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Safety-Kneen ��1Cilta, ..— <br /> 1 <br /> 5360 Lap fee. V ' <br /> Building 2, a 100 O <br /> Plante. Te n 7$029 u <br /> 800-659-5740 STao <br /> 209-SIS-1011 <br /> REFER !NBN.Y <br /> (USI0MER1 iW77D66 11IN SET 591191 <br /> 4 <br /> 9199 SS RAIN <br /> AW ST SING MEEK: 2011-28 w <br /> MANTECA CA 95337 SINC DATE! 07/06, 1 12:08 Y <br /> PHONE 209-401-5181 Y. <br /> PURcxASE aRDERi TA taw w xeR <br /> PRODUCT/SERVICES _ <br /> TOTAL <br /> SER,3CE/ 3 <br /> PRODULT 0ll• UNIT PRICE TAW CHARGE <br /> 8003368 IN55 GL BLACK S'IEEL 0 1.000 68.0000 5.61 7373.6161 <br /> ' <br /> SERVICE 8 WEEK <br /> "RR'PROMNBR!R: 0 0 <br /> 3368 DRUM,SER1 SS GI. RIBLACK STEEL 0 1.OW 8].0000 7.18 99.18 <br /> SERVICE TERM a WEEK <br /> PROMO NOR 0 <br /> 17112/ <br /> 875224 IERVICE IE AQUEWS lIq 55 2.000 993.0000 0.00 986.00 <br /> SERVICE 8 MElK <br /> PIIOMO NUR:R% 0 0 <br /> *'[M75: t 15UF: 7901 MAMIY: 15 OWt8435875X5 FORM 10: US SX SNIPi 1 044% <br /> CNTi: 110706735339 QIY: 150 WT/WL P PROFILE: 012112 S 1 904958 <br /> CNTi: IID]O6J35d38 qN:. 200 Mf/WOL P PROFILE: 012112 SKU 'f 909958 <br /> 90962993/ <br /> 8)5060 FUEL BLENDING SOLIDS s5,0 O.OW 1, 0.0000 0.09 0.00 <br /> SERVICE 7EBM 8 WEEK li <br /> FROND RSR: 0 <br /> 100001 FEE, FUEL SURCHARGE I.WO 16.7800 1.3 18.15 <br /> ___________ <br /> TOTAL SEMCt/PRODUCTS 664.7800 14.1 1171.95 ya, <br /> v <br /> TOTAL CHARGE - 117195 At <br /> -- <br /> CR1lS EO0.00 M <br /> TOiA! WE 1173.95 a <br /> 8qq2 <br /> UNPAID BALE THIS RECEIPT 1171.95 A <br /> s <br /> GENER <br /> IN STATUS <br /> 0-220 lntb <br /> Cust,owr certifies that (i) the above-a+vied materials are properly <br /> classified, packaged, marked and labeled, and era in proper condw n <br /> for transWm4ation according to the Wplicable rinul.tivns of lire son <br /> Oeparbacnt of Transportation and (ii) no material cinemas hes occaI d <br /> a ither in the choractaristk,. of the mscmhuatcvi*1 or in the ,roc s er8 <br /> Venerating the waste/nvU tial. costa.., agrees to gay the dh.v< ^ <br /> charges and to be bound by the terms and ...ditiws W set forth <br /> W the General Tern and Conditiu'ps provided separately to Custmi r or 0),my 5K agreement signed by Customer and SK, and (2) g <br /> incorporated herein by ref<re:ce. Unless otherwise indireted in t e C <br /> pay,'.[ received section, SK is mothori:ed to charge Cmuton®r's Il <br /> account for this transaction. Custmner certiflo Ll.mt the in Md al <br /> signing this Serene Achnewladgmwm"t is duly authW ori. to sign t. D <br /> bind Cotener. The fellowmy provision is applicable to Safety-KI n's <br /> parts cleaner and paint use closer" services: Costa.wr agrees th it <br /> will net intredaca any substance int. the solvent or "no.. clew.my <br /> solution, including without liniitati.n any hall"dous ..to v <br /> lwaardens waste constituent. emcept to the eve tent such ietrod.cti a is am <br /> incidental to the noruwl use of the machine. Customer Further mgr as d <br /> that it Will not clean parts/paint Vu.s that heoe been contaninat d <br /> with or otherwise introduce polychlorinated biphenyls NCB's), N <br /> herbicides, pesticides, di..ins ar listed haearduys waste into th i <br /> sal vent or aqueous cleaning sol.tloa. Safety-Klee. has the cotaci y <br /> and is permitted to accept, store, and/or r claim the spent parts <br /> washer solvent; point thir.ers, sulvents end paints Venerated by 3 <br /> customer; oe-d,y cleaning filter car tr id,oa. yonder, and still - <br /> ...idea. containing pevchlor.<thylanet petroleum naphtha, or <br /> triflurotricKloroean <br /> tbane dry cleaning svlvebts. Sofoty Klean and J <br /> custwner agree tlat this ouremoent Is intead<d to satisfy the - <br /> 1.1uireamnts of 40 CFR ZOZ.20W. 1N WE EVENT OF AN EMERGENCY C It 24 <br /> MR EMERGENCY a 1-800-968-1760 CSAfmty-Klemm Contract g 04138) - <br /> RECnxi EIVED <br /> E® <br /> E <br /> 0 <br /> CUsnMER /GENERATOR :ariel lujan <br /> r JUL ,11 2014 <br /> Y <br /> LAST PACE ENVIRONMENTAL HEALTH <br /> m DEPARTMENT <br /> w , <br /> 3' <br /> a - <br />