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i CSG SK-SSL-BOX-23 Raymond GOTT1ez 10/08/18 14:05 PAGE 1 Safety-Kleen Systems , Inc . 2600 N Central Expy, Suite 200 Richardson, TX 75080 �� ® CORPORATE: 800-1760 40 Z4 HR EMERGENCY: 800-468-1760 (Safety-Kleen) 2095451011 y REFERENCE NOR. O C T 1 g 2018 CUSTDMER# 5027286 Southbay Auto Auction 78163610 4101 S Airport Way SRVC WEEK: 2018-41 Stockton CA 95206-3909 SRVC DATE: 10/08/18 PHONE 209-263-1706 BILL To CUSTOMER# BILL TO ADDRESS: ENVIRONMENTAL 5027286 Southbay Auto Auction t Way HEALTH DEPARTMENT StocktonnlrCAr95206-3909 • PHONE 209-263-1706 PURCHASE ORDER# TAX EXEMPT# PRODUCT/SERVICES SERVICE/ TOTAL PRODUCT QTY UNIT PRICE TAX CHARGE 53835 COMS MDL 53 AQ/6365 5% 1.000 250.0000 0.00 250.00 5/N 98765 CLEAN 1.50 SPENT 0.000 SERVICE, TERM 24 WEEK Placement 3383 DRUM,55 GAL FOR O.F. 2.000 10.0000 0.00 20.00 SERVICE TERM 12 WEEK 83383 DRUM,55 WASTE O.F. 1.000 80.0000 0.00 80.00 SERVICE TERM 12 WEEK 100030 RECOVERY FEE 1.000 31.5000 0.00 31.50 3230 TAX HANDLING N/C DRUM DROP 30 2.000 0.0000 0.00 0.00 10023 FEE,DEL/SU 51/2 COMS 1.000 0.0000 0.00 0.00 PROMO NBR: 1 10024 FEE,DEL/SU 53/4 COMS 1.000 0.0000 0.00 0.00 PROMO NRR: 1 TOTAL SERVICE/PRODUCTS 371.5000 0.00 381.50 TOTAL CHARGE 381.50 CREDITS 0.00 --------------- TOTAL DUE 381.50 UNPAID BALANCE THIS RECEIPT 381.50 Machine clean and good condition? Yes Lamp Assembly Condition Yes Decals in 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 Spent solvent meets acceptance criteria? Yes GENERATOR STATUS 0-220 lbs/month Customer certifies that (i) the above-named materials are properly classified, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the Department of Transportation (ii) no material change has occurred either in the characteristics of the waste/material or in the process generating the waste/material, and (iii) the above referenced Generator Status is correct. Customer agrees to pay the above charges and to he bound by the terms and conditions (1) set forth in (a) the General Terms and Conditions provided separately to Customer or (b) any SK agreement signed by Customer and SK, and (2) incorporated herein by reference. Unless otherwise indicated in the payment received section, SK is authorized to charge Customer's account for this transaction. If Customer fails to make payment when due, an amount equal to the lesser of (i) 1.5% per month (18% per annun) or (ii) the maximum amount allowed by law, will be added to all unpaid amounts outstanding. Customer certifies that the individual signing this Service Acknowledgement is duly authorized to sign and bind Customer. Customer acknowledges that it is responsihie for maintaining its Generator Status and obtaining an EPA ID number if required by applicable law. The following provision is applicable to Safety-Kleen's parts cleaner and paint gun cleaner services: Customer agrees that it will not introduce any substance into the solvent or aqueous cleaning solution, including without limitation any hazardous waste or hazardous waste constituent, except to the extent such introduction is incidental to thenormal use of the machine. Customer further agrees that it will not clean parts/paint puns that have been contaminated with or otherwise introduce polychlorinated biphenyls CPCB's), herbicides, pesticides, dioxins or listed hazardous waste into the solvent or aqueous cleaning solution. Safety-Kleen has the capacity and is permitted to accept, store, and/or reclaim the spent parts washer solvent; paint thinners, solvents and paints generated by customer; or dry cleaning filter cartridges, powder, and still residues containing perchloroethylene, petroleum naphtha, or triflurotrichloroethane dry cleaning solvents. Customer agrees that it is responsible for properly classifying its waste streams as Used Oil or Nonhazardous Waste in accordance with the provision of 40 CFR 262.11 and applicable state laws. Customer agrees that it will not introduce any non-conforming substance into the SK Property, including, without limitation, any hazardous waste or hazardous waste constituent,(i.e., polychlorinated biphenyls ("PCBs"), herbicides` `