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CSG SK-SSC.-WX-,b. Wilmer Garcia Garcia 05117/18 12:02 PAGE 1
<br /> Safety-Kleen Systems, Inc.
<br /> 2600 N Central Espy, Suite 200
<br /> Richardson, YX 75080
<br /> CORPORATE: 800-669.5740
<br /> 24 MR EMERGENCY: 806-468-1760 (Safety-Kleea)
<br /> 2095451011
<br /> REFERENCE NOR.
<br /> CUSTOMER* PA23059 Paradise Point Marina 76705317-1802049709
<br /> 8095 Rio Blanco Rd SRVC WEEK: 2018-20
<br /> Stockton CA 95219-8703 SMK DATE: OS/17/18
<br /> PHONE 209-952.1000
<br /> BILL rQ cusTOMEitB BILL TO ADDRESS:
<br /> PA23OSS Paradise Point Marina
<br /> 8095 Rio Blanco Rd
<br /> Stockton CA 95219-8703
<br /> PHONE 209-952-1000
<br /> PURCHASE OROER6 TAX EXEMPT#
<br /> PRODUCT/SERVICES
<br /> SERVICE/ TOTAL
<br /> PRODUCT QTY UNIT PRIG, TAX CHARGE
<br /> 90837 MODEL 90 W/Z387 a 6365 1.000 337.7300 30.40 368.13
<br /> S/N 10038905 EAG 00001110$K10038905 CLEAN 2-50 SPENT 0.000
<br /> SERVICE TEFM 12 WEEK SCANNED YES
<br /> 0 CUNrS: 1 ISOF: SLA 14ANiFtb1*: 006398773SKS FORM CO: US WUP6 ZZS3UG17S
<br /> CNT*- 18042196S868 QTY: 20 WT/VOL G PROF*156023 SKOOT 14941
<br /> 100001 fEE, FUEL SURCHARGE 1.00014.8100 1.15 13.96
<br /> --`------- .---_.._--__"---.-------------
<br /> fOTAL SERYICEIPNQUUCTS 350.5400 31.SS 382.09 4a ,
<br /> TOTAL CHARGE 382.09
<br /> CRW175 0.00
<br /> ------------
<br /> TOTAL DUE 382.09
<br /> UNPAID BALANCE IMS RECEIPT 382.09
<br /> Machine clean and good condition'Yes
<br /> lamp Assaebly Canditi6e Yes
<br /> 0ee811 in place and legible?Yes
<br /> Fusible link installed?Yes
<br /> Emergency closing of lid unobstructed?Yes
<br /> Machine properly grounded?Yes
<br /> Local Phone No. Sticker Affixed to Machine Yes
<br /> Spent solvent meets acceptance criteria,' Yes
<br /> GENERATOR STATUS
<br /> 0-240 lbs/menth
<br /> Customer certifies that (i) the abuve-named materials are properly
<br /> classified, packaged, narked and labeled, aa4 are in proper condition
<br /> for transportation according to the applicable regulations of the
<br /> Departnwnt of Transportation (ii) no rmnterial change has occurred
<br /> either in the characteristics of the waste/material or in the process
<br /> generating the waste/material, and ('iii) the above roferenced
<br /> Gantiatur Status is correct, Custa:er agrees to pay the above charges
<br /> and to be bound by the toms and conditions C13 set forth in W the
<br /> Central Terns and Conditions-provided separately to Customer or OF)
<br /> any SK agreement signed by Castauer and SK, and (Z) incorporated
<br /> he
<br /> by reference. Unless otherwise indicated in the payinent
<br /> received section, SK is authorized to charge Custaner's account for
<br /> this transaction. If Cwtw„er fails to make payment when due. An
<br /> amount equal to the lesser of (i) 1.519 per month (18%per annum} or
<br /> Cii) thr arwunt allowed by law, will be added to all unpaid
<br /> sm+utts outstanding. Cwt-wr certifies that the individual signing
<br /> this Service Ackaowlcdyanent is duly authorized to sign and bind
<br /> Custw. Custm.mr• .'Lnowiedges that it is responsible for maintaining
<br /> its Generator Statu% and obtaining an EPA 3.0 number if required by
<br /> -Frlica5l, lea,- Tee faliuv.iao provision is applicable to
<br /> Safety-Kleen's parts cleaner and paint gun cleaner services: Customer
<br /> agrees that it will not introduce any substance into the solvent or
<br /> agseous cleaning solution, including without limitation any hazardous
<br /> waste or hazardous waste constituent, except to the extent such
<br /> introduction is incidental to the normal use of the machine. Customer
<br /> further agrees thar it will not clean parts/paint qua& that have been
<br /> contaminated with ur otherwise introduce polychlorinated biphenyls
<br /> (PCB's), herbiciacs, pesticides, dioxins or listed hazardous waste
<br /> into the solvent or aqueous cleaning solution. Safety-glean has the
<br /> capacity and is permitted to accept, stare, and/or reclaim the spent
<br /> parks washer solvent; paint thinners, solvents and paints generated by
<br /> customer; or dry cleaning filter cartridges, ppowder, and still
<br /> residues l!"taining perchluroathylent, petrol2iwn naphtha, or -
<br /> trifluroichloroothane dry cleaning solvents. Customer agrees that it
<br /> is resr..,sible for properly classifying its waste streams as Used Oil
<br /> or Nonhaza,dous Waste in accordance with the provision of 40 CFR
<br /> 262.11 and applicable state laws. Customer agrees that it will not
<br /> introduce any non-conforming substance into the SK Property,
<br /> including, without limitation, any hazardous waste or hazardous waste
<br /> constituent,(i.a., polychlorinated biphenyls C'PCBs"), herbicides,
<br /> pesticides, dioxins, or listed hazardous wastes) except to the extent
<br /> such introduction is incidental to the normal use of the SK Property.
<br /> In the event of the introduction of such non-coafumring hazardous
<br /> waste, Customer agrees that it will be responsible for all costs and
<br /> remediation expenses related to or arising from the proper manaverent
<br /> and disposal of the non-conformiag waste, including the cost of
<br /> equipment decontamination and subsequent disposal. Final invoicing
<br /> will be based on the actual services provided, which may include
<br /> additional charges for off Specification waste and surrhirsoc, Final
<br /> invoice amount may be more unt lis tad on the primed_
<br /> receipt, If any loss" ed because of an alleged
<br /> dispute, breach, *ion. the Customer aisa '.
<br /> agrees that thr `fled to recover ——
<br /> reasonable a' ith the
<br /> non-coafor "enure to screen
<br /> •^- osstitut•
<br />
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