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amoral n iO/ nw, ,,. o, m one pro"" <br /> g 9 the.waste/gteriai,�amd (iii) the above refetencel <br /> Generator Status is cu i'rt. Customer agrees to Pay the aba%e 'J.""rs - <br /> and to be bound by the-fort's and conditions (1) sot Porth it, pp the <br /> General Terms and Conditions provided separately to Customer ar (b) <br /> an59-SSL-BOX-23 CSG SK-SSL-y SK agreement signed by Customer and SK, and (2) incorporate) Rajr.,Ad Gmmee• 06/07/19 11:58 <br /> herein by reference. Unless otherwise indicated in the paycement pA <br /> r, <br /> received section, SK is authorized to charge Customer's arJount for <br /> this transaction. If Customer fails to make payment when due, anti' . <br /> amount equal ty-the.les;er of (i) 1.5% per month (18% per 'annum). or Safety—K�t� �'5 tC1115, Inc. <br /> (ii) the maximdn amount,Allowed by law, will he added to all unpaid 2600 N Clotral Expy, Suite 200 <br /> amounts outstanding. Customer certifies that the individual signing a Richardson. TX 75080 <br /> this Service Acknowledgement is duly authorized to sign end bind CORPORATE: 800-669-5740 <br /> Customer. Cuatomer acknowledges that it is responsible for maintaining 24 HR EMERGENCY; 800-468.1760 (Safety-Kleen) <br /> its Generator Status and obtaining an EPA IO number if required by 2085451011 <br /> applicable law. The following provision is applicable to CUS70MER9 CL24517 Clean Planet REFERENCE W <br /> Safety-Kleen's parts cleaner and paint gun cleaner services: Customer Clean <br /> Port Planet <br /> 80243REFERE02989' <br /> agrees that it will not introduce any whstance into the solvent or Stockton CA 95203-0000 - �'C WEEK: 2019. <br /> aqueous cleaning solution, including without limitation any hazardous SRVC DATE: 06107, <br /> waste or hazardous was to constituent,.except to the extent such - PHONE 208.715-1657 <br /> introduction is incidental to the ho anal use of the machine. CustomeBILL TO CU570MERp r gILL TO ADDRESS: <br /> further agrees that it will not clean parts/paint guns that have been CL24517 Clean Planet <br /> contaminated with or otherwise introduce polychlorinated biphenyls - 250 Port Rd <br /> 0"'s), herbicides, pesticides, dioxins or listed hazardous waste Stockton CA 95203-OW <br /> into the solvent or aqueous cleaning solution. Safety-Kleen has the PURCHASE OROER9 PHONE 209-715-1557 <br /> capacity and is permitted to accept, store, and/or reclaim the spent TAX EXEFIPTI <br /> Parts washer solvent; paint thinners, solvents and paints generated by PRODUCT/SERVICES <br /> customer; or dry cleaning filter cartridges, powder, and still j <br /> residues containing perchloroethylene, petroleum naphtha, or SERVICE/ <br /> t riflurotrichloroethane dry cleaning solvents. Customer agrees that it PRODUCT - OTY UNIT PRICE TAX IOTA <br /> 83383 W04,55 WASTE O.F. 1.000 66.7$00 0 %CHARGE <br /> is responsible for teoin ray classifying its waste streams as Used Oil SERVICE TERM 12 WEEK 66.7 <br /> or N11 and apps Waste in accordance with the provision of 40 CFR 3383 DRUP1,55 GAL FOR O.F. <br /> 262.13 and applicable stain laws. Customer throes that it will not 1.000 12.1400 0.00 12.1 <br /> introduce any man-conformingmbstance into the SK Property, SERVICE TEAM 12 WEEK <br /> including, without limitation. my hazardous waste or hazardous waste ' 898560 CARTRIDGE OIL FILTERS SSG 1.000 250,OODO 0,00 250.0 <br /> constituent,(d.e„ polychlorinated biphenyls ("PCBs"), herbicides, I SERVICE TERM 12 WEEK <br /> pesticides, dioxins, or listed hazardous wastes) except to the extent 0 CONTS: 1 TSDF: S1 MANIFEST*: 096%026SSK5 FORM CD: US SHIP# 2286,608;. <br /> such introduction is incidental to the normal Use of the SK Property, I CHID 19%O6%5103 QTY: 150 NT/k0L P PROq .58777 SK00T 761200 <br /> In the event of the introduction of such non-conforming hazardous it 8003369 DRUM, 55 GL BLACK STEEL 0 :1,000 61.5100 5.54 i0 0 <br /> waste, Customer agrees that it will be responsible for all costs and 100030 RECOVERY FEE 1.000 33.Ig00 2,gg <br /> 500065 E-Manifest Fa! ., 36.1. <br /> renu:diatdon expenses related to or arising.from the proper manapenant = SHOO 10,0000 0.00 10.0 <br /> and disposal of the non-conforming waste, including the cost of 3230 TAX HANDLING N/C DRUB DROP 30 1:000 0,0000 0.00 <br /> equipment decontamination and subsequent disposal, Final invoicing ---------------------------- - <br /> 9.I <br /> will be based on the actual services provided, which may include TOTAL SERVICE/PROBUCTS 433.Sd00 8.53 AAE.1: <br /> additional charges for off specification waste and surcharges. Final <br /> invoice amount may be nave than the amount listed on the printed TOTAL CHARGE 442,11 <br /> receipt. If any legal.action is contented because of an alleged - CREDITS g;p0 <br /> I <br /> disputa, breath, def wit or misrepresentation, the Customer also � ' <br /> agrees that the prevailing party will be entitled to recover _� ':,, TOTAL WE 442.11 <br /> reasonable attorney's fees and costs associated with the p <br /> man-conforming contamination event. Safety.klean's failure to screen IKPAID BALANCE THIS RECEIPT <br /> Customer's material a take a retain sample, in no way constitutes n I, 442.11 <br /> waiver of Customer's obligation to properly classify its materials. I i <br /> Safety-Kleen relies on Customer's representations and Customer is <br /> responsible for infolminq Safety-Klewn pf any p6cess changes that may <br /> alter the characteri at ics of the materials provided, IN THE EVENT OF <br /> AN EMERGENCY CALL w^24-HR NUMBER'! 1-800-468-3760 (54ftty-Kleen) A <br /> variable recovery fee that fluctuates with the DOE national average ,. <br /> diesel price maybe applied to your invoice. For more information GENERATOR STATUS <br /> regarding our regovary fee calculation please go to 0-2211 lbs/month <br /> http,//safety klaen.cun/ <br /> customer-service/envirablen tai-fees/recovery-fees. Please note Customer certifies that(i) the above-named materials are properly <br /> e manifest fess applicable to this order may not be included in the classified, <br /> packaged, marked and libeled and are in Proper condition <br /> _. for tcensodFtat _dceoed4nu_! <br />