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- --•s-- - <br /> UHANCH SSL CSG PW-24 <br /> +_ L Buxton 07/09/15 17:02 PAGE 1 <br /> Safety-M een Systems , Inc . <br /> 2600 N Central Expy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> REFERENCE NBR. <br /> 57455494 <br /> CUSTOMER# LOZ4049 Lodi Honda SRVC WEEK: 2015-27 <br /> 1700 S Cherokee Ln <br /> Lodi CA 95240-7802 SRVC DATE: 07/09/15 17:02 <br /> PHONE 559-443-5427 <br /> BILL TO CUSTOMER* BILLL H Honda L024049 <br /> 1700 S Cherokee Ln <br /> Lodi CA 95240-7802 <br /> PHONE 5S9-443-5427 TAX EXEMPT# <br /> PURCHASE ORDER# 86771 <br /> PRODUCT/SERVICES TOTAL <br /> SERVICE/ <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 83383 DRUM,55 WASTE O.F. 3.000 0.0000 0.00 0.00 <br /> SERVICE TERM 4 WEEK <br /> 3383 DRUM,55 GAL FOR O.F. 3.000 0.0000 0.00 0.00 <br /> SERVICE TERM 4 WEEK <br /> 944499/ <br /> 871063 CCS-CHAR SOL/SEMI STABLZ 3.000 105.0000 0.00 315.00 <br /> SERVICE TERM 24 WEEK <br /> A CON IS: 1 1SOt.: Sl MANIFLSI#: 0049415/%%Wl FORM i71: 13% SHIP# 116""" <br /> CNT#: 1SO701757364 QTY: 175 W1/VOL P PROF# 944499 SKU01 7572239 <br /> 3324 DRUM, 16 GL BLACK STEEL 0 1.000 39.0000 3.12 42.12 <br /> SERVICE TERM 24 WEEK <br /> 100001 FEE, FUEL SURCHARGE 1.000 12.1500 0.97 13.12 <br /> 3230 TAX HANDLING NIC DRUM DROP 30 3.000 0.0000 0.00 - 0_00 <br /> --------------------------------- <br /> TOTAL SERVICE/PRODUCTS 156.1500 4.09 370.24 <br /> TOTAL CHARGE 370.24 <br /> CREDO 0.00 <br /> --------------- <br /> TOTAL DUE 370.24 <br /> UNPAID BALANCE THIS RECEIPT 370.24 <br /> GENERATOR STATUS <br /> RECID JuL <br /> 0-220 lbs/month <br /> Custaner certifies that (i) the above-named materials are properly <br /> classified, packaged, marked and labeled, and are in proper conditiva <br /> for transpvrtativn accurding to the applicable regalativns of the <br /> Department of Transportation and (ii) no material change has occurred <br /> either in the character;,tics of the waste/material or in the process <br /> generating the vies te/u:aterial. Custmner agrees to pay t11e above <br /> charges and to be bound by the terms and conditions (1) set forth in <br /> (a) the General Terms and Conditions prr,vidrd separately to Custmlrr <br /> or (b) any SK agreement signed by Customer and SK, and (2) <br /> incorporated herein by referencr.. Unless utherwise indicated in the <br /> payment received section, SK is authorized to charge Customer's <br /> account for this transaction. Custunler certifies that the individual <br /> signing this Srrvice Arknowledgrnwnt is duly authorized to sign and <br /> bind Custaner. The following provision is applicable to safety-Kleenit <br /> parts cleaner and Paint gun cleaner services: re-tmuer agrees that it <br /> r.,ill nut introduce any substance into the svlveret or aqueous cleaning <br /> solution, including without limitation any hazardous waste or <br /> hazardous waste constituent, except to the extent such introduction is <br /> incidental to the normal use of the mam <br /> chine. Custoer further agrere <br /> that it will nut clean parts/paint guns that have been contaminated <br /> with or otherwise introduce polychlorinated biphenyls O'CR's), <br /> herbicides, pesticides, dioxins or listed hazardous waste into the <br /> solvent or aqueous cleaning solutiun. Safety-Kleen has the [ayacity <br /> and is permitted to accept, store, and/ur reclaim the spent parts <br /> washer solvent; paint thinners, solvents and paints generated by <br /> customer; or dry cleaning filter cartridges, powder, and still <br /> residues containing perchloroethylene, petroleum naphtha, or <br /> triflurutr•itlllnr.,rthanr dry rlraning solvents, C.Ast+m.er Agro.- thel it <br /> Properly classifying its waste streaio as Used Oil <br /> is responsible fur <br /> or Nonhazardous Waste in accordance with the provision of 40 CFR <br /> 262.11 and applicable state laws. rustomer agre.s that it will not <br /> introduce any 11011-confurming substance into the SK Property, <br /> including. without limitation, any hazardous waste or hazarduus waste <br /> constituent,(i.e., polychlorinated biphenyls C PCBs"). herbicides, <br /> pesticides, dioxins, or listed hazardous Wastes) except to the extent <br /> such introduction is incidental tv the nvmnal use of the SK Property. <br /> Tn the .vent of the introduction of such non-conforming hazardous <br /> waste, Customer agrees that it will be responsible for all costs and <br /> conciliation expenses related to ur arising frulm the proper management <br /> and disposal of the non-conforming waste, including the cost of <br /> equila.ant do <br /> ecntamination and subsequent disposal Final invoiting <br /> will be based on the actual services provided, which may include <br /> additional charges fur off specificatiun r:aste arid surcharges. Final <br /> invoice amount 'flay <br /> mm <br /> be ore than the amount listed on the printed <br /> receipt. If any legal action is cool Bell, <br /> because of an alleged <br /> dispute, breach, default or misrepresentation, the Customer also <br /> agrees that the prevailing party will be entitled to recover <br /> reasonable attorney's fees and costs associated with the <br /> non-conforming contamination event. Safety-Kleeu's failure to screen <br /> ... __ .-Le .or,.;a ca,nule. in no way constitutes a <br />