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w! Stericycte <br /> fstitrtute;-1 ilthori titian Fornt <br /> Customer:Pam Date:Man 28.2015 <br /> .address:Escalon.CA Contact:Yam <br /> Phone: <br /> Email:ehackothmasOdttflet <br /> From:Mara Lou Padilla Phone:1)16.351-NSO x 217 <br /> 11855 White Rock Road F t\:91b-+51.1707 <br /> Rancho Cordova.CA 95742 <br /> E-Mail:rrarr uea I l st3 cvclrr;cpm <br /> Service:Stericycte is pleased to provide the following proposal for the transportation and disposal of waste streams detailed below and as requested per <br /> customer. Waste wilt be properh charecterized prior to pick up.Customer wilt be invoiced for actual totals with minimum charues applied to <br /> each waste stream. <br /> [tem\o. Description Price C05f QtN Extended <br /> I. Disposal <br /> Liquids,Lean Waters-'511a chlorinated solvent, S <br /> 4500 BTU(INC09) S 8700 OiDM I S 171.00 <br /> RCRA Empt%Drum(RFC27) S 1700 S>DI`l 1 5 17.00 <br /> 1I. Materials and Supplies <br /> 2.1 1four RUSI I Profile Fee $ 75(Kt f Ach 0 S <br /> Pickup Delivery(<24 hours notice)standard work <br /> days'hours S 125 00 Each 0 S <br /> Scheduled Pickup Cancellation 1`24 hours notice S 12500 Each 0 $ <br /> Metal03DM $ 2500 Each t S 25.1x) <br /> [11. Transportation <br /> hranWriation per drum 5 1600 Each <br /> Transportation Minimum S 25000 Flul 1 S 250.(X) <br /> Sub.Total $ 4630) <br /> Energy and Insurance Recovery Fee-MAY 13 50"0 S 62 51 <br /> 'Total Estimate S 524.51 <br /> E'nergr and Insurance Recoverg Fee of 13.50%will be Applied to the Invoice Tarot. Tills is tied to fire Producer Price Inde-and will ftuctuote hp 0.25%based on <br /> the current indev. <br /> Wore: The above estimate is based on rime and rrtuteriats. Actual quantities mal'vail•and will be reflected an the fival Invoice. <br /> erms and Condition: I i'RCR-%"Land Disposal Restriction Not tficaion' must accompam each manifest 2 i:WQse quote a based on generator knowledVe of waste collected I <br /> Am s it specification during plant nxcmgftrpt will be the vesponstbthty of tltc gencrawl.profile or manifest correction tee,may apply,-;j Sevada State Regulation 444$452"Treatment <br /> and Sutrap:e F"' of 55 too on RCRA materia)trcciced-ill be assessod <br /> 'I he th,posal price estimated abase may differ from the final disposal price,which writ be determined upoti profiling and waste verification at time of-ante receipttill tenial not <br /> confi rttnng to the"Generator's t1 aste profile"may be sub}aa to addntonal eharaes or rejection _I st Ccntun E10I mse"es the right to dispose of matcnal not deenied recyclable o <br /> not conformmg to rccycluik specifications.Prang estimate is vand tor 30 days <br /> \ppr ul and:,,cceptance..The undersigned agrees and certifies that he vhe,,mntw1nzcd to at ort heiw rot-t.'usionier.and Customer gtwantees by hisler signature to compensate 21st <br /> Ccnus F.All Inc.db a f1hihp`ienices in full for all actual services performed as described above.which are due and payable?0 day:;after receipt of the invoice. All past due acctnuus <br /> shaft accrue interest at the rate of 1 500 per inrith. No,erbal estintaas are vand tin enforceable Cushvner shall pay all reasonable costs of collection_including but not limited to <br /> anotacy s fees and expenses incurred try Philip <br /> 4 <br /> -10� <br /> . ki- <br /> Date <br /> r net Signature <br /> _ e . �� � <br /> .�`�i__ ' ........... <br /> Printed Name �� // <br /> In accordance with 40 CFR subsection 264 12(b)and section JIB t'_t of the RCRA Part 6 permit: E/ V r\ <br /> / <br /> *notice to l�enetator•21 st Centum penults <br /> EMI has die appropriate to accept the alcove described wasteV J J <br /> JUN 0 3 2015 <br /> �NVIRaM�.NT <br /> „N,t❑❑T. 4 <br /> tiT., Ar-AIT <br />