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CSG SK-SSL-BOK-23 7oshu" Butler 04/10/20 11:21 PAGE 1 <br /> Safety-M een Systems, Inc. <br /> 42 Langweter Drive <br /> Norwell, MA 02061 <br /> CORPORATEt 000-609.5740 <br /> 24 RR EMERGEraCYi 000-460-1760 CSafety-Kleen) <br /> 2095453011 <br /> REFERENCE W. <br /> CUSTOMERS M34504 Brake Masters 1369 $2877470-2001934108 <br /> 1210 N Tracy Blvd SIM WEEK! 2020-10 <br /> Tracy CA 95176=3435 SRVs DATE: 04119AC ' <br /> PHONE 209-836-3500 <br /> BILL TO CUSTOMERI BXLL 7O ADDRESS: <br /> RR3408S Brake Masters <br /> 6179 R Broadway Blvd <br /> Tucson Az 85711-0000 <br /> PRONE 520-512-0000 <br /> PUKHASE QR FR# TAX CXE1VTf <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PRODUCT QTY UNIT PRICE TAX CHARGE <br /> 090564 CARTifIDGE OIL FILTERS 5SG 11000 0.0000 0.00 0.00 <br /> SERVICE TERM 3a MEEK <br /> CAUSE COPE V=HMERANOLINE -SOMICE NOT NEEDED <br /> 1200107/ ' <br /> 870772 A99P-PERO=1 FOAMtMG FOR 1.000 0.000¢ 'Q.00 - 0.00 <br /> SERVICE TERM 12 WEEK <br /> CAUSE CODE WOSDHWERANDLINE -SERVICE NOT NEEDED <br /> 905037 MODEL 90.5 11/2387 6965 10 3.000 139.5000 11.51 151,G3 <br /> S/N 35100204 TAG OD002697SXIS100204 CLEAN 2,50 $FEAT 0.000 <br /> SERVICE-TERM 12 WEEK SCANNED NO <br /> 3381 0" $$ CA FOR O.F. 1.000 0.0000 0.00 0,00 <br /> SERVICE TERM 12 WEEK <br /> CAUSE CODE VOIDHEA BUMLINE -SOME NOT NEEDED <br /> TOTAL 5VWCE/4xgOUCls 330.5000 11.51 1$1.01 <br /> TOTAL CHARGE 15141 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 1$1.01 <br /> UNPAID NAf-WE THIS RECEIPT 151.01 <br /> Machine clean and goad condition? Yes <br /> Lamp Assembly condition Yes <br /> Decals in place and legible? Yes <br /> Fusible link installed? Yea <br /> Emergency closing of lid unobstructed? Yes <br /> Machine properly grounded? Yes <br /> local'Phone No, Sticker Affixed to Machine Yes <br /> Spent solvent matt# acceptance criteria?Yes <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br /> Gustamer Certifies that (i) the above-named materials are properly <br /> classified, packaged, marked and labeled, end bre in proper condition <br /> for tranipertatioa according to the applicable regulations of the <br /> Department of Transportation 0i) no alb*trial change has occurred <br /> ■ithar in the characteristics of the wastclmaterial or in the pracess <br /> generating the wssta/material, end (iii) the above referenced <br /> Generator Status is correct. Cutxomar agrees to pay the shove charges <br /> and to h" bound by the terms and conditions (1) set forth in (3) the <br /> General Terms and Conditions provided sepbrately to customer or (b) <br /> any SK agreement signed by Customer and SR, and q) incorporated <br /> herein by reference, Unless otherwise indicated In the paymot <br /> received section. SII is authorized to Charge C"stomar's account for <br /> this transaction. It Customer fails to make paynent when due, an <br /> amount eggtl ko the lesser of (i) 1,5N per month CIn per anew or <br /> (ii) the maximum Amount nllwmd by law, will he added to all unpaid <br /> amounts outstanding. Customer Certifies that the individual signing <br /> this Service Acknowledgemnt is duly authorized to sign and bind <br /> Cq%tonar. Customer acknowledge% that it is responsiblr for maintaining <br /> its Generator Status and obtaining an EPA ID "umbar if required by <br /> aplrlitabla law. The 1`6114Wing provision is applicolH ',to <br /> Safety-Rleeb'; parts cleaner and paint gun cleaner servicesi eostooer <br /> agrees that it will apt introduce any substance into the solvent or <br /> aqueous cleaning solmtipn, including without limitation any hazardous <br /> +wste or hazardous waste constituent, except to the extent such <br /> introAmCd0a ma <br /> is incidental to the normal use of the Machine:, Customer <br /> further ogress that it will not clean Parts/paiat nuns thn haw been <br /> Contaminated with or otherwise introduce polychlorinated hiphRnyls <br /> (P9'2), herhirides, pesticides, dioXig% or listed hazardous pasty <br /> Into the solvent Or aqueous cleaning Salgtiah. Safety-kleen has the <br /> Capatity and is permitted to accept, stere, sad/fir I'm4 aim the spent <br /> ports washer solvent; paint thinuors, solvents and paint% generated by <br /> eustWMPj or dry cleaning filter cartridges, powder, and %till <br /> residues cant"ining perchlormethylF"", potrol+ew naphtha, or <br /> triflykptrichloroethane dry cleaning solvents. Custamtr agrees that it <br /> is responsible far properly classifying it% Waste streams as used Oil <br /> or NOHhaxardous Baste in accordance with the provision of 40 CFR <br /> 20-11 ANA Aifal—M. �r.r. 1..,. r..t r ...... •k.+ :+ -„i� _r. <br />