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Heritage -Crystal Clean , LLC Invoice Billing Inquiries : ( 877 ) 938 -7948 / custserv@crystal -clean . com E HERITAGE -CRYSTAL CLEAN , LLC — 1 2175 Point Boulevard , Suite 375 Elgin , IL 60123 Remit to : 13621 COLLECTIONS f / / y CENTER DRIVE CHICAGO , IL 606931,0136 tillClean ° /' � 1of1 ' e� � � - 15566488 02/26/2019 353697 $407 . 40 - . . � $ 0 . 00 $ 407 .40 139 1 SP 0. 500 E01 39X 10194 D4556995018 2 P6180784 0001 :0001 $ 0 . 00 IIIIIIIIIIIIIflIII II1lllllllflllllltllllfllllllllf llffflllfltlll . . $407 .40 jy CALIFORNIA AUTOSPORT Subject to finance charges if payment not received by 03/28/1 ATTN : ACCOUNTS PAYABLE 180 BUTTON AVE • • • http:l/www.hccquickconnect.com MANTECA CA 95336-9546 • • • ZFH XPL PPG OAKLAND • CCOS271456 Product Description I Comment Equip QTY Unit Price Tax Amt Total Cost Svc Date Work Order 1 $ 15 . 00 $0 . 00 $ 15 . 00 02/26/2019 00-00CES3W MANIFEST FEE 321110 1 $ 360 . 00 $ 32 . 40 $ 392 . 4 ( 02/26/2019 00-00CES3W AQUEOUS COMBINATION UNIT C i I Item Total : $407 . 4 Thank you for your Business . Save time and intomoney litho online nting bystem . Choose email , paper, or fax delivery . View your invoice history and balances . Pay online by ACH or credit card , import t Y Go to http : // hccquickconnect. com to enroll today ! This form (invoice) is deemed part of the above referenced Service Agreement behveen Heritage-crystal clean, LLC and the identified customer and all terms andIII coyddu as picked up by HCC maynbe utilizedare deemed aas anpart reo� .. F Ul ,y u each of this Certification or if analytical results determine that the fluids do not qualify, said determination in HCC's sole discretion, HCC retains the right r to disqualify the fluids from either the Non-Hazardous Parts Cleaner or Reuse Program in which case , Customer will be obligated to pay for testing, management and disposal of the fluids as hazardous waste. The person signing this Certification has reviewed the Customer's facilities , administrative practices and operational procedures (or has directed the completion of such review by others) and based upon such review, is willing to make this true, accurate and complete Certification . SOLVENT USE CERTIFICATION (initials), NON Customer acknowledges that HCC may, but is not required to , retain samples of materials, which may be used to confirm contaminants in said materials . Customer represents, warrants and certifies that the waste materials described in this Agreement for these services meets the definition of used oil in 40 CFR 279 ("Used Oil means any oil that has been refined from crude oil, or any synthetic oil , that has been used and as a result for Such use is ,contaminated by physical or chemical impurities") and has not been mixed with other regulated materials, including but not limited to polychlorinated bi-phenyls (PCB'sj, other materials regulated under TSCA, al hazardous waste, and recognizes that HCC is relying on this Certification to properly manage these waste materials, and in the event that this Certification is untrue , Customer accepts complete responsibility for all costs related to ther --- paper management and disposal of the waste materials and any commingled materials . Customer acknowledges that the Used Oil will be Co-mingled by HCC will) used oil from third parties and that In the event the Used Oil is found to be non-conforming, either before or after said co-mingling, HCC may refuse to accept or revoke its prior acceptance of the Used Oil and Customer's Indemnification in the Service Agreement shall apply to said non -conforming Used Oil and other used oil received from other parties which is affected thereby. USED OIL CERTIFICATION tinluats> . - Customer hereby agree s to immediately notify HCC of any facts that would result in a change as to the truth. accuracy or completeness of the above Certification or any prior Certifications of the Customer. These initialed Certifications hereinabove supersede all prior Certifications as to the Certification subject matter, but no other Certifications . The signature below applies to all of the Certifications initialed hereinabove by the Customer.