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1 <br /> CSG SK-SSL-UMO-02 Onsurez,Niguel 10-28-2020 12:09 PAGE 1 <br /> Clea Heirbors Envirainm al Services <br /> 42 Longwater Drive <br /> Norwell. MA 02061 <br /> CORPORATE. 17811 792-5000 <br /> 24 HR EMERGENCY - 800-468-1760 <br /> 2095451011 <br /> REFERENCE NBR <br /> CUSTONERN I M0434 Chr isp Co 84638280- <br /> 1001 Stokes Ave SAVE WEEK: 2020-44 <br /> Stockton CA 95215-4023 SRVC DATE 10-28-2020 12:09 <br /> PHONE 209-948-6250 <br /> BILL TO CUSTOItERII BILL TO ADDRESS <br /> CH40389 Chrisp Co <br /> 43650 Osgood Rd <br /> Fremont CA 94539-5631 <br /> PHONE 410-468-5700 <br /> PURCHASE CRDER1 TAX EXEMPT4 <br /> PMTISERVICES <br /> SEN ICESIPRODUCT QTY Ul PRICE TO TOTALCHARGE <br /> 66665 ANTIFREEZE 36.0 <br /> (NON-PREQUAL) <br /> HALOGEN/ CLOR-D-TECT TEST PASS:PPN < 1000 <br /> ICTS " "• <br /> TOTAL SEROMPROD <br /> TOTAL "' PRICING SERVER UNAVAILABLE <br /> TOTAL CHARGE 0.00 <br /> CREDITS 0 <br /> TOTAL DILE 0,00 <br /> --------------------------------- <br /> UNPAID <br /> --------------------------------UNPAID BALANCE THIS RECEIPT 0 DO <br /> If high risk source, rep- certifies that load specific P18 8 Silicon <br /> testing have been completed prior to pumping this load, <br /> GENERATOR STATUS CESOG Vehicle <br /> Customer certifies that (i) the I have established a program to reduce the volume <br /> above-named materials are properly or quantity and toxicity of the hazardous waste <br /> classified, packaged, marked and to the degree to be economically practicable labeled, <br /> and are in proper condition for transportation according to the applicable regulations of <br /> the Department of Transportation and Iii) no material change has occurred either in the <br /> characteristics of the wastelmaterial or in the process generating the wastelmaterial. <br /> Customer agrees to pay the above charges and to be bound by the terms and condi tions (1) <br /> set forth in (a) the General Terms and Coalitions provided separately to Customer or (b) <br /> any CLH agreement signed by Customer and CLH, and(2) incorporated herein by reference. <br /> Unless otherwise indicated in the payment received section. CLH is authorized to charge <br /> Customers account for this transaction. Customer certifies that the individual signing <br /> this Service Acknowledgement is duly authorized to sign and bind Customer. Customer agrees <br /> that it is responsible for properly classifying its waste streams as Used Oil or <br /> Nonhazardous Waste in accordance with the provision of 40 CFR 262.11 and applicable state <br /> laws Customer agrees that it *ill not introduce any nor-conforming substance into the <br /> CLH Properly. including, without limitation, any hazardous waste or hazardous waste <br /> constituent.(i.e., polychlorinated biphenyls ('PCBs"), herbicides, pesticides, dioxins. or <br /> listed hazardous wastes) except to the extent such introduction is incidental to the <br /> Moll use of the CLH Property- In the event of the introduction of such non-conforming <br /> hazardous waste Customer agrees that it will be responsible for all costs and remedlation <br /> expenses related to or arising from the proper management and disposal of the <br /> non-conforming waste, including the cost of equipment decontamination and subsequent <br /> disposal Final invoicing wiil be based on the actual services provided, which may include <br /> additional charges for off specification waste and surcharges, Final invoice amount may be <br /> more than the amount listed on the printed receipt. If any legal action is commenced <br /> because of an alleged dispute breach, default or misrepresentation. the Custom also <br /> agrees that the prevailing party will be entitled to recover reasonable attorneys fees and <br /> costs associated with the non-conforming contamination event. Clean Harbors failure to <br /> screen Customers material or take a retain sample, in no way constitutes a waiver of <br /> Customers obligation to properly classify its materials. Clean Harbors relies or <br /> Customers representations and Customer is responsible for informing Clean Harbors of any <br /> process charges that may alter the characteristics of the materials provided. IN THE EVENT <br /> OF AN EMERGENCY CALL -24-HR M)@ER'^ 1-800-468-1760 (Clean Harbors) A variable recover y <br /> fee that fluctuates with the DOE national average diesel price my be applied to your <br /> invoice For more information regarding our recovery fee calculation please go to <br /> hit tp:lsafety-kleen.cum/ custow-servicelenvi roraental-feestrecovery~fees. Please note <br /> e-manifest fees applicable to this order may not be included in the total above and will <br /> be included in the final invoice or credit card statement. RECEIPT ONLY - THIS IS NOT AN <br /> INVOICE <br />