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--- .. ...--- �-'- ' --- - ---- ....HALOGEE TERN 29 WEEK HALOGEN /CLORTEST RESULT PASS: PPM < 1000 -------------- ------------ -------------- _ TOTAL SERVICE 15 0.0000 0.00 0.00 TOTAL CHARGE 0.00 CREDITS 0.00 TOTAL DUE 0.00 UNPAID BALANCE THIS RECEIPT 0.00 If high risk source, SK rep. certifies that load specific PCB K Silicon testing have been completed prior to pumping this load. GENERATOR STATUS CESOG: Vehicle Customer certifies that (i) the above-maxed materials are properly classified, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the Oepsrtmmment of transpoation and (ii) nv material charge has occurred either is trt he characteristics of the waste/naterial or in the process generating the waste/nvterial. Customer agrees to pay the above charges and to be bound by the term and conditions (1) at 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 a--y � �`i account for this transaction. ement is certifies that the individual R,_'$7■ Y�dF signing this Service sactioledyCusto Customer duly authorized he sign and F. bind Customer. The following provision is applicable to Safety-Kleem'a parts cleaner mid paint gun cleaner services: Custmar agrees that it will not introduce anq substance into the solvent or aqueous cleaning Jar! o zos solution, including without lin Italian any hazardous waste or hazardous ..to constituent, except to the extent such introduction is incidental to the normnal use of the machine. Castwsr further agrees y that it will not clean parts/paint gum that ha vv heen contaminated Cf- r )h�'+f�NT�I with or otherwise introduce polychlorinated biphenyls PCB's), 1-V1i V herbicides, pesticides, dioxins or listed hazardous waste into the _❑nITe,A nC99OTO ACI,1Tsolvent or aqueous cleaning solution. Safety-Kleen has the capacity and is Permitted to accept, store, and/or reclaim the spent parts washer solvent; paint thimmrs, sal vents and paints generated by customer; or dry cleaning filter cartridges, powder, and still residues containing perchl oroethylene, petroleum naphtha, or triflmwtrichlvrue[hme dry cleaning solvents. Customer agrees that it is responsible for properly classifying its waste itremm; 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 ran-confosndng substance into the SK Property. including, without limitation, any hazardous waste or hazardous waste cons tit...t,(i.e., polychlorinated biphenyls C'P(ei'), herbicides, pesticides, dioxins, or listed hazardous wastes) except to the extent such introduction is incidental to the normal use of the SK Property. In the event of the introduction of such nen-conforming hazardous waste, Customor agrees that it will be responsible For all costs and remediation expenses related to or arising Train the proper manaymment anddisposal of the nmrvconfonning waste, including the cost of equipment decautanination end subsequent disposal. Final invoicing will be based an the actual s rvices provided, which may include additional charges for off specification waste and surcharges. Final invoice o:munt ,ay be more than the omaunt listed on the printed receipt. If any legal action is commenced because of an alleged dispute, breach, default ar misrepresentation, the Customer also my roes that the prevailing party will be entitled to recover reasonable attorney's fees and costs associated with the nen-conforming contamination event. Safety-gleen's failure to screen Customer'snaterial or take a retain sm:ryle, in na we constitutes a waiver of Cuslo,ar's obligation to properly classify its materials. Safety-Kleen relies on Customer's representations and Custemmer is responsible for informing Safety-Kleen of any process changes that nay alter the characteristics of the materials provided. IN THE EVENT OF AN EMERGENCY CALL **29-NR NUMBER** 1-800-468-1760 (Safety-Kleen) I have establ-ished a program to reduce the volume or quantity and toxicity of the hazardous wart. to the degree to be economically practicable. SIUnaLLue CUSTUM ER / 6ENf.RAMM: Diesel Direct West Inc Leu yang Slgnatwe ----_—_-- TRANSPORTER: Joseph R Lima Tr