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-BOR-23 Raymond Gomez 12/13/16 13:18 PAGE I
<br /> Safety-K1een Systems, Inc.
<br /> 2600 N Central Expy, Suite 200
<br /> Richardson, TX 75080
<br /> CORPORATE: 800-669-5740
<br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen)
<br /> 2095451031
<br /> REF£RLNCE NBR.
<br /> CUSfOMER# PA23059 Paradise Point Marina 71936091-1603935175'
<br /> 8095 Rio glance Rd SRVC WEEK: 2016-54
<br /> Stockton CA 95219-8703 SRV( DATE: 12/13/16 13;18
<br /> PHONE 209-952-1000
<br /> BILL TO CUSIOMERS BILL TO ADDRESS:
<br /> PA230S9 Paradise Point Marina
<br /> 8095 Rio Blanco Rd
<br /> Stockton CA 95219-8703
<br /> PHONE 209-952-1000
<br /> PURCHASE ORDER# TAX EXEMPT*
<br /> PRODUCT/SERVICES
<br /> SERVICE/ TOTAL
<br /> PRODUCT QTY UNIT PRICE TAX CHARGE
<br /> 90837 MODEL 90 W/2387 is 6365 1.000 316.8500 28.52 345.37
<br /> S/N 10036905 IAG OOOOIIIOIKIOUS8905 CLtAN $.00 3PtN1 0.000
<br /> SERVICE TERM 12 WEEK SCANNED YES
<br /> N LUN IS: I ISDF: SCA MANIktS19: OQ5729315SKS FORM CD: UIS SNIP# L2O981t53
<br /> CNT#: 141130/38120 QTY: 20 VT/VOL P PROF* 156023 SK001 14941
<br /> 100001 FEE, FUEL SURCHARGE 1.000 10.1800 0,92 11.10
<br /> TOTAL SERVICE/PRODUCTS 327.0300 - 19.44 __-356.47
<br /> TOTAL CHARGE 356.47
<br /> CREDITS 0.00
<br /> TOTAL DUE -_--_--3$0,47
<br /> UNPAID HALANCE THIS RECEIPT 356.47
<br /> Machine clean and good condition? Yes
<br /> Lap Assembly Condition Yes
<br /> Pecals in place and legible? Yes
<br /> Fusible link installed? Yes
<br /> Emergency closiny of lid unobstructed? Yrs
<br /> Machine properly grounded? Yes
<br /> Local Phone No. Sticker Affixed to Machi.
<br /> Spent solvent meets acceptance crite, ;a"'
<br /> GENERATDR STATUS
<br /> 0-220 lbs/month
<br /> Custonter certifies that (i) the aborro-na... _ i•roi:,.;
<br /> classificd, packaged, marked and labeled, ;.,lip" t.„•.:;i'
<br /> For trdnsportaLiev aa.c.urdiny to the appT :..l ivu> or Lhc
<br /> Department. of Trauspur•tation (ii) no ural, ,yt has ol-urred
<br /> either in the characteristics of the ;..1 v in the pr., >
<br /> generating the waste/material, and (iii) Lhr abave —FerenLed
<br /> Gentralor Status is LArrCCt. Customer agree, to pay the above Lharues
<br /> and to be bound by the terms and conditions (1) set Furth in (A) the
<br /> General Tern and Conditions provided separately to Custaorr or (b)
<br /> any SK ayreentcnt siq—J by Custolmer and SK, and (2) ;ncvrp•.rdied
<br /> herein by reference. Unless otherwise inditated ir. the pdyi,jent
<br /> received section. SK is authorized to , - ..:-r Tor
<br /> th i• •>a.t ian. Tf iuslwoer ;ls x, .. ut, an
<br /> wIMOoL caval to the lesser of (t) 1.5% per elate((, CIS% p., danu1k) Vt•
<br /> (ii) the nwxinuau amount allowed by law, will be added to all unpaid
<br /> aiwunts vutsLaad erg, Custouler Lertifiez that the individual signing
<br /> this Service Acknoaledgeiiient is duly authorized to sign and bind
<br /> Cu.tw-r rustle —knn..lydrrc Ihdt it + sihl.. For,
<br /> anan n,a infer in int
<br /> its Generator Status d obtaining EPA10'niunber if required by
<br /> applicable law. The following provision is applicable to
<br /> Sarety-Klcen's parts eltaner and paint 9— cleaner services: Custonter
<br /> auree> that it will not introduce any substance into the solvent or
<br /> aqucvus clean;ag solutioo, including r,ithout limitation any hazardous
<br /> waste or hazarduu% waste constituent, except to the extent such
<br /> introduction is iticidtntal to the normal use of the machine. Custumar
<br /> further agrees that it will not clean pdi-”/poinL guns that have been
<br /> cuntwuinate,. with or, ulherwi*e introduce pulyLhlvrindtcd biphenyls
<br /> (PCB's), herbicides, pesticide,, dioxins or listed haear•dons waste
<br /> into the solvent or aqueous cleaning solution. Sditty-Klein has the
<br /> capacity and is permitttil to accept, *Lure, and/ur reclaim the spent
<br /> harts washer solvent; pain( Lhioncr•s, sulvenl.s and paints generated by
<br /> customer; or dry cleaning filter cartridges, powder, and still
<br /> its;dues coaLain;ng perchluroethylene, petrol•.*m`naphtlid, or
<br /> lriflurotriehlvruetFiane dry cleaning sulveuls. Costumer dg nes th4L it
<br /> is responsible for pruporly classifying its %--te *trial,. as Used Oil
<br /> or Nonhazardous Waste in accordance with the provision of 40 CFR
<br /> 262.11 and applicable slate laws. Custuiner agrees that it will not
<br /> ;tilruduLc any nun-cuafurminu substance into the SK Property,
<br /> .nclrulitiy, without lu:litatiun, any hazardous waste or' hdedrdvus vdste
<br /> sunstituent,(i.e., polychlorinated biphenyls C'PCgs"), herbicides,
<br /> pest;e;dts, J;vxias, or listed hazardous wastes) except to the extcat
<br /> such introduction is incidental to the normal use of the SK Prvperty.
<br /> In the event of the introduction of such nun-evnfuroliny hazarJuu.
<br /> v,aste, Customer, ayftt* that it will Le respunsible for all ousts and
<br /> r•eiued;al;mr expenses related to or arising from the proper mianagement
<br /> Arid disposal of the tion-Lonforining waste, including the lust of
<br /> cquipinent deeuntainination and subsequent disposal. Findl invoicing
<br /> will be based on the actual services provided, which may include
<br /> additional charges for off specification —ste and surcharges. Final
<br /> invoice anrount nay be nwrt than the anu—t listed on the pr;nttd
<br /> rtecipt. if any legal actiun is eonatenced because of an alleged
<br /> dispute, breach, default or misrepresentation, the Customer also
<br /> —re" that the orevailing party will be entitled to recover
<br />
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