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CSG SK-S�­UMO-01 Joseph R Lima Jr 05/19/20--?:05 PAGE 1 <br /> Safety-Kleen Systems , Inc . <br /> 42 Longwater Drive <br /> Norwell, MA 02061 <br /> CORPORATE: 800-669-5740 <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2095451011 <br /> CUSTOMER* SA32677 San Joaquin County North Count REFERENCE NSR. <br /> 17720 E Harney Ln 83299456 <br /> SRVC WEEK: 2020-21 <br /> Lodi CA 95240-9623 <br /> sRVC DATE: Os/19/20 <br /> PHONE <br /> BILL TO CUSTOMER# SILL TO ADDRES509 887-3868 <br /> SA32677 San Joaquin County North Count <br /> 17720 E Harney Ln <br /> Lodi CA 95240-9623 <br /> PURCRASE ORDER# 54947 PHONE 209-887-3868 <br /> -- PRODUCT/SERVICES TAX EXEMPT# <br /> SEJ _e/ <br /> PRI- !CT QTY UNIT PRICE TOTAL <br /> 10256. FEE, OIL SERVICE STOP NON TAX CHARGE <br /> / 1.000 120.0000 0.00 120.00 <br /> SERVICE TERM 2 WEEK <br /> 66636 USED OIL RECYCLE AUTOMOTI 715,000 0.3500 0.00 250.25 <br /> SERVICE TERM 2 WEEK <br /> HALOGEN / CLOR-D-TECT TEST RESULT PASS: PPM < 1000 <br /> TOIAi. SERVTCE/PRODUCTS 120.3500 0.00 370.25 <br /> TOTAL CHARGE 370.25 <br /> CREDITS 0.00 <br /> --------------- <br /> TOTAL DUE 370.25 <br /> J) SALANC'L THIS RECEIPT 370.25 <br /> If high u. certifies that load specific PCB & Silicon <br /> testi„', .eted prior to pumping this load. <br /> GENERATO?: <br /> CESQG: 1'a <br /> Customer cerc,ties 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 applicablr 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 /> generati; '-s waste/material, and (iii) the above referenced <br /> Generator us is correct. Customer agrees to pay the above charges <br /> and to be . :nd by the terms and conditions (1) set forth in <br /> General Lrnt4 and Conditions provided separately to Customer or (b)the <br /> any SK an.-a�ment signed by Customer and SK, <br /> and (2) incorporated <br /> - <br /> herein � reference. unless otherwise indicated in the payment <br /> reeei%,L , ection. 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 (18% 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 :arts cleaner and paint gun cleaner services: Customer <br /> agrees that it will not introduce any substance into the solvent 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 machine. Costumer <br /> further agrees that it will not clean parts/paint guns that have been <br /> contaminated with or otherwise introduce polychlorinated biphenyls <br /> (RCS'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, petroleum naphtha, or <br /> triflurotrichloroethane dry cleaning solvents. Customer agrees that it <br /> is responsible for properly 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 /> eonstituent,(i.e., polychlorinated biphenyls ("pcus,,), herbicides, <br /> Pesticides, dioxins, or listed hazardous wastes) except to the extent <br /> such introduction 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 or arising from the proper management <br /> and disposal of the non-conforming waste, including the cost of <br /> equipment decontamination and subsequent disposal. Final invoicing <br /> will be based on the actual services provided, which may include <br /> additional charges for off s <br /> invoice amount may be more tpecification waste and surcharges. Final <br /> han the amount listed on the printed <br /> receipt. If any legal action is eonneareel h__. „p !„ .77�..�a <br />