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<br /> SG Sk-SSL -SOX 23 Raymond Gomez 15370'4 /19 15 : 01 PAGE 1
<br /> SNIPPING DOCUMENT
<br /> IN THE EVENT OF AN EMERGENCY CALL * '24 -Hr-Numbtr* * 1 . 800- 468 - 1760 (Safety-Kleen)
<br /> Safety4l een Systems , Inc . REFERENCE NBR .
<br /> 2600 N Central Expy , Suite 200 CUSTOMERIP/GENERATOR : AC18978 Acura Of Stockton 79433044
<br /> Richardson , TX 75080 2222 f Hamner Ln
<br /> CORPORATOI 800469 - 5740 Stockton CA 95210 . 4123
<br /> 24 HR EMERGENCY : 800 - 469 - 1760 CSafety - klcen) PHONE 209 - 476- 1640
<br /> ZOPS451011 GENERATOR USEPA ID . CA020716411 GENERATOR STATE
<br /> REFERENCE We MANIFEST# : D06952781SKS FORM LT) : 10 SHIP! 227812415
<br /> USTOMER# ACIS978 Acura Of Stockton 794AID44 TRANSPORT" 1 TA000081205 Safety Kleen
<br /> 2222 E Harmer Ln SRVC K'EEK : 2019 -30 SOSO SALIOA BLVD
<br /> Stockton CA 9S23O -4123 M DATE : 03104/19 SALIUALCA , 95368
<br /> PHONE 209476 - 1640 TNSP PHONE : 209 - 545 . 1011
<br /> ILL TO CUSTOMER! HILL TO ADDRESS : TRANSPORTER 2
<br /> 1: 18978 Acura Of Stockton
<br /> 2222 f Hapnftr Ln US OOT DESCRIPTION (INCLUOING PROPER SHIPPING NAME , HAZARD CLASS , AM IO)
<br /> Stockton CA 95210 - 4123
<br /> PHONE Z09476 - 1640 NON -RCRA HAZARDOUS WASTE, SOLID
<br /> ORCHASE ORDER# 67370 FAX EXEMPTS ORAIALDWASTE CODES NAME USED IL FILTERS)
<br /> FEDERPRODUCT/ SERVICES STATE WASTE CODES 223
<br /> SERVICE/ TOTAL TOTAL CONT 2 TYPE OR iYf/01. P SKDOT 7872676
<br /> PRODUCT QTY UNIT PRICE TAX CHARGE 0"# 7 1.$1013323422 SZ: 55 GAL/ZO5 L CONTAINERS QTY : 250 PROF# 156033 C.
<br /> 3383 DRUM . 55 WASTF D . F. 2 . DDo 7500000 0 . 00 50 , 00 CNIP : 181013323423 SZ : S5 GAL1105 L CONTAINERS QTY : 250 PROF# 1560331. :;aG
<br /> SERVICE TERM 12 WEEK OESIGNATED FACILITY NAME/ADDRESS :
<br /> 383 ORUM , SS GAL FOR O - F , 2 . 040 5 - MO 0 . 00 10 . 00 THEM FLUIDS INC
<br /> SERVICE TER12 12 MEEK
<br /> 230 TAX HANDLING N/C DRUM DROP 30 2 . 000 040000 0500 0 . 00 12533 SE CARPENTER OR
<br /> 00030 RECOVERY FEE 18000 14 . 5000 0 . 00 144SO CLACKAMAS OR 97015 -8988
<br /> - - - - - - - - - - - - - - - - - - - - - - - -- - - _ - - - - - _ - - - - - TSD PHONE : 503 . 788 - 4616
<br /> NOTAL SMVICE/PHOOUCTS 44 . SDGD 0 . 00 74 , 50
<br /> FACILITY USEPA ID NO OHQ000(L25197
<br /> TOTAL CHARGE 74150 FACILITY STATE 10 NO
<br /> CaREQIlS _ _ a , OR _ _ GENERATOR STATUS
<br /> TOTAL DUE 74 . 50 0 . 220 lbs/nwnth
<br /> UNPAID BALANCE THIS RECEIPT MSG
<br /> iENERATOR STATUS
<br /> 1 - 220 lbs/month V4�4
<br /> ustomtr certifies that Ci) the above -named materials are properly CUSTOMER J GENERATOR : john willians
<br /> lassified , packaged , marked and labeled , and art in proper condition
<br /> 'or transportation according to the applicable regulations of the
<br /> !epartment of Transportation (ii) no material change has occurred
<br /> : Ether in the characteristics of the waste/material or in the process
<br /> Itneratinq the waste%naterial , and (iii) the above referenced
<br /> ;enerator Status is correct . Customer agrees to pay the above charges
<br /> Ind to be bound by the terms and conditions (1) set forth in (a) the
<br /> Itntral Terms and Conditions provided seporately, to Customer or (b)
<br /> my SK agreement signed by Customer and SK , and 42) incorporated
<br /> terein by reference . Unless otherwise indicated in tl�e payment
<br /> lereived section , Sk is Authorized to charge Customer s account for
<br /> :hie transactiod4 If Customer fails to make paytnght when . due , an 1.310naturr
<br /> mount equal to the lesser of (i) 1 . 5% per month (18% per atlnum) or
<br /> ;ii) the maximum amount allowed by law , will he added to all unpaid
<br /> Fnounts outstanding , Customer certifies that the individual signing TRANSPORTER : Raymond Gomez
<br /> :his Service Acknowledgtment is duly authorized to sign and bind
<br /> :ustomer . Customer acknowledges that it is responsible for maintaining _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
<br /> its Generator Status and obtaining an EPA TO number if rtquired by
<br /> tpplicable lawn The following provision is applicable to i
<br /> ;afety- Xleen ' s parts cleaner and paint gun cleaner services : customer I 1
<br /> tgrees that it will not introduce any substance into the solvent or
<br /> lqueous cleaning solution , including without limitation any hazardous
<br /> vaste or hazardous waste constituent, except to the extent such I
<br /> introduction is incidental to the normal use of the machine - Customer
<br /> Further agrees that it will not clean parts/paint Quns that have been
<br /> :ontaminated with or otherwise introduce polychlorinated biphenyls TRANSPORTER 2 :
<br /> (PCB ' s) , herbicides , pesticides , dioxins or listed hatardous waste
<br /> into the solvent or aquaous cleaning solution . Safety - Kleen has the
<br /> A
<br /> apacity and is permitted to accept , store , and/or reclaim the spent
<br /> tarts washer solvent . paint thinners , solvents and paints generated by
<br /> ;ustontrt or dry cleaning filter cartridges , powder , and still r
<br /> residues containing perchloroethylene , petroleum naphtha , or
<br /> triflurotrichlaroethane dry cleaning solvents . Custormc agrees that it
<br /> is responsible for properly classifying its waste strtams AS Used Oil
<br /> 3r Nonhazardous Waste in accordance with the provision of 40 CFR - -
<br /> 262 . 11 and applicable state laws , Customer agrees that it will not :
<br /> introduce any non - conforming substance into the SR Property,
<br /> including , without limitation , any hazardous waste or hazardous waste
<br /> LanSt ituent , (i . e „ polychlorinated biphenyls ("`PCBs") , herbicides ,
<br /> msticides , dioxins , or listed hazardous wastes) except to the extent
<br /> tach introduction is incidental to the normal use of the SK Property,
<br /> in the event of the introduction of such nun - confottning hazardous - 1
<br /> L:este , Customer agrees that it will be responsible for all costs and
<br /> remediation etpenses related to or arising from the) proper nwhagtment i
<br /> and disposal of the non -conforming waste , including the coat of "\ 'l } Pl�
<br /> equipment decontamination and subsequent disposal . Final invoicing po 1 �
<br /> vill be based on the actual services provided , which may include S ' •
<br /> Additional charges for off specification waste and surcharges . Final
<br /> invoice amount may be more than the amount listed on the printed
<br /> receipt . If any legal action is coamenced because of An alleged
<br /> dispute , breach , default or misrepresentation , the Customer also
<br /> agrees that the prevailing party will be entitled to recover
<br /> reasonable attorney ' s fees and costs associated with the
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