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SS-SSL-ROX-21 - Roymomd Cane. 11/05/18 30:44 PAGE 1
<br /> Safety-Kleen Systems, Inc.
<br /> 1400 N C-Lral Copy.Suit•200
<br /> Rithardson,
<br /> IN 75000
<br /> CORPORATE:800-464-S768
<br /> 24 M ENMENCY:000-468-1760(,Afnty-K1cen)
<br /> 1095451011
<br /> REFERENCE No.
<br /> CUSTOMER# PA230SO Paradise Point marina 74416212
<br /> so6S Rio al ant.Rd SWC WEEK: 2034.45
<br /> StIten CA 95219-4703 SAW bAT6: ll WI$
<br /> P1 204
<br /> RIRON -#52.1000
<br /> LL AOOR
<br /> TD CUSTONfia Rill TO ESS:
<br /> PA21039 P.redt..Point Marina
<br /> p#S Rie 514KO Rd
<br /> Stacku. CA IS21-8701
<br /> PN ME 2#9-952-1000
<br /> PIMUASE MEN$ TAX ESDIYTO
<br /> PRODUCT/SERVICES
<br /> Sw4cc/ TOTAL
<br /> PROINUCT OTrTORT PKIKE TAY 01AIM
<br /> fair nano"x/224?k 4565 1.000 41.0000 9.40 0.60 ,
<br /> SA 10034505 TAO OOO011705410O3epOS ckfJfl 1.Sao spelt?0.000
<br /> Suract TEAM 12 MEN SCAMIIm NO
<br /> CAUSE CODE waidLins-WASTE PIC2W ONLY
<br /> ----------------_________________________
<br /> 70TAL SEIWMAMOKIC1S O.OIOO 0.00 0.00 a
<br /> TOTAL OWIGE 0.00
<br /> CREDITS 0.00
<br /> TOTAL OW 0.00
<br /> UWA1D 14ANCE'nas RECEIPT O.00
<br /> Machine clean aad good-edition?Yes
<br /> Lap Assembly Condition Yes
<br /> metals in place W 1.501?Yea
<br /> .sibl link i.su11.0 Yo4
<br /> ."-cy elwiip eT Lid.nebstrrxted?Ya.
<br /> :Aimapeeperly 4raund•d?Yes
<br /> ;41 Mone Ne.Stfck.r AHi-d to Rochiro:Yes
<br /> tet solvent maot.'.Geplante criteria?Ten
<br /> TCRATOR STA70
<br /> 20 lea/semik
<br /> .toner certifies that Ci)the shave-meed arterials are promly
<br /> tsaified, p.ckeaed.s.W and labeled. and.P.is a,.,.,casditie.
<br /> ' tnes"'tatiea an oraing to 0.applicakia roaalati.an of the
<br /> •PLent of'hanaportation Cii)na mat.ri.1.hang.has.eared
<br /> nor in the dafecteristicm of or I.the protea.
<br /> orating the Wanta/naprial, and(iii)the about refdrtecsd
<br /> 'rater St.",ie correct.C..tewr"ones to any the be-6.'"'L be keund by the tem and conditions C1) at forth I.W the
<br /> .vel T.eea sed C•nditi......vidad mac—Uly to Cont—or(b)
<br /> SO e.'raae signed by Coserer mod San W 0) imearome ted
<br /> .aim by rafertwca, Wass othersids 14dicaked I.on,st6most
<br /> e
<br /> is rout an, us omen rally to Man pa1RR
<br /> ..vent equal to the leaser of(i)1.5%p.!noeth QOM Per mm-a)or
<br /> <to the orximmus'east'hound by les.mill be added to all wopaid
<br /> aapwrts mutstm d4n6.Came—,ee.t4Han*but the isdividmal sio.ing
<br /> this S.M..Ack.—Indpaaamt A.auto•..LMH.•;to.ipa w miss
<br /> C*.tanr.Co..—,a.*awlodo..that it is resi—ibl.f.r mtip'Wag
<br /> I,s(..enter Status and obtaining an EPA To erNer if nomired by
<br /> appliWle tau.The fillosing P—ision is applicable it
<br /> 5afety^4la".Parts ci eangr aad point amclatazr"Mices: Customer
<br /> .am$that it will not introduce may fmboame.'41.the solvent or
<br /> 44-0--loping solution, including xith..t linitatie.any bon-dws
<br /> Nanta or ka.ardams.ante constituent, -apt to the steel such
<br /> intre4ucti..is incidental to the..—I...of the nrchiw,Cunt—,
<br /> further&r me that it will met clean parts//patat pens that have been
<br /> coatedimated with or atharoism introduce feYyc -i-tad biphepyl.
<br /> 040'a), herbicides, Pesticides, dieti.s.r listed hazardous route
<br /> into theanlwnt or we—kl.onime solution,S.f.ty-Kl.en ban the
<br /> ,OP.,,,-4 t.P.—itted 1.accept. .tar.,sed/or?.let.the Pont.
<br /> .....Hanker.alwat:Point thinners, .hent.add Points geagratod by
<br /> .?.tenor; *r fry ciawtng filter cartridges, -A- mad.till
<br /> ,.aid".conu1.ing Prckloro*thYlaw.patrolmen Whom,or
<br /> triFluroVicblotoathans danC"24
<br /> RAP cleaning azly.RtA.CantrP agrolg that it
<br /> is raap*.sible far properly clessify'1N9 its wntp st"N"an Used Oil
<br /> .r Neohmrdoua lost.is acanrdpc.with tk.previ.isa.f 46 CFR
<br /> 202.41 ad aopli-Jol.stat.ten.. Costa.•?ngrac.tent h mitt wt
<br /> introduce any w.-conferninp mub.tancs into the SK►rngeKy,
<br /> Including,witho.t lioisatio., any hanard.-want.ar baz.rMus rota
<br /> CensLitwnt,(tug„/'tical oriented biPkesyla C'PCIs"), berbicid".
<br /> Pesticides,dioxins, or list"hanardmus mutes)....pt to the txuat
<br /> sock intrad.cti.n is incidental to the omni use.f the S1 Pro orty.
<br /> 14 the event of the int-&Ction of such pen-confermime bag-i"A
<br /> want.,Customer*anas that it W411 be responsible for all costs and
<br /> rwWi.tiom ppan...nlaud to-'rising from the proper muagaatmt
<br /> ems di.Pasal of the nan"canforming want*, including the cast of
<br /> ayoipaont Acont►niwtion and-basement di p.41.final inwicis0
<br /> wlll b bead on the actual s*me*$provided, which:any include
<br /> edditten.l cher...far off tpacifiention mute and.oto-gan.final
<br /> snit'amount sty No erre tkan the t listed an the Printed
<br /> receipt.if any In.l act i..to canoe.."knees..of as alleged
<br /> Hapte, breach, defaulter.i.r.preseatation, the Customer also
<br /> res that the prevailiai party will beegtitl.d to rUowv
<br /> =Able atterany's fees W costs auxiat"with the
<br /> rconfemming co"-iaatip awns.Salcey-kleen'.fail.,.t.screen
<br /> utas?'.materi
<br />
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