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C51 5K-SSL-50x-23 Raymond Game. 7!/29/27 13:27 FADE I <br /> Safety-Kleen Systems, Inc. <br /> 2600 N Central EAP5, Suite 200 <br /> RTtliartlsen, TX 75940 <br /> CORPORATE:an-649-5740 <br /> 24 M CMCRGENCY:800.468-1760(Safety-Klee.) <br /> 2085451013 <br /> REFERENCE NIR. <br /> CUSTOMCR9 PA13959 Paradise Point Marina J'I'll2.3)05789297 <br /> ao95 Rio Blanca Rd WX WEEN: 2017-44 <br /> Sta[kton CA 95229.8703 SRW DATE: 11/29/17 <br /> PHONE 209.952-1000 <br /> .1 1.110 i0MERe BILL TQ ADDRESS: <br /> PA21059 P...dis.Point Marina <br /> 7095 Ria Bianca Rd <br /> Stockton CA 95219.4701 <br /> PRONE)OO-OSI-5000 <br /> PURCHASE ORMI TAY EXHORTS <br /> PRODUCT/SERVICES <br /> SEWCEl "TAt <br /> PR00UCT RTT Owl 1'RICC TAX CKNME <br /> 904.17 MODEL g0 M/2187&6195 I.D06 324.1080 )Seep 794.24 <br /> t/h 1402440.— >tfa}al_was C16M 8,59 5rit4f 9,990 <br /> 51RYICE TERM It RCCk SCANNED NO <br /> 10=1 FEE.FUEL SURCHARGE 1.000 11.9'204 f-bc t+.a. <br /> TOTAL 9CKVICE/VKODUt I'S 44s.0100 30.15 385.16 <br /> IOTA CRARU 305.16 <br /> CRMM 0.00 <br /> IOTA 0" 465.16 e <br /> CAPA10 BALANCE MIS RECEIPT 365.16 <br /> Machina clean and good condition?yes <br /> Lr,sr A-Andily Condition Yes <br /> 0ac1 <br /> 1 <br /> s in 91 ace and legible?vas <br /> Fusiple tisk installed,Yes <br /> famrpency clasinp of lid unabstracted7 Vas <br /> N-hice properly oroundo.Yes <br /> Leeat Phone Na.sticktr Affi>ed to Nachiae Yrs <br /> Spent solvent meets acceptanw criteria?Yes <br /> GENERATOR STATUS <br /> 0-220 Tbs/menth <br /> Y Custaimp se,tifias that(i) the abuve-nm,ed nott-W,or.properly <br /> classiFiad,Packaged,a k.d end lab.l.d, and a e in prop.,condition <br /> fur tru,sp.rtei ion a ord'4,y to the aypli-bl.r ywtac tans of the <br /> Dapavtownt of Transpurtatia.(ii)no anterial h,u�NyBe has ouurred <br /> eithe,in the charas tee ist its of the waste/O tArial n the pre..., <br /> generating the waste/material,paid(iii)the abp referenced <br /> Gen.wator Status is Correct, Custa,.r agree.I.Pay <br /> and to ba bound byCheto".and conditions (1) set forth in W Ih. <br /> G.ncral Tena a„d Co,J:1.,.us pr.vidcd separately to Cu>loomr.r (b) <br /> an,SK.ur—m 4 nN—d br Custon.r and SK, and(2) i .rP.rated <br /> er .. <br /> h .bi r.ferantunless atherw;..iudiceled in IUs B.5.—t <br /> received section, SK is authorized to.charge Customr's a< uAt few <br /> this transaction. If Cost..,fail.to nu,tG payg,ent whe.doe, an <br /> amount 46441 ka the iGssar of(t)1.5%Fen,mesh(in per....To a <br /> (i i) the um out n1T.weA by lawn will be Added to all unpaid <br /> un oatatoodiy.C stwn., ccrtifi.s that lh,individual signing <br /> Btu n ,:.11 w., sig„a, <br /> 4> <br /> Custom CLwoerwatknu.INgas.bat itsesponsible To,�,sw.i.hw <br /> Bks G.nxrai.r Status uta obtaining an EPA I0 nm,ber if rrquir:d by <br /> applicabt.lain. 'No Toll oeinq pravi....is applicable Lo <br /> Safety-g ic.n'z It—tlx...r and Faint y c74.ne. s t Ce>su <br /> agrees that it w;11 net introduce any suL.t.n<e into ll,e>alvant e <br /> tyuccI-Iry sulut ivp, ntl4dilty eiehaut lkaitaliu u,y i ard.u> <br /> a>teaar hasardag>wA>te c art ityrnt,...apt <br /> int---tio.i>int identalutu the q r"I use of the„n cost.".r <br /> furth.r a9r...th.t it will not.lea.parts/paiut...s that ho—U.— <br /> antmnibaktd oith a .the-is. 1.t,wJpal y<h3ur hated biphtnyls <br /> gee's}, harbi.idar uts p.sticides, dioxins.r listed hazard..:west. <br /> into the sot vent or aqueous cleaning solution.Safety-KT...has the <br /> capacity and is permittad to acc.pI star., ane/qr reclaim ihr>y.ni <br /> Farts washer solvent; paint thinaar>, s.l.rnts and paint>ytntrated by <br /> ,an <br /> tmner; or dry.Tran leg filter tar kr idye>, powder, and still <br /> residua c.nto in ytrehlorvethytaa., p.traleun nay tithe,. <br /> tr iflu..I,ichioraethane dry Cieanino solvents.Co--ayrres that it <br /> xspen>ibl.for properly classifyi.y its wa>I.streams s>Used Oil <br /> r Nonhazardoa matt i ..derma with the pro of 40 CFR <br /> 262,11 and applicable state tIasm. Custmoar our..that it.will not <br /> introduce anYon-tea <br /> nfonning sub>tce into the SK ProFFarty. <br /> incladiny,wl th..ta <br /> limitoti.n. y hazardous..ate er hezerdu..waste <br /> <i. poly=hla,inat.d <br /> "'e—'is C'PrU:'), herbicides <br /> prsticid<s�diesin>, er listed hse.rd.u>wast..) 4 sept to th4.sent <br /> uch introduction is incidental ie the..—I u>z of the SK Property. <br /> In the event of the introductioa of such n -anTorm top hazardous <br /> Ku te,Custnm.r agrees that it will be responsible for all Costs And <br /> exrdiation expenses relat.d to o sieVl frau the proP.,nw.aye,ant <br /> And disposal of the n onfo,minq oast., inciudiny the cast of <br /> eVui"at dela.Ymninrt iva and suLstgnaat disp...1. final i my <br /> will be based on the actual s rvic+s provided, which may include <br /> additional charges for If <br /> >pat lfication wasto and surcb.rgas.final <br /> invuica anmunt rry bG mo r Than the amount listad on she printed <br /> ret.ipt.If any 1•yat action is e—.ced ba Co. of an aFteged <br /> dispute,branch, default or ..pre..tati.n, the C.=els. <br /> ..pre..that the yrevailinypart,will be ani ttlad to r r <br /> etemo.abla.Attarn.y's fees aml costs aasacietad with the, <br /> enfonntnI cunts,inaI.........Safety-klenn's failure to screen <br /> Co.taner's waerial or take a retain samile, in no way constitutes A <br /> waiver of Customer's obligation to property Iles-ify its nuterial>. <br /> fe ty-Klein,..lite e.cost.,wr'..apre>antalim,,a <br /> rasponsibla for info.leg Saf.ty-KI...or..,process ek.ny..l thwt per <br /> alter the.hare.teristic.of the arterials provided.IN IME EVENT Of <br /> AN,ENEWAACY CALL--24-MK NUMBER—1-7P0-468-1760(Safety-Kleine) <br /> S;OegMure �.__ <br /> CUSTOMER/VENERATOR; fay <br /> LAST PAGE <br />