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 />
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