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CSG SK -SSL -BOX -24 Shane Allen 02/11/19 14:32 PAGE 1 <br />Safety-Kleen Systems, Inc. <br />2600 N Central Expy, Suite 200 <br />Richardson, TX 75OSD <br />CORPORATE: 800-669-5740 <br />24 HR EMERGENCY: 800-468-1760 (Safety-Klren) <br />20954SI011 <br />REFERENCE NOR. <br />igli's Inc 79200655-1900675704 <br />CUSTOMER* GI11412 x2333 S Manthey Rd Ste C SRVC WEEK. 2019-7 <br />Lathrop CA 95330-9799 SRVC DATE: 02/11/19 <br />PHONE 209-481-4145 <br />BILL TO CUSTOMER/ BILL TO ADDRESS: <br />GI11412 Gigli's Inc <br />12333 S Manthey Rd Ste C <br />Lathrop CA 95330-9799 <br />PHONE 209-481-4145 TAX EXEMPT# <br />PURCHASE ORDER* <br />PRODUCT/SERVICES TOTAL <br />SERVICE/ QTy UNIT PRICE TAX CHARGE <br />PRODUCT 1.000 0.0000 0.00 0.00 <br />3383 DRUM,55 GAL FOR O.F. <br />SERVICE TERM 24 WEEK <br />CAUSE CODE VoidHeaderAndLine-SERVICE NOT NEEDED 0.00 119.09 <br />83383 DRUM,5S WASTE Q.F. 1.000 <br />SERVICE TERM 24 WEEK <br />898560 CARTRIDGE OIL FILTERS SSG 1.000 309.5400 0.00 309.54 <br />SERVICE TERM 8 WEEK. <br />8 CONTSCNT*: 90207486064M QTY -5200 OkT/VOLIPSKSPR� 156777 SHIA#S22764257 <br />KDOT67612003 <br />100030 RECOVERY FEE 1.000 32.1500 0.00 32.15 <br />1.000 10.0000 0.00 10.00 <br />100065 E -Manifest Fee <br />----------------------------------------- <br />TOTAL SERVICE/PRODUCTS 470.7800 0.00 470.78 <br />TOTAL CHARGE 470.78 <br />CREDIT'S 0.00 <br />--------------- <br />TOTAL DUE 470.78 <br />UNPAID BALANCE THIS RECEIPT 470.78 <br />GENERATOR STATUS <br />0-220 lbs/month <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 is correct. Customer agrees to pay the above charges <br />and to be bound by the terms and conditions (1) set 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 make payment when due, an <br />amount equal to the lesser of (i) 1.5% per month (13% per annum) or <br />(ii) the maximum amount allowed by law, will be added to all unpaid <br />amounts 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 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 />Safety-Kleen's parts cleaner and paint Sun cleaner services: Customer <br />agrees that it will not introduce any substance into the salvept or <br />aqueous cleaning solution, including without limitation any hazardous <br />waste or hazardous waste constituent, except to the extent such <br />introduction is incidental to the normal use of the mmcthat•h ve ustomer <br />further agrees that it will not clean parts/pain <br />contaminated with or otherwise intraduce, polychlorinated biphenyls, <br />(pCB's), herbicides, pesticides, dioxins or listed hazardous waste',_ <br />into the solvent or aqueous cleaning solution. Safety-Kleen has the <br />capacity and is permitted to accept, store, and/or reclaim the spent <br />parts washer solvent; paint thinners, solvents and paints generated by <br />customer; or dry cleaning filter cartridges, powder, and still <br />residues containing perchloroethylene <br />petroleum naphtha, or <br />riflurotrichloroethane-dry cleaning solvents. Customer agrees that it <br />isresponsiblefor k4erlY classifying its waste streams as Used Oil. <br />or 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 SK. Property, <br />including, without limitation, any hazardous waste or hazardous waste <br />constituent,(i.e., polychlorinated biphenyls ("PC85"), herbicides, - <br />pesticides, dioxins. or listed hazardous wastes) except to the extent <br />such intraduct ion is incidental to the normal use of the SK Property. <br />In the event of the introduction of such non -conforming hazardous <br />waste, Customer agrees that it will be responsible for all costs and <br />remediation expenses related to 0r arising from the proper management <br />and disposal of the non-conforming^waste. <br />.sincludingF the <br />c sticing <br />