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Received on 12/09/2019 <br /> EHD - CR <br /> CSG 9E-99L-IMO-01 Joseph R Lima Jr 01/22/19 12:31 PAGE 1 <br /> Safety-Kleen Systems, Inc. <br /> 2600 N Central Fxpy, Suite 200 <br /> Richardson, TX 75080 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Eleen) <br /> 2095451011 <br /> REFERENCE NBR. <br /> CUSTOMER# .17048 Abate Farms ]90]2944-19003]3]15 <br /> 14300 5 Roberts Rd SRVC WEEK: 2019-4 <br /> Stockton CA 95206-0000 SRVC DATE: 01/22/19 <br /> PHONE 209-483-2533 <br /> BILL TO COSTOMERA BILL TO ACTRESS: <br /> ST37094 Stockton Petroleum <br /> 1905 Navy In <br /> Stockton CA 95206-1141 <br /> PHONE 407 428 3073 <br /> PERCHARE ORTERB TAX EXE.T$ <br /> PRODUCT/SERVICES <br /> SERVICE/ TOTAL <br /> PAOIDIDT QTY OBIT PRICE TAX CHARGE <br /> 10256 FEE, OIL SERVICE/STOP NON 1.000 145.0000 0.00 145.00 <br /> SERVICE TERM 12 WEEK <br /> 66636 USED OIL RECYCLE AUTOMOTI 750.000 0.1000 0.00 75.00 <br /> SERVICE TERM 12 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM G 1000 <br /> TOTAL SERVICE/PRODUCTS 145.1000 0.00 220.00 <br /> TOTAL CHARGE 220.00 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 220.00 <br /> UNPAID BALANCE THIS RECEIPT 220.00 <br /> If high risk source, rep. certifies that load specific PCH s Silicon <br /> testing have been completed prior to pumping this load. <br /> GENERATOR STATUS <br /> CESQG: Vehicle <br /> Customer certifies that (i) the above-named materials are properly <br /> classified, packaged, marked and labeled, and are in proper condition <br /> for transportation according to the applicable regulations of the <br /> Department of Transportation (ii) no material change has occurred <br /> either in the characteristics of the waste/material or in the process <br /> generating the waste/material, and (iii) the above referenced <br /> Generator Status iscorrect. Customer agrees to pay the above charges <br /> and to be bound by the terms and conditions (1) at forth in (a) the <br /> General Terms and Conditions provided separately to Customer or (b <br /> any SK agreement signed by Customer and SK, and (2) incorporated <br /> herein by reference. Unless otherwise indicated in the payment <br /> received section, SK is authorized to charge Customer's account for <br /> this transaction. If Customer fails to nake payment when due, a <br /> annuct equal to the lesser of (i) 1.58 per month (188 per annum) o <br /> (ii) the max,— —unt allowed by law, will be added to all unpaid <br /> annucts outstanding. Customer certifies that the individual signing <br /> this Service Acknowledgement is duly authorized to sign and bind <br /> Customer. Customer acknowledges that it is <br /> responsible for maintaining <br /> its Generator Status and obtaining an EPA ID number if required by <br /> applicable law. The following provision is applicable to <br />