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o I <br />safeiq RiA "' rp <br />©_ <br />CERTIFICATION <br />FOR USED OIL FILTERS <br />Generator Certification (Must be signed by member of management knowledgeable <br />about waste activities): <br />On behalf of the Generator, I hereby represent, and certify that: the used oil filters to be <br />shipped to Safety-Kleen Corp. have been drained in accordance with the requirements <br />for management of used oil filters contained in Title 22 of the California Code of <br />Regulations; the filters are exclusively used oil filters; all information submitted is true, <br />accurate, and complete; and, I am an employee and duly authorized representative of <br />the Generator. Generator agrees to indemnify and hold Safety-Kleen Corp. and its <br />subsidiaries harmless for any claims, liabilities, damages, and costs including, but not <br />limited to, attorney's fees, arising out of or in any way related to breach of the above <br />warranty by the Generator. <br />Name <br />Sign <br />Title <br />p <br />Confirmed by Safety-Kleen Representative Signature <br />9 <br />Date 9" -0 <br />