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CSG SK-SSL-BOX-2S Bruce Matberry 01/25/19 10:38 PAGE 1 <br /> Safety-Kleen Systems, Inc. <br /> 2600 N Central Expy, Suits 200 <br /> Richardson,•-TX 75040 - <br /> LORPORATE: 800-669-5740 <br /> 24 HR EMERCMY: 800-465-1760 (Safety-glean) <br /> 2095451011 <br /> REFERENCE NOR, <br /> C0510MER8 PA23059 Paradise Point Marina 75879637-1846627896 <br /> OD95 Rio Glance Rd SR%K WEEK: 2019-4 <br /> Stockton CA 05219-5763 SRVC DATE! 41/25/19 <br /> PMONE 209-952-1000 <br /> BILL TO CUSTOMER/ BILL 10 ADDRESS: <br /> PA21059 Paradise Point Marina <br /> 8095 Ria Blanca Rd <br /> Stockton CA 55219-8703 <br /> PRONE 209-952-INN <br /> PURCHASE ORDER* TAX EXOPT* <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> _ PRODUCT 47Y UNIT PRICE TAX CHARGE <br /> 90537 MODEL 90 W/2387 8 6365 1.000 377.4500 33.99 411,64 <br /> SM 10038905 TAG DOM170SKID038005 CLEAN 2.50 SPENT 0.000 <br /> SERVICE TERM 12 WEEK SCANNEO Yes <br /> 100030 RECOVERY FEE 1.004 32.1000 2.69 34.99 <br /> ---------------­-------- <br /> SERVICE/14t0DUC1S 409.7500 36.88 446.63 <br /> TOTAL CHARGE 446.61 <br /> CREDITS 0.00 <br /> -------------- <br /> TOTAL DUE 446.63 <br /> LWPATD OALANCE TRIS RECEIPT 446,63 <br /> Machin*clean nod good condition'Yes <br /> Lamp Assembly Condition Yat <br /> Octal& in place and legible?Yes <br /> Fusible link installer?Yes <br /> Emergency closing of lid unobstructed?Yes <br /> Machine properly grounded'Yes <br /> Local Phone No. Sticker Affixed to Machine Yes <br /> Spant solvent meets acceptance criteria'Yet <br /> GENERATOR STATUS <br /> 0-220 Ibs/month <br /> Customer certifies that (i) the above-named.materials ora properly <br /> classified, packaged, marked and labeled, and are in proper condition <br /> for transportation according to the applicable regulations of the <br /> Department of Transportation (ii) no material change has occurred <br /> either in the characteristics of the wasts/material or in the process <br /> generating the waste/material, and (iii) the shove referenced <br /> Generator Status is correct. Customer agrees to pay the above charges <br /> and to be bound by the terms and conditions (1) set forth in (a) the <br /> General Terms and Conditions provided separately to Customer or (b) <br /> say Si(agreement signed by Customer and SK, and (2) incorporated <br /> herein by reference. Unless otherwise indicated in the payment <br /> received section, SK is authorized to charge Customer's account for <br /> this transaction. If Customer faits to make payment when due, an <br /> amount equal to the lesser of (i) 1.5%per month (18%per mnum) or <br /> (ii) the maximum amount allowed by law, will be added to all unpaid <br /> amounts outstanding. Coot—certifies that the individual signing <br /> this service,Ackaowledeemant is duly authorised to sign and bind <br /> Customer. Customer acknowledges that it is responsible for maintaining <br /> its Generator Status and obtaining an EPA TO number if required by <br /> applicable law. The following provision is applicable to <br /> Safety-Kleen's parts clamor and paint gun cleaner services: Customer <br /> *groes that it will not introduce any substance into tke solvent er <br /> aqueous 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 that it will not clean parts/paint puns that have been <br /> contaminated with or otherwise introduce polychlorinated biphenyls <br /> G"'a). herbicides. pesticides, dioxins or listed hazardous waste <br /> into the solvent or aqueous cleaning solution. Safety,A(leen has the <br /> capacity and is permitted to accept, store, and/or reclaim the spent <br /> parts washer solvent. paint thinners, solvents and points generated by <br /> customer: or dry*leaning filter cartridges, powder, and still <br /> residues containing perchlorotthylene, petrolcwn naphtha, or <br /> triflurotrichlsroethan*dry cleaning solvents. Customer agrees that it <br /> is responsible for properly classifying its waste stream& as Used Oil <br /> or Nonhazardous Waste in accordance with the provision of 40 CFR <br /> 262.11 and applicable state laws. Customer agrees that it will net <br /> introduce&By non-conforming substancs into the SK Propeety, <br /> including, without limitation, any hazardous waste or hazardous waste <br /> constitwent,(i.e., polychlorinated biphenyls C'PCas"), herbicides, <br /> Pesticides. dioxins, or listed hazardous wastes) axctpt 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-caoformino hazardous <br /> waste. Customer agrees that it will be responsible for all casts end <br /> remediation expenses related to or arising from the proper mm&9ment <br /> end disposal of the non-conforming waste, including the cast of <br /> equipment decontamination and subsequent disposal. final invoicing <br /> will be based as the actual services provided, which may include <br /> additional charges for off specification waste and surcharges. Final <br /> invoice mount may he more than the amount listed on the printed <br /> receipt. If any legal action is comneaccd because of an alleged <br /> dispbtt, breach, default or mismprestatatioa, the Customer els* <br /> agrees that the prevailing party will be entitled to recover <br /> reasonable attorney's fees and costs associated with the <br /> non-coaforming contamination event. Safety-&hen's failure to screen <br /> Customer's material or take,a retain sample, in as way constitutes a <br /> aaityr oi,,wat is ebl.igation to proparly classify its materials. <br /> to►iaa alt;Custamsr.'s.repraaantas teas end Customer is <br /> R Y Fl `1'a'r.ilifenting Safety-&lean of any process changes that may <br /> �;4IteP;3flfrMac*eriet4ceof the materials provided. IN TRE EVERT OF <br /> �; 'r..ss 4C1t� ,x:24.1 MUK6ER#e 1-SM-466-2760 (Safety-,Hoon)A <br /> ew. cPVefg #";nkat fluctuates with the DOE national average <br /> . a.81�#:<�i! i li►►'epjiT4«1 to y setawice. For tare information <br /> fan eaTcr114}t'ito?lease to to <br /> 7 f` Kgto r -faea.Nlaailt.Note. <br />