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Dec. 30. 2019 10: 15AM No. 0315 P. 4 <br /> CSU SK-SSL-UM6,03 Brian Medonald 12/17/19 13157 PAGE 1 <br /> Safety-K'leen Systems, Inc. <br /> 2000 N Central Expy, Suite 200 <br /> Richardman, TX 75080 <br /> CORPORATE: 800-669.5740 <br /> 14 HR EMERGENCY: 86D,468.1700 (Safety-Klee") <br /> �i 2095151011 ' <br /> REFERENCE NSR, <br /> CUST010110 CA39985 Cal West Concrete Cutting 81823810-1906486821 <br /> 1353 Vanderbilt Lir ERVC WEEK: 2019,91 <br /> Manteca CA 9533)•0140 SRVC DATE; I2/17/19 <br /> PHONE 209423-2230 <br /> BILL TO CUSTOMER0 BILL TO ADDRESS. <br /> CA19111 Cal West Caacrete Dating <br /> ' I 1153 Vanderbilt Cir <br /> Manteca CA 03317-stag <br /> PHONE 209-823-2230 <br /> i' PURCHASC UNDERa TAX EXEMPTN <br /> SERVICE/ PRODUCT/SERVICES TOTAL <br /> PRODUCT QTY UNIT P"Ne .TAX CHAR99 <br /> '1 6036 USED OIL RECYCLL AUIUM07I 143.006 . 0.3000 0.09• 0190 <br /> SERVICE TERM 13 WEEK <br /> HALOGEN/CLOR•0-TELT TEST RESULT PASS: PPM t 1000 <br /> 16256 FEE, OIL SERVICE/STOP NON 1.000 45.0000 0.00 45.00 <br /> �I Sfit I TERM 13 WEEK <br /> ------------- <br /> TOTAL SERVICE/PRODUCTS 4S.3000 0.00 87.90 <br /> -TOTAL CHARGE 871#0 <br /> CREPI79 0-40-- <br /> TOTAL PUB 97,90 <br /> •i UNPAID BALANCE THIS RECEIPT 87.90 <br /> i <br /> ,I <br /> IF high risk saurSe;•'reN•;•�eertifits that meed ><p#e;H[PCB 8 Silicon <br /> I casting have been dmp(n1A,tU prior to pmnping this Tabd.. <br /> `.v, ,`.• <br /> GENERATOR STATUS <br /> 1 CESOGt Vehicle ''': �•., . <br /> r csistomer certifies tW (i),tht`abovi-nerved iiwterials art properly <br /> classifigd, packaged, "'Pk 11,bulc�labeled, and era in proper condition <br /> For transportation aecurdi% iq the applicable regdlaLioos of the <br /> DeParhihent of Transportation (ii) no material change has occurred <br /> eithmr in the characttelstics of the waste/material.or in the process <br /> #eaerating the waste/material, And (iii) the ab ova Pare etaced <br /> Generator Status is correct. Customer agrees to paythe above charges <br /> h� slid to he bound by the terms and cogditions (1) sat rorth in (a) the <br /> h, Genial Terins end Conditions provided separately to Custonser or (b) <br /> any SK agreement signed by Customer and SK, and (2) Incorporated <br /> Derain by reference. unless otherwise indicated in Elie payment <br /> received section, SK.is authorized to charge Customer's pccount for <br /> this transaction. It'Custmner fails to make payment when due, an <br /> amount equal to the lesser of (i) 1,se per month (18M per annum) or <br /> (ii) the mdxiowm amount allowed by law, will be addnd to all unpaid <br /> amounts outstanding. CudtOmler certifies•;bat the individual signing <br /> this Service AcgnowlAdoement is duly authorized to sign and bind <br /> Customer. Customer ackpowladgos that it is responsible for maintaining <br /> Its Conerator Status and obtaining an EPA 10 awnber if required by <br /> applicable law. The following provision is applicable to <br /> safaty-Kleen's parts cleaner and pointgun cleaner services: Custr <br /> ome <br /> agrees that it will not introduce buy .sstpnce into the solvent or, <br /> aa1140(111; cleaning solution, including without limitation any hazal,dous <br /> waste or hazardous waste constituent, eacope to the exttnt such <br /> introduction is incidental to the normal lire OF Eha machino. Customer <br /> Further agrees that it will not clean parts/paint gunit that hay# Devi <br /> contaminated with or otherwise introduce polychlorinated biphenyls <br /> 010's), herbicides, pesticides, dioeihss ar listed hbehrdaus waste <br /> Into the solvent or aqueous cleaning soll.tiun, Safety-Kleen has the <br /> I1capacity and is pelynitted to accept, store, and/or reclaim the spent <br /> parts washer solvent; paint thinners, solvents and paints atnerated by <br /> customer; or dry cleaning Filter Cartridges, powder. And still <br /> residues Containing perchloroathylens, petroleun naphtha, or <br /> triflurotrichlorovthane dry cieaning solwntP. Customer agrees that it <br /> is responsible for properly clAssifying its waste strtoms as Usad Oil <br /> of, <br /> Ngnhasardous Waste in accordance with the provision of 40 CFH <br /> !l 262.11 and epplicablo state laws. Customer aortas that it will not <br /> introduce any non•confor+nidg substanet into tha SK propperty, <br /> including, without limitation, any hazardous waste or hasardoos waste <br /> cgnstituent,(i.e., polythlorinAted biphenyls C'Pces'), herbicides, <br /> pesticides, dioxins, or, listed hathrdoul;wastes) except to the .stent <br /> j such introduction is incidental to the normal use of the SK Praporty. <br /> In the event of the inthwductiou of such non-conForn.tusl hsuardous <br /> waste, Customer agr•eas that it will be responsible For all casts and <br /> I remediation exReases Palatal to or arming Peens the proper management <br /> and dispodal Of the non-conforming waste, including the costt of <br /> egguiploont decontamination and subsequent disposal. Final invairing <br /> will be based on the actual services provided,which may include <br /> additional charges for off specification waste and surcharges. Final <br /> Invoice amount mAy be more than the amount listed oil the printed <br /> receipt. if ally legal action is commenced because of bo Alla-god <br /> ' dispute, breach, default or misreprescrhtatio.l, the Custallter also <br /> agrees that the prevailing party will be autitled to recover <br /> reasenablo attorney's fees and costs Associatad with the <br /> nen-Conforming contdminption event. 5arety-Kleen's Failure to dcPeto <br />