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CSG S1-SSL-box-21 _ 7.6auY Owean 04/6e/1e 00:01 PAGE 1
<br /> Safety-Kleen Systems, Inc.
<br /> 2600 N Central Expy,Switz 260
<br /> Richardson,TX 75050
<br /> COINMATE;600-669-5740
<br /> 14 101 EM468-1740 CDCV:NO-468-1760(Safety-NI...) -
<br /> 20p54S1061
<br /> NUtRDCE NOR.
<br /> M
<br /> Q5TERp PAR3050 Paradise Point Marina 77425716-1603561775
<br /> 6065 Ria*lance Rd SnIV REX,: 2016-32
<br /> Stockton CA 65y16-0763 SIMC DATE:es/06/18
<br /> PNM!200-052.1000
<br /> QLl TO C1nTMERa RILL 10 NDD6ESS:
<br /> PA23055 Parodist Raise Maria$
<br /> Mel Ria Blanco tl
<br /> stacktw CA/1210.670)
<br /> PNOMR 2g!-fft-1000
<br /> PLAICHASE ORDERS TAX EXMWT#
<br /> PRODUCT/SERVICES
<br /> sinice/ TOTAL
<br /> YRMV(T 41YUAffT PRICE TAX QLNGt
<br /> DOW MODEL 90 M/2M7 s 6365 1,we 161.3600 32.52 793,90
<br /> S/M 16038603 TAG 600O117aGs16o36903 CLEM 2.50 SPIRIT 0,000
<br /> SERVXCE TERM 12 11111 SCANNED NO
<br /> 100030 RECOVERY'FEE 1.000 32.5200 2.93 35.4S
<br /> -----------------------------------------
<br /> lVTAL SERVICEJ70001M;15, 303,6000 75.15 410.15 e
<br /> TOTAL CHARGE 129.75
<br /> QUM 0.00
<br /> ---------------
<br /> lYTAL DHE 629.35
<br /> iwAID BALANCE 1MSS REC19" 430.15
<br /> Machias cleat and#.ad condition?Yes
<br /> Law AssomblY Condition Yes
<br /> Oe«is in flare mM iryibieT Yes
<br /> Fusible link instellsM Yes
<br /> sb
<br /> EseHencY clas;4 of lid wstructed'Yes
<br /> Machine properly grau.dw V.
<br /> Local Ph...Mo. stick.,Affixed tt Machine res
<br /> ,Pant.elwnt west.accryta.ce tr 4cori.7 yes
<br /> GL14MTOR STAIM
<br /> 0-220 lb.y-.th
<br /> CustR,certifies that(i)the About-Mand wrterials are properly
<br /> classified.packaged,imertei and labeled, rd are in proper condition
<br /> far transportation according to the applicable regulations of the
<br /> Depe,ew"I of Tr p.rtwtiea(ii)no material change bas ec.o'red
<br /> .ith.r ion the c6.r+cxesistiss of the,vante/mserial or in the Process
<br /> Is.rating tte _te/nmtcrial,sod(iii)the bow raf�ranced
<br /> Gonontar Statue is-'rut.Custwmer agrees to Pay the up*"charges
<br /> and to be bound by the tats And codtti..s(1)set forth in(a)the
<br /> General Tars and Conditions provided soparmtely to Customer of Cb)
<br /> may SX ngrerme.t•is..d by Customer and SX,and 0) incorporated
<br /> - hernia by referpact„_Imelevs th a ise imdieoted is the Payne.
<br /> ,e-i-d section, $1 is awQf`ariXeO-S6 tAarBR Castmwr'.accnwnt for -
<br /> %his trwsectime.If Customer fails to arks oeyetet whom don, an
<br /> sa wit wmal to the lesser of(1)1.5%par mouth(lig per aMa1ed oe
<br /> (11)tha ewinwm smoupt allowed by 1w,.311 be added to all*mwid
<br /> meronts wtstasdis9-costate,certifies that the iadividwel signing
<br /> this Se iia Acbnawle4Ow,nt is duly wtba,ied to siw ad bind
<br /> Cantoaer.Castemor acieowldges that it i+respassihle for maintaining
<br /> its Generate,States Rod abtai.iwi w EPA M s.*or if required by
<br /> wpl icmble law.The following pravisiw is applicable to
<br /> Safety-slew's parts cleaner and paiat gan cleaner urACu: Cost.mer
<br /> sort*$that it will not intrdeca may substance into the Wvimt
<br /> anaewa cleaning .lutinn, incidinw without iinitptien may hox+rdout
<br /> ;"w..to ar kne"Jows waste emaxtitut*t,exempt to the extent such
<br /> ;"z 36tredweties is i.c;4ontai to tan normal was of the asdiu.Customer
<br /> ,�,�cher y,rwan that it will mot clew parts/paint Pins that how been
<br /> AF�'q, herbicides, oust c-e.,
<br /> ,.ft
<br /> tha..I—t or waews cleaning ml+tie.,S.faty-Xlo.a hu the
<br /> cw-i"
<br /> and i.wnoittM to accept,sten,and/or rec7+iw the.pant
<br /> wren_=solvaat;paint thisrars,solum W paimu sowratad by
<br /> taste$,,;.r all clewiq}filter cartridges,powder,Rod stili
<br /> asi=c i ins In,tnleraeehyl.oe,pec-1 m„yatb.. or
<br /> piflantriableroathre dry clewing selveah.!,tamer*inn that it
<br /> is re.pwsfbpa
<br /> l.far prorly classifying it.out*stpow,as Used bit
<br /> or M.Waaarde.s Mesta i.ncesrJanu.46 the prrvisien of 40 CFR
<br /> 262.11 pad woul"ah".tmt.law. Came—mersos that it will not
<br /> t tan
<br /> iatn4u«any nen-c.0onfanai.$..hot—.inS6 Property,
<br /> including, .;tht limitation,any huarwas Want*or Xuardobs wwtt
<br /> «wtitBept,Nine,,w1ychlorinate0 bipkanyls CI(Ye"). herbicides,
<br /> Itsticides. dietisa,or listed buarMs wastes)except to the extent
<br /> such
<br /> introduetiea is i.cide.tat to the rout us.of the Se Property.
<br /> In 1"'.
<br /> he event of the intrdaetien of ouch now-cenfo wina b"Ardoas
<br /> .alae,Customer-9...that it will be remwuibit for all costs ted
<br /> a.distiw..Panaas related to or arising free,the proper ermagemeat
<br /> and disposal of tilt nes-camfownins waste, i.cluaiRg Ga cost of
<br /> easianmat dacomtmeimatian and cabsquent diapasal.Final inwicing
<br /> Will be based.n the t..l ma ices prevideJ,which any include
<br /> dditional charge[for off mpei fie+ti"wants mad surcharges. Final
<br /> iawi«asment may b.more than the$-not listed on the printed
<br /> nctipt, if any legal action is commncad bac$wt of w alleged
<br /> dispute,breach,default or wisrHresenastipe. the Cutemsr also
<br /> a9ree1 that the Posvmiling party will be a.titld to rocauer
<br /> PeNonable Attarwy'f fees and costs associated with the
<br /> Rea-enf.weins«atMination emeeat.Sofety-11000'.fail.,,to$
<br /> Cu tmar'.nn.ri.1 a eme
<br /> take a retain sis, so pay c..Litmus e
<br /> waiysr of Castamer's abligatlw to properly classify its Materials.
<br /> 5sfety4ler relies me Cast—,*.nprememtat;sos an4 Comeau,is
<br /> responsibl.for i.formiog Safety.aleen a1 pay process thug"that any
<br /> otter the characteristics of the materials Pravi4ed.IN THE EUE1a OF
<br /> AN 6HEl�GENCY CALL24-Mit wbubse•t-sgo•4an-Sri$CLfety-atoni0 A
<br /> w,i.b7e Rewe,,fee that fluctuates wirh the 061 national average
<br /> diesel lice way be RPP1(td to your Lawton Far mare 1Meimatiso,
<br /> ill; s*N
<br /> garliNq our racewry fat calculation pleale
<br /> b //smfat Y-kl Ran.cwJ
<br /> [wtwmer-servirelenu-irwmeptal-fees/retew,y-feu.Ple.0 note
<br /> o*Mamifo.t ht*awliesbl.to chis order may mot 6e:xidcd is the
<br /> total about and wilt be in.I".d;m tan final ; it.or..edit card
<br /> .tatem.mt-RECEIPT ONLY-THIS IS nYr AN 2MSIE"
<br /> I haw established a P'.Rrw t.reduce the winner or quantity and
<br /> as
<br /> tacicftY of the hardrmu waste t.the door.to he economically
<br /> Practicable.
<br />
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