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<br /> C r`� CSG SK-SSi Lima Jr,Joseph R 06-22-2020 12,11 PAGE 1
<br /> f_� r Safety-Kieen System, Inc.
<br /> 42 Lonawater Drive
<br /> CUSTOMER I GENERATOR: claudia Norwell, MA 02061
<br /> CCRPORATE: 800-569-5740
<br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen)
<br /> 2095451011
<br /> REFERENCE NBR,
<br /> CUSTOMER4 AL35471 Alco Iron And Metal 83490075 - 2003087672
<br /> TRANSPORTER; Lima Jr,,loseph R 1815 Navy Dr Si WEEK, 2020-26
<br /> Stockton CA 95206-1178 SRUC GATE; 06-22-2020
<br /> PHCNE 209-932-1107 __11
<br /> BILL TO CJST0i BILL TO ADDRESS: ��}��AA
<br />-------------------------------------------------------------------------------------------- AL35471 Alco Iron And Metal �1
<br /> CSG SK-SSL-UMO-01 Lima Jr,Joseph R 06-22-2020 12:11 PAGE 2 1815 Navy Dr
<br /> Stockton CA 95206-1178
<br /> SHIPPING AOCUi PHONE 209-932-1107 TAX E%EMPTu
<br /> IN THE EVENT OF AN EMERGENCY CALL **24-Hr-Number** 1-800-468-1760 (SAFETY-KLEEN SYSTEMS, INC PURCHASE CRi Claudia 6122120
<br /> REFERENCE NBR,
<br /> 83490075- 2CO3087672 PRO111 VICES
<br /> CUSTOMER 1 GENERATOR; AL35471 Alco Iron And Metal SERVICESIPRODUCT QTY UNIT PRICE TAX TOTALCHARGE
<br /> 1815 Navy Or 10256 FEE, OIL SERVICEISTOP 1.0 175.00 0.00 175.0
<br /> Stockton CA 95206-1178 NON-PREQUAL CRANKC
<br /> PHONE 209-932-1107 SERVICE TERM 24 WEEK
<br /> GENERATOR USEPA 10CAL000371650 156017 1 66636 USED CIL RECYCLE 100.0 2.44 0,00 244.0
<br /> GENERATOR STATE; AUTOMOTIVE OIL
<br /> SERVICE TERM 24 WEEK
<br /> MANIFESTO; 007461872SKS FORM CD : 10 SHIP# 231782896 HALOGENI CLOR-D-TECT TEST: PASS:PPM < 1000
<br /> TRANSPORTER 1 TXR000081205 Safety Kleen ____________________________________________
<br /> TRANSPORTER 2 ' TOTAL SERVICEIPRODUCTS 177.44 0.00 419.00
<br /> US DOT DESCRIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND 10) 419 00
<br /> NON-RCRA HAZARDOUS WASTE, LIQUID TOTAL CHARGE
<br />(USED OIL) _$/
<br /> `�` CREDITS 0.00
<br /> FEDERAL WASTE CODES NONE �, TOTAL DJE 419.00
<br /> STATE WASTE CODES: 221 ---------------------------------
<br /> TOTAL CONT 1 TYPE: TT WTlVOL G SKOOT 11249
<br /> CNT# 200612974165 SZ: BULK VOLUME CONTAINER QTY: 100 Pi 156017 UNPAID BALANCE THIS RECEIPT 419.00
<br /> If high risk source, rep, certifies that load specific PCB& Silicon
<br /> DESIGNATED FACILITY NAMEIADDRESS; testing have been completed prior to pumping this load,
<br /> SAFETY-KLEEN OF CALIFORNIA
<br /> 5880 SMITH AVE. GENERATOR STATUS CESQG: Vehicle
<br /> NEWARK
<br /> CA 94560 Customer certifies that (i) the I have established a program to reduce the volume
<br /> TSO PHONE: 510-795-4400 above-named materials are properly or quaniity and toxicity of the hazardous waste
<br /> classified, packaged, marked and to the degree to be economically practicable, labeled,
<br /> FACILITY USEPA fO NO CAD980687418 and are in proper condition for transportation according to the applicable regulations of
<br /> FACILITY STATE ID NO the Department of Transportation (ii) no material change has occurred either in the
<br /> characteristics of the waste/material or in the process generating the wastelmaterial, and
<br /> GENERATOR STATUS CESQG: Vehicle (iii) the above referenced Generator Status is correct. Customer agrees to pay the above
<br /> charges and to be bound by the terms and conditions (1) set forth in (a) the General Terms
<br /> and Conditions provided separately to Customer or (b) any SK agreement signed by Customer
<br /> and SK, and (2) incorporated herein by reference. Unless otherwise indicated in the
<br /> payment received section, SK is authorized to charge Customers account for this
<br /> transaction. If Customer fails to make payment when due, an amount equal to the lesser of
<br /> CUSTOMER 1 GENERATOR; Claudia (i) L5%per month (18% per annum) or (ii) the maximum amount allowed by law, wi I I be
<br /> added to all unpaid amounts outstanding. Customer certifies that the individual signing
<br /> this Service Acknowledgement is duly authorized to sign and bind Customer. Customer
<br /> Z/�/ acknowledges that it is responsible for maintaining its Generator Status and obtaining an
<br /> EPA ID number if required by applicable law. The following provision is applicable to
<br /> Safety-Kleens parts cleaner and paint gun cleaner services: Customer agrees that it will
<br /> TRANSPORTER; Lima Jr,Joseph R not introduce any substance into the solvent or aqueous cleaning solution, including
<br /> without limitation any hazardous waste or hazardous waste constituent, except to the
<br /> extent such introduction is incidental to the normal use of the machine. Customer further
<br /> - - - - - - - - - - - - - - - - - - - - - - - - - - agrees that it will not clean partslpaint guns that have been contaminated with or
<br /> otherwise introduce polychlorinated biphenyls (PCBs), herbicides, pesticides, dioxins or
<br /> listed hazardous waste into the solvent or aqueous cleaning solution. Safety-Kleen has the
<br /> capacity and is permitted to accept, store, and/or reclaim the spent parts washer solvent;
<br /> paint thinners, solvents and paints generated by customer; or dry cleaning filter
<br /> cartridges, powder, and stil I residues containing perch Ioroethyiene, petroleum naphtha, or
<br /> triflurotrichloreethane dry cleaning solvents, Customer agrees that it is responsible for
<br /> properly classifying its waste streams as Used Oil or Nonhazardous Waste in accordance
<br /> With the provision of 40 CFR 262.11 and applicable state laws. Customer agrees that it
<br /> will not introduce any non-conforming substance into the SK Property, including, without
<br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - limitation, any hazardous waste or hazardous waste constituent,(i,e., polychlorinated
<br /> biphenyls ("PCBs"), herbicides, pesticides, dioxins, or listed hazardous wastes) except to
<br /> TRANSPORTER 2: the extent such introduction is incidental to the normal use of the SK Property. In the
<br /> event of the introduction of such nonconforming hazardous waste, Customer agrees that It
<br /> wi I I be responsible for al I costs and remediation expenses related to or arising from the
<br /> LAST PAGE proper management and disposal of the non-conforming waste, including the cost of
<br /> equipment decontamination and subsequent disposal. Final invoicing will be based on the
<br /> actual services provided, which may include additional charges for off specification waste
<br /> 1 -1___ rn__, ._.._.__ ___,..i --- k- Terre 4k- iko amrn,r,f 1;�farl nn the nrinted ,
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