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Safety-Kleen Systems, 1 2600 N Central Expy. Suite 200 Richardson, TX 75090 CORPORATE: 600-569-5710 24 HR EMERGENCY: 600-468-1760 (Safety-Kleen) 2095151011 KI18372 Countrylia 1515NMain St Manteca CA 95336-3243 PHONE 199-999-9999 IEH# BILL TO ADDRESS: Kia Country 1515 N Main St Manteca CA 95336-3213 PHONE 999-999-9999 PRODUCT/SERVICES FEE, OIL SERVXCE/SlOP NON 1.1 SERVICE TEAM 1 WEER USED OIL RECYCLE AUl0y0Ti 270.1 SERVICE TEAM 1 WEER HALOGEN / CLOR-O-TER 'TEST RESULT PAGE I REFERENCE "N. 77138516 SRVC WEEK: 2018-21 SRVC OATS: 06/11/18 TAX EXEMPT# TOTAL TAX CHARGE 0.00 0.00 0.00 0.00 00 ------ ______________ 0.00 O.o0 ARGE 0.00 0.00 E-------------- If high risk source, rep. certifies that load specific P® 8 Silicon testing have bean completed prior to pulping this load. Customer certifies that (i) the above-Onmed,materials are properly classified, packaged, marked and labeled, and ora in proper condition for trsnsportatian according to the applicable regulations of the 0epartment of Transportation (ii) no material change has occurred either in the characteristics of the paste/material or in the process generating the waste/material, and (iii) the above referenced Generator Status is correct. Customer a,rees to pay the above charges and to be bound by the term and condittom Cl) set forth in (a) the General Tarns and Conditions provided separately to Customer or (b) any SK agreement signed by Customer and SK, and Q) incorporated herein by reference. Unless otherwise indicated in the payment received section, SR is authorized to charge Castomer's account for this transaction. If Customer fails to make payment when due, an amount equal to the lesser of (1) 1.58 per month (585 per annum) or (ii) the maximum amount allowed by law, will be added to all unpaid apo®es 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 In .be, if required by applicable law. The following provision is applicable to Safety-Kleew•s parts cleaner and paint pun 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 in incidental to the normal use of the machine. Customer further sprees that it will not clean parts/print guns that have been cont.inated with or otherwise introduce polychlerinatad biphenyls Oncgi herbicides, pesticides, dioxins or listed hazardous waste into the solvent or aqueous cl can inn solution. Safety-Kl tea has the capacity and is permitted to accept, store, and/or reclaim the spent parts -h- aelv<nt; r+int thinners, s lwsnts 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 atPwmo an Used Oil or Nonhazardous Wast, in amordanct with the provision of 10 CFR 162.11 and applicable •r 1-11 Customer agrees that it will not Introduce my man -can including, without li ace into the SK Property, hazardous waste or hazardous wast, biphenyls C'PCRs"), herbicides, rdous wastes) except to the extan the normal use of the SK Property such nen.conforming hazardous be responsible for all costs and arising from the proper managesen waste, including the cost of nuent disposal. Final invoicing additional charges for off specification waste and surcharge: invoice mount may he more than the mount listed on the Aril receipt. If any 1.9.1 action is commenced because of an elle dispute, breach, default or misrepresentation, the Customer