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establ!shed a progra,n to reduce the volmne a,, quantity and
<br /> y of the hazardous wast, to the deUree to be econowically
<br /> Able.
<br /> CSG sN-SSL-UMU-03 Brien Malonald 06/12/19 13•r31 PAGE 1'
<br /> Safety-Kleen Systems , Inc'.
<br /> •�'�+`}'�), . .�� s 2600 N Central Eppy, Suite zoo
<br /> "-�-i-• Richardson, 7)( '75080
<br /> CORPORATE: 800-669-5740
<br /> 24 HN EMENGENCY: 800-468-.1760 (Safety-Klee n)
<br /> '.2095451011
<br /> Slarlalwo - - I REFERENCE NBR.
<br /> CUSFOMER# CL24517 Clean Planet - - 80299427-1903094276
<br /> 250 Part Rd SRVC WEEK: 2019-24
<br /> CUSTOMER / GENERATOR: renee limon Stockton CA 95203-0000 SRVC DATE: 06/12/19
<br /> PHONE 209-715-1657
<br /> HILL TO CUSTOMER# BILL TO ADDRESS:
<br /> CL24517 Clean Planet 2'
<br /> 250 Port Rd
<br /> ( Stgckton CA $5203-0000
<br /> PHONE 209-115-1657
<br /> /� QQ PURCHASE ORDER# TAX EXEMPT#
<br /> 1�!" t�'✓�" L� PRODUCT/SERVICES
<br /> SERVICE/ TOTAL
<br /> Hh#lature QTY UNIT PRICE TAX CHARGE
<br /> 10256256 FEE, ITL SERVICE/ NON 1.000 60.0000 0.00 60.00
<br /> WEEK
<br /> SERVICE TERM 12 WEEN
<br /> 66636 USED OIL RECYCLE AU1g10YI 102:000 0.3000 0.00 30.60
<br /> TRANSPORTER: Brian Mcdonald SERVICE TERM 12 WEEK
<br /> HALOGEN / CLOR-O-TECI"LEST RESULT PASS: PPM t 1400
<br /> TOTAL SERVICE/PRODOC'IS 60.3000 0100 90.60
<br /> SSL-WO-03 Brian Mcdonald 06/12/19 13:31 PAGE 2
<br /> TOTAL CHARGE 90.60
<br /> CREDITS 0.00
<br /> SHIPPING DOCUMENTTOTAL WE 9 90.60--------
<br /> e 0.60
<br /> EVENT OF AN EMERGENCY CALL --Z4-Hr-Nwnber-1' 1'-800-468-1760(Safety-Kleon)
<br /> REFERENCE NBR.
<br /> R#/GENERATOR: CL24517 Clean Planet $0299427-1903094276 UNPAID BALANCE THIS RECEIPT 90.60
<br /> 250 Part Rd
<br /> Stockton CA 95203-0000
<br /> PHONE 209-715-1657
<br /> OR USEPA ID. CAL000429550 GENERATOR STATE
<br /> T#: 006961317SKS FORM CD; 10 SHIP# 228695212
<br /> RTER 1 TXR00008120S Safety Kleen
<br /> 5050 SALIDA BLVD
<br /> _ SALIDA,CA. 95368 8 If high risk source, rep, certifies that load specific PCB & Silicon
<br /> 1NSP PHONE; 209-545-1011 testing have been cannpleted Prim he.yUnjiIng this laid.,--t
<br /> RTER 2 I '
<br /> UESCNIPTION (INCLUDING PROPER SHIPPING NAME, HAZARD CLASS, AND IO) GENERATOR STATUS
<br /> 77"" CESQ6: Vehicle
<br /> IA HAZARPPUS WnTTE, LIgUIO
<br /> TIL) Cusln„et certifies that ,kt the abovea nla aerials .w Properly.
<br /> . WASTE CODES NONE classified, packaged, ,narked°aul labeled,'and .•n in proper f Lire tan
<br /> TASTE CODES 221 far transpu nation occur lug !a the opal!cable regulations of the
<br /> :ONT 1 TYPE n wt/t OL G SKROT 11249 Dithe'L,int he Tnvnsportnstil ill) he matte/nl chaige has occurred
<br /> 191161)9U787fi Sh Fitilp 4'±ndIME CtlNI"DINER QTY: IOL PRAT# 156017 CA either in the charactelarics of che'wa)to/material 01' it. the Process
<br /> • yen.•aling the was[e/,,,a ter tel, and ('iii) the above reference)
<br /> ITED FACILITY iloo 'ertnn:sSi Generator status is c.,ectr fns tonwr areas to pay the above cha!9qc
<br /> I-KLEEN OF CA,1 uu iA and to be bound by the torus ant condi[ ons (t) set forth in (a) theme
<br /> FRITH AVE. General Terms and Conditions provided separately to Customp or (b)
<br /> I CA 94,560 any SK agrem
<br /> eent signet by Costanrr and SK, and Q) incorporated
<br /> KINE: 510-795-4400 herein by lore rrv,�o.. Unless itherrise indicate) in tine payment
<br /> ' - - received s ci.!•n, Sk is authorized to charge Custoner's account for
<br /> FY USEPA tD)NO CAI@80887418, this trans.to e. If Custaner fails to wake Pap,ant when due, an
<br /> IY STATE to No , anount equal to the lesser of (1) 1.5% per nonth (18% pro- annum) or
<br /> ( (ii) the n:a.Iimno await allowed by law, will be added to all"unpaid
<br /> Icle5Vehicle -
<br /> ! : anaunts outstanding. Custaner certifies that the indivi Ju al signing
<br /> Vehicle ! this Service Acknowledgement Is duly authorized to sign and bind
<br /> Customer. [.,taller acknowledges that it is responsible for maintaining
<br /> its Generator Status and obtaining an EPA ID Dunbar if required by
<br /> applicable law. The following provision is applicable to
<br /> `1 - safety-kleen's parts clean.• and paint gen cleaner servicer. Cost ower
<br /> agrees that it will not Introduce ally substance into the solvent or
<br /> aqueous cleaning solution, 'including without limitation any hazardous
<br /> 5 waste or hazardous waste constituent, except to the extent such
<br /> introduction is incid.rtal to the naru,al use of the nwchine. Custeorcr
<br /> further agrees that.![ willnet clean Pnrtsjpaint ,suns that have bee,
<br /> taninatad with or etherwlne introduce polychlorinated biphenyls
<br /> B19,ut:re ' - . OPCB's) herbicides, pesticides, dioxins or listed hazardous waste
<br /> into the solvent or aqueous cleaning solution. Safety-Kleen has the
<br /> - capacity and is pannitted to accept, store, .vrd/or re:lain, the spent
<br /> CUSTOMER / GENEflATOR: tenet limon peas washer solvent; paint thimmrs, solvents and paints 0enelated by
<br /> custo,nmy or dry cleaning filter cartridges, powder, and still
<br /> residues containing perchlureethyle,e, petrolewn naphtha, or
<br /> triflurutrichloroethanedry cleaning solvents. Custaner, agrees that it
<br /> _ is responsible for properly classifying its waste stremns as Used Oil
<br /> o- Nonhazardous Waste !n accordance with the Prevision of 40 CFP
<br /> 262.11 and applicable state laws. Custana:r agrees that it will at
<br /> introduce any non-conforming subs[nn ce into the SK Property,
<br /> includ lny, without 1lu,Italian, any hazardous waste or hazardous waste
<br /> ,^7 T can* ituenq polychlorinated biphenyls ("PCS."), herbicides,
<br /> pesticides, dioxins, or listed hazardous Wastes) except to the extent
<br /> t✓✓/v su 1. introduction is incidental to the normal use ofthe Sk Property.
<br /> 819nattre It, the event of the introduction of such nen-cenf.,n Ing hazardous
<br /> waste, Custaner agrees that it will be responsible far, all costs and
<br /> remediation expenses related to ur arising frwn the proper Ininagemenl
<br /> TRANSPORTER: Brian Mcdonaldend disposal of the non-confor9iny ,waste, including the cast of
<br /> eq ud anent decontanivation and subsequent disposal. Final invoicing
<br /> will be based on the actual services provided, which may include
<br /> invoice
<br /> al char yes for off specification heMarswaste and su rcha•0int Final
<br /> invoice awunt sole be mute than the aoeunt Hated o, the Printed
<br /> receipt. If any legal act ten is can nnencad because of an alleged
<br /> dispute, breach, default ur arty will be
<br /> the Customer also
<br /> agrees that the prevailing party will be entitled to throve,
<br /> reasonable attecoutis Fats and cults associated with the
<br /> conta
<br /> nlu taken event. Safetyfailure to screen
<br /> • Customer's mat.�ial o• take a retain saltiee,, in in no
<br /> way cons titular it
<br />
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