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CSG SK-SSL-BOX-23 Raym&6d Gomez 04/20/19 09:48 PAGE Safety-Kleen Systems, Inc. 2600 N Central Expy, Suite 200 Richardson, TX 75080 CORPORATE: 800-669-5740 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) 2095451011 REFERENCENBR CUSTOMER# IC10836 JC Trucking Inc 79814127-190203543 1415 W. Anderson St. SRVC WEEK: 2019-1 Stockton CA 95206-0000 SRVC DATE: 04/20/1 PHONE 209-466-3282 BILL TO CUSTOMER# BILL TO ADDRESS: JCIO836 JC Trucking Inc 1415 W. Anderson St. Stockton CA 95206-0000 PHONE 209-466-3282 PURCHASE ORDER# TAX EXEMPT# PRODUCT/SERVICES SERVICE/ TOTAL PRODUCT QTY UNIT PRICE TAX CHARGE 1827981/ 870S34 LCCRB-ALKALINE MATERIAL F 1.000 0.0000 0.00 0.00 CAUSE CODE VaidHeaderAndLine -SERVICE NOT NEEDED 1827950/ 875004 FBI-LQD FOR FUEL 85GL 2.000 298.0000 0.00 596.00 #CONTS: 1 TSDF: Sl MANIFEST#: 007040375SKS FORM CD: US SHIP# 228243205 CNT#: 190419867661 QTY: 200 WT/VOL P PROF# 1827950 SKDOT 8600871 871600 AA22-METHYL ALCOHOL 55GL 5.000 154.0000 0.00 770.00 9 CONTS: 5 TSDF: AG MANIFEST#: 007040381SKS FORM CO: US SHIP# 22824322S CNT#: 190419867727 QTY: 150 WT/VOL P PROF# 1827957 SKDOT 8600896 CNT#: 190419867728 QTY: 150 WT/VOL P PROF# 1827957 SKDOT 8600896 CNT#: 190419867729 QTY: 150 WT/VOL P PROF# 1827957 SKDOT 8600896 CNT#: 190419867725 QTY: 150 WT/VOL P PROF# 1827957 SKDOT 8600896 CNT#: 190419867726 QTY: ISO WT/VOL P PROF# 1827957 SKDOT 8600896 1827981/ 870530 LCCRB SSGL ALKALINE MATER 2.000 700.0000 0.00 1400.00 # CONTS: 2 TSDF: AG MANIFEST#: 007040381SKS FORM CD; US SHIP# 228243225 CNT#: 190419867697 QTY: 150 WT/VOL P PROF# 1827981 SKDOT 8600912 CNT#: 190419867698 QTY: 150 WT/VOL P PROF# 1827981 SKDOT 8600912 1827981/ 870536 LCCRB CYB ALKALINE MATERI 1.000 3499.9800 0.00 3499.98 3637 BOX, 1 YARD 5 WALL CORRUG 1.000 162.0000 14.58 176.58 8500 DRUM 95 GL YELLOW POLY OV 3.000 313.0000 84.51 1023.51 SERVICE TERM 24 WEEK 100030 RECOVERY FEE 1.000 80.0000 7.20 87.20 100065 E-Manifest Fee 2.000 10.0000 0.00 20,00 ----------------------------------------- TOTAL SERVICE/PRODUCTS 5216.9800 106,29 7573.27 TOTAL CHARGE 7573.27 CREDITS 0.00 --------------- TOTAL DUE 7573.27 --------------- UNPAID BALANCE THIS RECEIPT 7573.27 GENERATOR STATUS 220-2200 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 be 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 annum) 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 responsible 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 the normal use of the machine. Customer further agrees that it will not clean parts/paint guns that have been contaminated with or otherwise introduce polychlorinated biphenyls Q+CB'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