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CSG SK-SSL-UMO-03 Brian Mcdonald 12/17/19 13:57 PAGE I Safety-Kleen Systems , Inc . 2600 N Central Expy, Suite 200 Richardson, TX 75080 CORPORATE: 800-669-5740 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) 2095451011 REFERENCE NOR. CUSTOMER# CA39985 Cal West Concrete Cutting 81823819-1906486821 1153 Vanderbilt Cir SRVC WEEK: 2019-51 Manteca CA 95337-6120 SRVC DATE: 12/17/19 PHONE 209-823-2236 BILL TO CUSTOMER# BILL TO ADDRESS: CA39985 Cal WestConcrete Cutting ` 1153 Vanderbilt Cir Manteca CA 95337-6120 PHONE 209-823-2236 PURCHASE ORDER# TAX EXEMPT# PRODUCT/SERVICES SERVICE/ TOTAL PRODUCT QTY UNIT PRICE TAX CHARGE 66636 USED OIL RECYCLE AUTOMOTI 143.000 . 0.3000 1 0.00 42.90 SERVICE TERM 13 WEEK HALOGEN /CLOR-D-TECT TEST RESULT PASS: PPM < 1000 10256 FEE, OIL SERVICE/STOP NON 1.000 45.0000 0.00 45.00 SERVICE TERM 13 WEEK -----------------------....--------------- TOTAL SERVICE/PRODUCTS 45.3000 0.00 87.90 .TOTAL CHARGE 87.90 CREDITS 0.00 --------------- TOTAL DUE 87,90 UNPAID BALANCE THIS RECEIPT 87.90 If high risk source, rep"..;tertifies that load specific PCB &Silicon testing have been cotnple(d prior to pumping this load. X GENERATOR STATUS`� CESQG: Vehicle Customer certifies that (i) the above-named materials are properly classified, packaged, marked,and.,labeled, and are in proper condition for transportation accordin� to the applicable regulations of the Department of Transportation (ii) no material change has occurred either ill the characteristics of the waste/nnaterial•oi, in the process generating the waste/material, and (iii) the above referenced Generator Status is correct. Customer agrees to pay the above charges and to be bound by the terms and conditions (1) set forth in (a) the j; General Terms and Conditions provided separately to Customer or (b) any SK agreement signed by Customer and SK, and (2) incorporated herein by reference. Unless otherwise indicated in the payment received section, SK.is authorized to charge Customer's account for this transaction. If Customer fails to make payment when due, an amount equal to the lesser of (i) 1.5% per month (18% per annum) or (ii) the maximum amount allowed by law, will be added to all unpaid aamounts outstanding. Customer certifies that the individual signing this Service Acknowledgement is duly authorized to sign and bind Customer. Customer acknowledges that it is responsible for maintaining its Generator Status and obtaining an EPA ID number if required by applicable law. Tlne following provision is applicable to Safety-Kleen's parts cleaner and paint gun cleaner services: Customer agrees that it will not introduceany substance into the solvent or aqueous cleaning solution, including without limitation any hazardous waste or hazardous waste constituent, except to the extent such introduction is incidental to the 'Normal use of the machine. Customer further agrees that it will not clean parts/paint runs that have been contaminated with or otherwise introduce polychlorinated biphenyls O'rCB's), herbicides, pesticides, dioxins or listed hazardous waste into the solvent or aqueous cleaning solution. Safety-Kleen has the capacity and is permitted to accept, store, and/or reclaim tine spent parts washer solvent; paint thinners, solvents and paints generated by customer; or dry cleaning filter cartridges, powder, and still residues containing perchloroethylene, petroleum naphtha, or triflurotrichloroethane dry cleaning solvents. Customer agrees that it is responsible for properly classifying its waste streams as Used Oil or Nonhazardous Waste in accordance with the provision of 40 CFR r262.11 and applicable state laws. Customer agrees that it will not l introduce any non-conforming substance into the SK Property, including, without limitation, any hazardous waste or hazardous waste constituent,(i.e., polychlorinated biphenyls ("PCBs"), herbicides, pesticides, dioxins, or listed hazardous wastes) except to the extent such introduction is incidental to the normal use of the SK Property. In the event of the introduction of such non-conforming hazardous waste, Customer agrees that it willbe responsible for all costs and remediation expenses related to or arising from the proper management and disposal of the non-conforming waste, including the cost of equipment decontamination and subsequent disposal. Final invoicing will be based on the actual services provided, which may include additional charges for off specification waste and surcharges. Final invoice amount may be more than the amount listed on the printed receipt. If any legal action is commenced because of an alleged dispute, breach, default or misrepresentation, the Customer also agrees that the prevailing party will be entitled to recover ireasonable attorney's fees and costs associated with the nun-conforming contamination event. Safety-Kleen's failure to screen Customer's material or take a retain