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t � <br /> AGENT SPECIAL WASTEveRVICE AGREEMENT <br /> REPUBLIC NON-HAZARDOUS WASTES <br /> SERVICES <br /> Special Waste Profile Number: 420414155684 <br /> September 11,2014 <br /> Agent Billing Information Forward Landfill <br /> Name: Jim Thorpe Oil Inc. 9999 S.Austin Road <br /> Address: Post Office Box 357 Manteca,CA 95336 <br /> City: Lodi 800-2044242 <br /> State: CA Zip: 95241 <br /> Phone: 209-329-5481 Fax: (209)368-1851 <br /> Contact: Jim Thorpe <br /> County and State <br /> Project: Steve Valentine-2315 N.EI Dorado St. of Origin: <br /> Generator Address: 201 Marc Avenue, Stockton,CA 95207 <br /> Additional Information: <br /> 1. Special Waste Service. Subject to the terms and conditions contained herein,the Company and the Agent agree to be legally bound <br /> hereby and the Company agrees to accept at its Facility,Acceptable Waste(hereinafter referred to as"Special Waste"or'Waste') <br /> delivered by Agent,and which is acceptable to the Company as herein provided. <br /> 2. Acceptable Waw. Only those Special Wastes described in Paragraph 3 herein and in any Special Waste Profile(s)which number is <br /> identical to the contract number referenced above,and which Profile(s)are hereby Incorporated by reference herein,and which Waste is <br /> subsequently approved by the Company and is otherwise in accordance with all laws,regulations and permits,shall be acceptable for <br /> disposal at the Facility("Acceptable Waste'). <br /> 3. (A) Rates for Disposal: <br /> Waste Disposal Method Disposal Rate: Fees/Taxes/Misc. Transportation <br /> Fees apply see <br /> Soil LANDFILL '$30.00 per ton below N/A <br /> $65.00 per drum <br /> $2.16 per ton County Fee.$300.00 minimum per load"Fuel Recovery Fee 8.92%calculated on the disposal cost <br /> Additional Information: _(fluctuates monthly)and the Environmental Fee of <br /> $1.3.00/per load. Rate is subject to annual price Increase effective 1 year from the approval date Profile Expires"'09/05/2015'" <br /> Agent shall also be liable for all taxes,fees,or other charges imposed by federal,state,local or provincial laws and regulations. <br /> Cannot Exceed Daily Volume of Waived Without Prior Approval of Company. <br /> (B) Incorporation by Reference. In addition to Special Waste Profile(s),the following documents are incorporated by reference into <br /> this Agreement as if fully set forth herein. <br /> 1)Terms and Conditions of Agent Special Waste Service Agreement Doc <br /> 2) <br /> 4. Term of Agreement. This Agreement is effective for 12 months,commencing 09/11/14 and shall automatically be renewed for a <br /> similar term thereafter unless either party shall give written notice(via certified mail)of termination to the other party at least thirty(30) <br /> days prior written notice. <br /> THE COMPANY AND THE AGENT,IN CONSIDERATION OF THE MUTUAL OBLIGATIONS CONTAINED HEREIN,AGREE THAT THIS <br /> IS A LEGALLY BINDING AGREEMENT WHICH IS SUBJECT TO THE TERMS AND CONDITIONS SET FORTH ON THIS PAGE AND <br /> ON THE REVERSE SIDE OF THIS DOCUMENT. IN ADDITION,THE GENERATOR IS CERTIFYING THE ATTACHED TERMS AND <br /> CONDITIO SHAVE BEEN REVIEWED AND INITIALLED AT THE BOTTOM OF THE PAGE. <br /> AGEN REP LICERVICES INC/COMPANY <br /> SIG 1 E(A T O IZ RE E NTATIVE) STGNATURE(AUTHORIZED REPRESENTATIVE) <br /> Susan Allala,Special Waste Sales Representative <br /> (NAmAqD TITL (PLEASE PRINT) <br /> Date Date <br />