br />JSEPA 10 NO CAT000613968 TOTAL CHARGE <br />STATE ID NO CAT000613968 WASTE MIN <br />TOTAL DUE <br />AMOUNT PAID CHECK 198 236.29 <br />UNPAID BALANCE 1HIS RECEIPT 0.00 <br />Machine clean and good condition? Yes <br />Decals in place and legible? Yes <br />Fusible link installed? Yes <br />Emergency closing of lid unobstructed? Yes <br />Machine properly grounded? Yes <br />Spent solvent meets acceptance criteria? Yes <br />Prop 65 warning (Calf. only)? Yes <br />GENERATOR STATUS 0 - 220 Ibslmonth <br />UIIM 111 11UJV1 - L, 01_Y. , UMMI'IUI\ I U I J IIUJ I I:4( rMUL I <br />*fety-Kleen <br />5400 Legacy Dr. <br />Cluster II, Building 3 <br />Plano, Texas 75024 <br />209-545-1011 <br />REFERENCE NOR <br />CUSTOMER# 298934 BOBS GERMAN AUTO REPAIR 0030272818 <br />SERVICE TAX: 0.06000 2230 N WILSON WAY SRVC WEEK: 05-44 <br />CONS TAX: 0.00000 SRVC DATE: 10131105 11:36 <br />PRODUCT TAX: 0.08000 STOCKTON CA 95205 <br />PHONE 209-465-2521 <br />PURCHASE ORDER# TAX EXEMPTION NBR: <br />PRODUCT/SERVICES <br />SERVICE/ TOTAL <br />PRODUCT QTY UNIT PRICE TAX CHARGE <br />SERIAL# <br />100009 FUEL FEE SURCHARGE 0 0.0000 0.00 0.00 <br />94630 MODEL 94 W/2370/6317 1 233.0900 18.65 251.74 <br />94016361 CLEAN 2 SPENT 0 <br />SERVICE TERM 12 <br />----------------------------------------- <br />TOTAL SERVICE/PRODUCTS 233.0900 18.65 251.74 <br />USEPA TRANSPORTER 1 TXR000050930 GENERATOR USEPA CAL000271458 <br />USEPA TRANSPORTER 2 GENERATOR STATE <br />MANIFEST DOC # 24361086 FORM CODE 1D <br />US 001 DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID <br />USED CLEANING COMPOUNDS, N.D.I.B.N. <br />LIQUID (NOT USDOT OR USEPA REGULATED) <br />AQUEOUS PARTS WASHER SOLUTION (8.3#GAL) <br />TOTAL CONT 1 TYPE DM TTL QTY 17 UNIT WT/VOL G SKOOT 941 <br />CONTAINER# 51008076041 QTY 17 WASTE CODE CA 134 <br />DESIGNATED FACILITY NAME/ADDRESS: <br />SAFETY-KLEEN SYSTEMS, INC. <br />5050 SALIDA BLVD <br />SALIDA CA 95368 <br />USEPA ID NO CAT000613968 TOTAL CHARGE 251.74 <br />236.29 STATE ID NO CAT000613968 WASTE MIN 0.00 <br />0.00 ------------ <br />------------- TOTAL DUE 251.74 <br />236.29 ------ ---- <br />__- ----- -- AMOUNT PAID CHECK 2167 251.74 <br />UNPAID BALANCE THIS RECEIPT 0.00 <br />The generator has established a program to reduce the voIurre or <br />quantity and toxicity of the hazardous waste to the degree, as determined <br />by the generator, to be economically practicable. <br />Customer certifies that (i) the above-named icaterials are properly <br />classified, packaged, marked and labeled, and are in proper condition <br />for transportation according to the applicable regulations of the <br />Deparbrent of Transportation and (ii) no material change has occurred <br />either in the characteristics of the waste materials or in the process <br />generating the waste materials. Customer agrees to pay the above <br />charges and to be bound by the terns and conditions (1) set forth in (a) <br />the General Terms and Conditions provided separately to Customer or <br />(b) any SK agreement signed by Customer and SK, and (2) incorporated <br />herein by reference. Unless otherwise indicated in the payment <br />received section, SK is authorized to charge Customer's account for this <br />transaction. Customer certifies that the individual signing this Service <br />Acknowledgement is duly authorized to sign and bind Customer. <br />The following provision is applicable to Safety-Kleen's parts cleaner and <br />paint gun cleaner services: Customer agrees that it will not introduce any <br />substance into the solvent or aqueous cleaning solution, including without <br />limitation anyhazardous waste or hazardous waste constituent, except <br />to the extent such introduction is incidental to the normal use of the <br />machine. Customer further agrees that it will not clean parlslpaint guns <br />that have been contaminated with or otherwise intruduce polychlorinated <br />biphenyls (PCB's), herbicides, pesticides, dioxins or listed hazardous <br />waste into the solvent or aqueous cleaning solution. <br />IN THE EVENT OF AN EMERGENCY CALL 1-800-468-1760 (24 hours) <br />Machine clean and good condition? Yes <br />Decals in place and legible? Yes <br />Fusible link installed? Yes <br />Emergency closing of lid unobstructed? Yes <br />Machine properly grounded? Yes <br />Spent solvent meets acceptance criteria? Yes <br />Prop 65 warning (Calf. only)? Yes <br />GENERATOR STATUS 0 - 220 lbs/month <br />The generator has established a program to reduce the volume or <br />quantity and toxicity of the hazardous waste to the degree, as determined <br />by the generator, to be economically practicable. <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 materials or in the process <br />generating the waste materials. Customer agrees to pay the above <br />charges and to be bound by the terms and conditions (1) set forth in (a) <br />the General Terms and Conditions provided separately to Customer or <br />(b) any SK agreement signed by Customer and SK, and (2) incorporated <br />herein by reference. Unless otherwise indicated in the payment <br />received section, SK is authorized to charge Customer's account for this <br />transaction. Customer certifies that the individual signing this Service <br />Acknowledgement is duly authorized to sign and bind Customer. <br />The following provision is applicable to Safety-Kleen's parts cleaner and <br />paint gun cleaner services: Customer agrees that it will not introduce any <br />substance into the solvent or aqueous cleaning solution, including without <br />limitation any hazardous waste or hazardous waste constituent, except <br />to the extent such introduction is incidental to the normal use of the <br />machine. Customer further agrees that it will not clean parts/paint guns <br />that have been contaminated with or otherwise introduce polychlorinated <br />biphenyls (PCB's), herbicides, pesticides, dioxins or listed hazardous <br />waste into the solvent or aqueous cleaning solution. <br />IN THE EVENT OF AN EMERGENCY CALL 1-800-468-1760 (24 hours) <br />PRODUCT/SERVICES <br />SERVICE/ <br />PRODUCT <br />QTY UNIT PRICE <br />TAX <br />TOTAL <br />CHARGE <br />SERIAL# <br />100009 <br />FUEL FEE SURCHARGE 1 8.1500 <br />0.00 <br />8.15 <br />94830 <br />MODEL 94 W12370/6317 1 211.2400 <br />16.90 <br />228.14 <br />14016361 <br />CLEAN 2 SPENT 0 <br />SERVICE TERM 12 <br />TOTAL SERVICEIPROOUCTS 219.3900 <br />16.90 <br />236.29 <br />JSEPA TRANSPORTER 1 TXR000050930 GENERATOR USEPA GENERATOR STATE CALOOD271456 <br />JSEPA TRANSPORTER 2 <br />IANIFEST DOC # 24264299 FORM CODE 1D <br />JS 001 OESCRIPIION (INCLUDING PHUPER SHIPPING NAME, HAZARD CLASS, AND ID <br />1SED CLEANING COMPOUNDS, N.O.I.B.N. <br />_IQUID (NOT USOOT OR USEPA REGULATED) <br />kQUEOUS PARTS WASHER SOLUTION (8.3#GAL) <br />TOTAL CONT 1 OTY 18 <br />CONTAINER#P5 805002572E DM E QTY 18 WASTE ICODE ICAE134 SKDOT 941 <br />JESIGNATED FACILITY NAMEIADORESS: <br />SAFETY-KLEEN SYSTEMS, INC.. <br />5050 SALIDA BLVD <br />SALIDA CA 95368 <br />JSEPA 10 NO CAT000613968 TOTAL CHARGE <br />STATE ID NO CAT000613968 WASTE MIN <br />TOTAL DUE <br />AMOUNT PAID CHECK 198 236.29 <br />UNPAID BALANCE 1HIS RECEIPT 0.00 <br />Machine clean and good condition? Yes <br />Decals in place and legible? Yes <br />Fusible link installed? Yes <br />Emergency closing of lid unobstructed? Yes <br />Machine properly grounded? Yes <br />Spent solvent meets acceptance criteria? Yes <br />Prop 65 warning (Calf. only)? Yes <br />GENERATOR STATUS 0 - 220 Ibslmonth <br />UIIM 111 11UJV1 - L, 01_Y. , UMMI'IUI\ I U I J IIUJ I I:4( rMUL I <br />*fety-Kleen <br />5400 Legacy Dr. <br />Cluster II, Building 3 <br />Plano, Texas 75024 <br />209-545-1011 <br />REFERENCE NOR <br />CUSTOMER# 298934 BOBS GERMAN AUTO REPAIR 0030272818 <br />SERVICE TAX: 0.06000 2230 N WILSON WAY SRVC WEEK: 05-44 <br />CONS TAX: 0.00000 SRVC DATE: 10131105 11:36 <br />PRODUCT TAX: 0.08000 STOCKTON CA 95205 <br />PHONE 209-465-2521 <br />PURCHASE ORDER# TAX EXEMPTION NBR: <br />PRODUCT/SERVICES <br />SERVICE/ TOTAL <br />PRODUCT QTY UNIT PRICE TAX CHARGE <br />SERIAL# <br />100009 FUEL FEE SURCHARGE 0 0.0000 0.00 0.00 <br />94630 MODEL 94 W/2370/6317 1 233.0900 18.65 251.74 <br />94016361 CLEAN 2 SPENT 0 <br />SERVICE TERM 12 <br />----------------------------------------- <br />TOTAL SERVICE/PRODUCTS 233.0900 18.65 251.74 <br />USEPA TRANSPORTER 1 TXR000050930 GENERATOR USEPA CAL000271458 <br />USEPA TRANSPORTER 2 GENERATOR STATE <br />MANIFEST DOC # 24361086 FORM CODE 1D <br />US 001 DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND ID <br />USED CLEANING COMPOUNDS, N.D.I.B.N. <br />LIQUID (NOT USDOT OR USEPA REGULATED) <br />AQUEOUS PARTS WASHER SOLUTION (8.3#GAL) <br />TOTAL CONT 1 TYPE DM TTL QTY 17 UNIT WT/VOL G SKOOT 941 <br />CONTAINER# 51008076041 QTY 17 WASTE CODE CA 134 <br />DESIGNATED FACILITY NAME/ADDRESS: <br />SAFETY-KLEEN SYSTEMS, INC. <br />5050 SALIDA BLVD <br />SALIDA CA 95368 <br />USEPA ID NO CAT000613968 TOTAL CHARGE 251.74 <br />236.29 STATE ID NO CAT000613968 WASTE MIN 0.00 <br />0.00 ------------ <br />------------- TOTAL DUE 251.74 <br />236.29 ------ ---- <br />__- ----- -- AMOUNT PAID CHECK 2167 251.74 <br />UNPAID BALANCE THIS RECEIPT 0.00 <br />The generator has established a program to reduce the voIurre or <br />quantity and toxicity of the hazardous waste to the degree, as determined <br />by the generator, to be economically practicable. <br />Customer certifies that (i) the above-named icaterials are properly <br />classified, packaged, marked and labeled, and are in proper condition <br />for transportation according to the applicable regulations of the <br />Deparbrent of Transportation and (ii) no material change has occurred <br />either in the characteristics of the waste materials or in the process <br />generating the waste materials. Customer agrees to pay the above <br />charges and to be bound by the terns and conditions (1) set forth in (a) <br />the General Terms and Conditions provided separately to Customer or <br />(b) any SK agreement signed by Customer and SK, and (2) incorporated <br />herein by reference. Unless otherwise indicated in the payment <br />received section, SK is authorized to charge Customer's account for this <br />transaction. Customer certifies that the individual signing this Service <br />Acknowledgement is duly authorized to sign and bind Customer. <br />The following provision is applicable to Safety-Kleen's parts cleaner and <br />paint gun cleaner services: Customer agrees that it will not introduce any <br />substance into the solvent or aqueous cleaning solution, including without <br />limitation anyhazardous waste or hazardous waste constituent, except <br />to the extent such introduction is incidental to the normal use of the <br />machine. Customer further agrees that it will not clean parlslpaint guns <br />that have been contaminated with or otherwise intruduce polychlorinated <br />biphenyls (PCB's), herbicides, pesticides, dioxins or listed hazardous <br />waste into the solvent or aqueous cleaning solution. <br />IN THE EVENT OF AN EMERGENCY CALL 1-800-468-1760 (24 hours) <br />Machine clean and good condition? Yes <br />Decals in place and legible? Yes <br />Fusible link installed? Yes <br />Emergency closing of lid unobstructed? Yes <br />Machine properly grounded? Yes <br />Spent solvent meets acceptance criteria? Yes <br />Prop 65 warning (Calf. only)? Yes <br />GENERATOR STATUS 0 - 220 lbs/month <br />The generator has established a program to reduce the volume or <br />quantity and toxicity of the hazardous waste to the degree, as determined <br />by the generator, to be economically practicable. <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 materials or in the process <br />generating the waste materials. Customer agrees to pay the above <br />charges and to be bound by the terms and conditions (1) set forth in (a) <br />the General Terms and Conditions provided separately to Customer or <br />(b) any SK agreement signed by Customer and SK, and (2) incorporated <br />herein by reference. Unless otherwise indicated in the payment <br />received section, SK is authorized to charge Customer's account for this <br />transaction. Customer certifies that the individual signing this Service <br />Acknowledgement is duly authorized to sign and bind Customer. <br />The following provision is applicable to Safety-Kleen's parts cleaner and <br />paint gun cleaner services: Customer agrees that it will not introduce any <br />substance into the solvent or aqueous cleaning solution, including without <br />limitation any hazardous waste or hazardous waste constituent, except <br />to the extent such introduction is incidental to the normal use of the <br />machine. Customer further agrees that it will not clean parts/paint guns <br />that have been contaminated with or otherwise introduce polychlorinated <br />biphenyls (PCB's), herbicides, pesticides, dioxins or listed hazardous <br />waste into the solvent or aqueous cleaning solution. <br />IN THE EVENT OF AN EMERGENCY CALL 1-800-468-1760 (24 hours) <br />