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CSG SK-SSL-BOX-23 Raymond Gomez 04/28/19 13:29 PAGE 1 Safety-K7een Systems, Inc, 2600 N Central Expy, Suite ZOO Richardson, TX 75080 CORPORATE: 800-669-5740 24 HR EMERGENCY: 800-4688-1760 (Safety-%leen) 20954SI011 REFERENCE NRR- CUSFO4ERS PA2309 Paradise paint Marina 796044zz.INIS30603 MIS Ria Rlanco Rd SRVC WEEK: 2019-I6 Stockton CA 45219-8703 SRVC DATE. 04/18119 PHONE 200-952-1000 RILL TO CUSTOMER# BILL TO ADDRESS: PA23OS9 Paradise Point Marina 8095 Rio Rlanta Rd Stockton CA 9S219-8707 PHONE P71RCM E ORDERS PRO SERVICE/ DU PRODUCT 90837 MOD W/2387 2 6365 ' S - 905 TAG 00001170SK1003$905 '^ I—C 12 WEEK SCANNED YES ' 160030 RECOVERY FEE 1.000 r! TAL SERVICE,'PRODUCTS - ' +� Ta.C4 `• CREDITS TOTAL DOE �. UNPAID BALANCE IMIS RECEIPT 444.57 Machine clean and good condition? Yes Lamp Assembly Condition Yes becals in place and legible?Yes Fusible link iastell*0 Yes Emergency closing of lid unobstructed?Yes _ Machine properly grounded?Yes Local Phone No. Sticker Affixed to Machine Yes Spent solvent meets acceptance criteria?Yes l GENERATOR STATUS 0-220 lbs/month Customer certifies that (i) the above-named materials are properly classified, packaged. marked and labeled, and are in proper condition for transportation according to the applicable regulations of tht Department of Transportatiot (ii) no material change 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 terms and conditions (1) set forth in (a) the General Terns and Conditions provided separately to Customer or (b) any SK agreement signed by Customer and SX, and (2) incorporated herein by reference. Unless at6erk•ise indi..Gated in rhe payment received xt&TOn, SK"is authorized to charge Customer's accoitt for this transaction. If Customer fails to make palanent when due, an amount tgaal to the lesser of (i) I.S%per month (18%per annw+) or (ii) the maximum amount allowed by law, will be added to all unpaid aasants outstanding. Customer certifies that the individual signing this Service Acknowledgement is duly authorized to sign and bind C.e:enc r, customer acknawledocs that it is responsible for maintaining its Ganergtor Staius and obtaining an EPA 30 .umbar if required by applicable law. At following provision is applicable to Saftty-kleen's parts cleaner and paint gun 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 constitutnt, except to the extent such introduction is incidental to the normal use of the machine. Customer further agrees that it will not clean parts/paint guns that have been contaminated with or otherwise introduce polychlorinated biphenyls Q+CB's), herbicides, ptsticides, diasias or listed hazardous waste into the solvent or aqueous cleaning solution. Safety-Klcen has the capacity and is Permitted to accept, start, andjar reclaim the spent parts crasher solvent; paint thinners, solvents and paints generated by customer; or dry cleaning filter cartridges, powder, and still residues containing perchloraethylent, petroleum naphtha, or triflurotrichloraetheme dry cleaning solvents. Customer agrees that it is responsible for properly classifying its waste streams as Used oil or Nonhazardous Waste in accordance with the provision of 40 CFR 262.11 and applicable state laws. Custom, agreesthat it will not introduce any moo-conforming substance into the SK Property, including, without limitation, any hazardous waste or hazardous waste constituent,(i.e., polychlorinated biphenyls C'PGs'), herbicides, pesticides, dioxins, or listed hazardous wastes) except to the extent such introduction is incidental to the normal use of the SK Property. Io the went of the introduction of such non-conforming hazardous waste, Customer agrees that it will be responsible for all casts and remediation expenses related to or arising from the proper management and disposal of the non-conforming waste, including the cost of equipment decontamination and subsequent disposal. Final invoicing will be based an the actual services provided, which may include additional charges for off specification waste and surcharges. Final - invoice amount may be mo rt than the amount listed an the printed receipt. If any legal action is tomMe.ced because of an alleged dispute, breach, default or misrepresentation, the Customer also agrees that the prevailing party will be entitled to recover reasonable attorney's fees and casts associated with the Znon-conforming contamination tvtnt.Sa#e ty-Kle<n's failure to sc coca stamer's material or take'a retain sample, in no way constitutes a wq fiver of Customer's obligation to properly classify its materials, SafatY-Klee- relies oa Custmmr's rtpresentat ions and Customer is responsible for infarmi-g Safety-K1een of any process changes that may Alter the characteristics of the materials provided. IN THE EVENT Of AN EMERGENCY CALL -24-W NUMSEH" 1-800-468-1760 (Saftty-Kleen) A variable recovery fee that fluctuates with the DOE national average diesel price may be applied to your invoice. For mor. information regarding our recovery fee alculat ion please go to bttp:l/znfet}-kleen-camJ astoner-strvicej ens•i ranmer�tal-fess/recovery-fess. please,note e-menifest fees applicable to this Order may not be included in the total above and will be included is the final invoice or credit card '"al;tatemebt. RECf7P'T ONLY - THIS IS NOT A2!TNw»TrT