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CSG SK-SSL-UNO-01 ' ' . ima °,1, , . loseph R 01-07-2021 09 : 44 PAGE 1 <br /> Safety-Kleen Systems , Inc . <br /> 42 Longwater Drive <br /> Norwell , NA 02061 DUPLICATE TICKET <br /> CORPORATE : 800-669-5740 <br /> 24 HR EMERGENCY : 800-468- 1760 ( Safety-Kleen ) <br /> 2095451011 SSC' LOVELACE h1k'r /TRANSFER STAT <br /> REFERENCE NOR . 2323 E . LOVELACE RD . <br /> CUSTOMER# L024138 Lovelace Material Recycling 85004407 - 2006371757 MANTECA , CA . ( 209 ) 932-5770 <br /> Center <br /> 2323 Lovelace Rd SRUC WEEK : 2021-2 MON-FRI 7 - 4 SAT -SUN 7-4 <br /> Manteca CA 95336-9233 SRVC DATE : 01-07-2021 <br /> PHONE 209-610-2001 Weighed : SABRINA <br /> BILL TO CUSTOMER# BILL TO ADDRESS : Deposit : SABRINA <br /> 1.024138 Lovelace Material Recycling Center- BILL TO : 0 <br /> 2323 Lovelace Rd <br /> Manteca CA 95336- 9233 <br /> PHONE 209-610-2001 <br /> PURCHASE ORDER# 59110 TAX EXEMPT# <br /> PRODIICTfSERVIEES Vehiclr) ID : W <br /> SERVICESIPRODUCT QTY UNIT PRICE TAX TOTALCHARGE Reference : 902816 <br /> 10256 FEE , OIL 1 . 0 120 . 00 0 . 00 120 . 0 <br /> SERV ICEISTOP COMPANY : SAFETY KLEEN <br /> NON-PREOUAL CRANKC PHONE : FC 110 GAI- <br /> 66636 USED OIL RECYCLE 515 . 0 0 . 35 0 . 00 180 . 25 <br /> AUTOMOTIVE OIL <br /> SERVICE TERM 4 WEEK Origin : SALVAGE <br /> HALOGEN/ CLOR-D-TECT TEST : PASS : PPM < 1000 DATE IN : 01 /07 /2021 TIME IN : 08 : 39 : 30 <br /> 66665 ANTIFREEZE 130 . 0 0 . 00 0 . 00 0 . 00 DATE OUT : 01 /07 / 2021 TIME OUF : 09 : 47 : 14 <br /> ( NON-PREQUAL) <br /> SERVICE TERN 12 WEEK <br /> HALOGEN/ CLOR-D-TECT TEST : PASS : PPM < 1000 OUTBOUND TICKET NumbEr : 51 -,0126118410 <br /> - --- -- - - - - -- -- -- - — _ __ _ - - SCALE 3 GROSS WT , 2160 Lb <br /> TOTAL SERVICE/PRODUCTS 120 . 35 0 . 00 300 . 25 SCALE. 2 TARE WT . 23260 LB <br /> TOTAL CHARGE 300 . 25 NET WEIGHT 4700 LB <br /> CREDITS 0 . 00 <br /> - - - - - - - - - - - -- - - - <br /> TOTAL <br /> - - - - - - - - - - - -TOTAL DUE <br /> 300 . 25 REPRINTED BY * * <br /> - -- - - - ----- - - - <br /> SABRINA at 09 & 47654 <br /> UNPAID BALANCE THIS RECEIPT 300 . 25 <br /> Uty Description Amount <br /> If high risk source , rep , certifies that load specific PCD & Silicon 2 . 35 OIL SALVAGE 0 . 00 <br /> testing have been completed prior to pumping this load . <br /> TICKET AMOUNT : 0 . 00 <br /> GENERATOR STATUS CESQG : 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 (he applicable regulations of <br /> the Department of Transportation ( ii ) no material change has occurred either in the X <br /> :haracteristics of the waste/ material or in the process generating the waste/ material , and <br /> ; iii ) the above referenced Generator Status is correct . Customer agrees to pay the above <br /> .barges and to be bound by the terms and conditions ( 1 ) set forth in ( a) the General Terms <br /> Ind Conditions provided separately to Customer or ( b) any SK agreement signed by Customer <br /> Ind SK , and (2) incorporated herein by reference . Unless otherwise indicated in the <br /> Iayment receiver) section , SK is authorizer) to charge Customers account for this <br /> ransaction . If Customer fails to make payment when due , an amount equal to the lesser of <br /> i ) 1 . 511 per month ( 18% per annum) or ( ii ) the maximum amount allowed by law , will be <br /> added to all unpaid amounts outstanding . Customer certifies that the individual signing <br /> his Service Acknowledgement is duly authorized to sign and bind Customer . Customer <br /> cknowledges that it is responsible for maintaining its Generator Status and obtaining an <br /> PA ID number if required by applicable law . The following provision is applicable to <br /> afety-Kleens parts cleaner and paint gun cleaner services : Customer agrees that it will <br /> of introduce any substance into the solvent or aqueous cleaning solution , including <br /> ithout limitation any hazardous waste or hazardous waste constituent , except to the ,i t <br /> xtent such introduction is incidental to the normal use of the machine . Customer further <br /> grees that i t wi I I not clean par ts ! <br /> p paint guns that have been contaminated with or <br /> therwise introduce polychlorinated biphenyls ( PCBs ) , herbicides , pesticides , dioxins or <br /> isted hazardous waste into the solvent or aqueous cleaning solution , Safety-Kleen has the <br /> opacity and is permitted to accept , store , and/ or reclaim the spent parts washer solvent ; <br /> lint thinners , solvents and paints generated by customer ; or dry cleaning filter <br /> Irtridges , powder , and still residues containing perchlonoethylene , petroleum naphtha , or <br /> iflurotrichloroethane dry cleaning solvents . Customer agrees that it is responsible for <br /> operly classifying its waste streams as Used Oil or Nonhazardous Waste in accordance <br /> th the provision of 40 CFR 262 . 11 and applicable state laws . Customer agrees that it <br /> II not introduce any nonconforming substance into the SK Property , including , without <br /> mitation , any hazardous waste or hazardous waste constituent , ( i . e . , polychlorinated <br /> phenyls ( "PCBs" ) , herbicides , pesticides , dioxins , or listed hazardous wastes ) except to <br /> e extent such introduction is incidental in [lie nnrmai uco n{ Ilio W Pr ^#%^. r . , n � il. _ <br />