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CSG SK-SSL-BOX-21 Raymond Gama 04/15/19 13:29 PAGE i Safety-Kleen Systems, Inc. 2600 N Central Esq), Suite 200 Richardaao, 7% 7S08D CORPORATE: 800-669-5740 24 Mt EMERGENCY: 800-468-1760 (Safety-Kleen) 2045451011 REFERENCE NOR. MUM # PA21059 Paradise Point Marina 79604422-1901530693 8095 Rio Blanco Rd SRVC WEEK: 2019-16 Stockton CA 95219-8703 SRVC DATE: 04/18/19 PHONE 209-952-1060 BILL TO CUSTOMER# BILL TO ADDRESS: . PA23OS9 Paradise Point Marina 8095 Rio Blanco Rd _ Stockton CA 95219-O7 PHONE _ plRv AC ORDERi PROD SERVICE/ PRS 90637 W/2787 a 6165 S 905 TAG 000011705K1003846 " SERVIc 12 WEER SCANNED YES '„ ^ AU30 RECOVERY FEE 1.000 i. ..41`�ERVICE/PROOucls * EOITS TOTAL DUE - UNPAID BALANCE THIS RECEIPT 444.57 Machine clean and Vaud condition? Yes Lamp Assembly Condition yes Decals in place and legible?yes Fusible link installed?Yes Emargwn y closing of lid unobstructed?Yes Machine properly grounded?Yes Local Phone No. Stirker Affixed to Machine Yes Spent solvtnt meets acceptance criteria?Yes GENERATOR STATUS 0-220 lbs/month Customer certifies that (i) the above-amaed materials are properly classified. packaged, marked and labeled, and are in proper condition far transportation —carding to the applicable ragelations of the Oepartmwt of Transparistion (ii) no material chance has occurred either in the characteristics of the waste/material or in the process generating the waste/material, and (iii) the above referenced Generator Status is correct. customer agrees to pay the above charges and to be bound by the teras and conditions(1) set forth in (o) the General Terms and Conditions provided separately to Customer or (b) any SK agreement signed by Customer arum lri, awl, (2) incorporattal herein bill reference, Uals.p,Hfarwiae_iiiVjciif...afrtlrr-ryaydr.nt _ received see ion, ti°ai:thoriud to charge Customer's sccalut fur Ellis transaction. If Customer fails to make payment when dot, an amount equal to the lesser of (i) 1.5%per month (la%per annus) or (ii) the maaimr+mm amount allowed by law, will be added to all unpaid amounts outstanding. customer certifies that the individual sigainc this Service Acknowledgement is duly wthorixed to slow and bind Customer. Customer ack=,t9ges that it is respans ibis fee raiataieinq its Generator Status and obtaining an EPA ID number if required by applicable law. The following provision is applicable to Safety-.law's parts cleaner and paint quo cleaner services: customer agrees that it will not introduce any substance into the solvent or aqueous cleaning solution, including without limitation any hazardous waste or hazardous waste constituent, except to.the extent such introduction is incidental to the normal use of the machine. Customer further agrtes that it will not clean parts/paint guns that lave been contaminated with or otherwise introduce polychlorinated biphamyis Dm's), herbicides, pesticides. dioxins or listed haxardws waste into the solvent or aqueous cleaning solution. Safety-Kleen has the capacity and is permitted to accept, store, and/4r reclaim the spent parts washer solvent; paint thinarrs, solvents and paints generated by customer; or dry cleaning filter cartridges.,powder, end still residues containing perchloroethylane, petroleum naphtha, or trifluretrichlororthane dry cleaning solvents. Customer agrees that it is responsible far properly classifying its waste streems as Used Oil or Nonhazardous Waste in eccordanca with the prov*im of 40 CFR 262.11 and applicable state laws. customer agreeslthat it will not " introduce ank non-eonfonning substance into the SX%Property, including. without limitation, any boaard"A wastaior hazardous waste coostituent,(i.e., polychlorinated biphenyls, ("P(114[), herbicide., pesticides, dioxins, or listed hazardous wastes) except to the extent such introduction is incidental to the normal use of the SK Property. 1. the event of the introduction of such non-conforming hazardous waste, customer agrees that it will be responsible for all costs and rowdistim expenses related to or arising from the proper management and disposal of the nun-conforming,waste, ihtluding the cost of equipment decontamination and subsequent disposal. Final invoicing ; will be based on the actual services provided, which may include additional charges for off specification waste and surcharges. Final iwvoixa amouat may be mare than the amount listed on the printed - _1 receipt. If any legal actiod,is commented because of an alleged dispute, breach, default or misrepresentation, the Customer also ghreas that the prevailing party will be entitled to recover reasonable attorney's fees and cvslcjassociated with the i non-tanform ing contaminative event. SiNty-Kleen's failure to screen Customer's material or taka'a :stain sample, in no way constitutes a r l waiver of Customer's obligation to properly classify its materials. Safety-Klean ralies an Custormer's representations and Customer is responsible for Warning safety-117660 of my process changes that may alter the characteristics of the materials provided. IN THE EVENT OF AN BUIGENCY CALL se24-141 NUMBER— 1-MO-468-1760 (Safety-Kl&w) A variable recovery fee that fluctuates with the DOE national average diesel price may be applied to your iavmica. For metre information regarding our recovery fet calculation plesse go to http://safety-sloes.cum/ ' cnstomtr-service/ert•iroma:re�tal-feesfrtcovt ry-fees. Please note e-manifestfees applicable to this ardtr may not be included in the total above and will be included in the final invoice or credit card •wzattment. RECEIPT ONLY - THIS IS NOT AN INVWf