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BRANCH 7142 CSG 26 jafllej, 02/17/11 11:45 PAGE <br /> O <br /> Safety-Kleen Systems, Inc. <br /> 5360 Legacy Drive. <br /> Building 2, Suite 100 41 <br /> Plano, Texas 75024 <br /> 800-669-5740 t <br /> 209-$45-1011 2% <br /> REFERENCE NBRe`0 <br /> CUSTOMER# 3083S29 71ICHER1'CONSTRUCTION 53190665 <br /> 120 Frank West Cir SRVC WEEK: 2011-re <br /> Stockton CA 95206-4003 SRVC DATE: 02/17/11 11:42A <br /> PHONE 916-825-8269 <br /> PURCHASE ORDER# 458258 TAX EXEMPTION NOR • <br /> 01 <br /> PRODUCT/SERVICES at <br /> PRODUCT TOT <br /> 250101 MODEL 2SO W/Q'SOL 1.000 IT0.00000 0 00 X0.000 <br /> SM 6013443 TAG DOILOSOOSOMO13443 CLEAN 23.000 SPENT 0.000 <br /> SERVICE TERM 16 WEEK SCANNED YES <br /> CAUSE CODE Clerical -CLERICAL ERROR ON SERIAL NUMBER ENTRY <br /> 100001 FEE, FUEL SURCHARGE 0.000 0.0000 0.00 0. <br /> -------'--------------•---------------— <br /> TOTAL SERVICE/PRODUCTS 0.0000 0.00 0. <br /> TOTAL CHARGE 0.00 <br /> CREDITS 0.00 <br /> --------- --- <br /> TOTAL DUE 0.00 t' <br /> ----a <br /> O <br /> UNPAID BALANCE THIS RECEIPT 0.00 <br /> C <br /> Machine clean and goal condition? Yes <br /> Lamp Assembly Condition Yes �+ <br /> Decals in plane and legible? Yes <br /> Fusible link installed? Yes t <br /> Emergency closing of lid unobstructed? Yes da <br /> Machine properly grounded? Yes iV <br /> Local phone No. Sticker Affixed to Machine Yes Y' <br /> Spent solvent nxets acceptance criteria? Yes <br /> GENERATOR STATUS <br /> 0 - 220 lbs/month <br /> Custantr certifies that (i) the above-named materials are properly —. <br /> classified, packaged, marked and labeled, and are in proper condition <br /> for lranspurtation aecording to the applicable regulations of the <br /> Department of Transpurtat ion and (ii) no owterial change has occurred <br /> eithe.- in the characteristics of the waste/material or in the process <br /> generating the waste/material. Customer agrees to pay the above <br /> charges and to be bound by the terms and conditions (1) set forth in �Zt <br /> (a) the General Terms and Conditions provided separately to Customer <br /> or (b) any SK agreement signed by Customer and 59, and (2) <br /> incorporated herein by reference. Unless otherwise indicated in the <br /> payment received section, SK is authorized to charge Customer's <br /> account fur this transaction. Customer certifies that the individual E' <br /> signing this Service Acknowledgen,ent is July authorized to sign and p <br /> bind Customer. The following provision is applicable to Safety-Kleen's 1,y <br /> parts cleaner and paint gun cleaner services; Custoner agrees that it .'0 <br /> will not introduce any substance into the solvent or aqueous cleaning C <br /> solution, including without limitation any hazardous waste or y <br /> hazardous waste constituent, except to the extent such introduction is ail <br /> incidental to the normal use of the nutchine. Custonmr further agrees +� <br /> that it will not clean parts/paint gums that have been contaminattd <br /> with or otherwise introduce polychlorinated biphenyls (PCB's), <br /> herbicides, pesticides, Jioxins or listed hazardous waste into the <br /> solvent or aqueous cleaning solution. Safety-Kleen has the capacity li• <br /> and is permitted to accept, store, and/or reclaim the spent parts 48 <br /> washer solvent; paint thinners, sulvents and paints gentrated by N <br /> custona:r; or dry clewring filter cartridges, powder, and still <br /> residues containing perchloruethylene, petroleum naphtha, or 3 <br /> triflurotrichloroethane dry cleaning solvents. Safety-Kletn and it <br /> customer agree that this agreemruent IS intended to satisfy the <br /> requirements of 40 CFR Z62.20(e). IN THE EVENT OF AN EMERGENCY CALL 24 <br /> MR EMFRGFWY 4 1-800-a68-1760 (safety-rlepn Coetrwcr a 94138) <br /> 'e <br /> 7*i <br /> 7&" <br /> x y8 <br /> CUSTOMER /GENERATOR :mike <br /> Y <br />