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CSG SK -SSL -UMO -01 . Joseph R Lima Ir 09/10/19 09 : 59 PAGE 1 Safety - Kleen Systems , Inc . 2600 N Central Expy , Suite 200 Richardson , TX 75080 CORPORATE : 800 -669 - 5740 DUPLICATE TICKET 24 HR EMERGENCY : 800 - 468 - 1760 (Safety- Kleen) 2095451011 REFERENCE NBR . SJC LOVELACE MRF / TRANSFER STAT CUSTOMER# L025322 Lovelace Transfer Station 80897616 - 1904401926 2323 East Lovelace Rd SHVC WEEK : 2019 - 37 2323 E . LOVELACE RD . Manteca CA 95336 -0000 SRVC DATE : 09/10/19 MANTECA , CA . ( 209 ) 982-5770 PHONE 209 -982 - 5770 BILL TO CUSTOMER# BILL TO ADDRESS : MON - FRI 7 - 4 SAT - SUN 7- 4 SA32681 County of San Joaquin DPW/Solid Waste 1810 E Hazelton Ave Stockton CA 95zo5 -6232 Weighed : JOSE PHONE 909 - 947 - 9363 PURCHASE ORDER# 54947 TAX EXEMPT# Deposit : Sonia PRODUCT /SERVICES BILL TO : 0 SERVICE/ TOTAL PRODUCT QTY UNIT PRICE TAX CHARGE 66636 USED OIL RECYCLE AUTOMOTI 315 . OD0 0 . 0000 0 . 00 0 . 00 SERVICE TERM 4 WEEK HALOGEN / CLOR -D -TECT TEST RESULT PASS : PPM < 1000 10256 FEE , OIL SERVICE/STOP NON 1 . 000 120 . 0000 0 . 00 120 . 00 Vehicle ID : W SERVICE TERM 4 WEEK - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Reference ; 9F02816 TOTAL SERVICE/PRODUCTS 120 . 0000 0 . 00 120 . 00 COMPANY : SAFTEY KLEEN TOTAL CHARGE 120 . 00 PHONE : FU 1111 CREDITS 0 . 00 - - - - - - - ' - - - - - - - TOTAL DUE 120 . 00 Origin : SALVAGE -------_-�--- DATE IN : 09/ 10/ 2019 [ IME IN : u6 : 16 : 43 UNPAID BALANCE THIS RECEIPT 120 . 00 DATE (JUT : 09 / 1D / 21) 1y [ 1ME OUT ; 09 : 5j : 51 0111 BOUND IICKET Number : 51 -- 01011366 SCALE :3 GROSS W1 . 32000 LB If high risk source , rep . certifies that load specific PCB & Silicon SCALE 2 TARE WI . 28320 LB testing have been completed prior to pumping this load . NET WEIGHT 3680 I. 5 GENERATOR STATUS CESQG : Vehicle Customer certifies that (i) the above - named materials are properly REPRINTED BY classified , packaged , marked and labeled , and are in proper condition ,JOSE at 10 : 00 : 08 for transportation according to the applicable regulations of the Department of Transportation (ii) no material change has occurred either in the characteristics of the waste/material or in the process O ty Description Amount generating the waste/material , and (iii) the above referenced Generator Status is correct . Customer agrees to pay the above charges 1 . 84 OIL SALVAGE 0 . 00 and to be bound by the terms and conditions (1) set forth in (a) the General Terms and Conditions provided separately to Customer or (b) any SK agreement signed by Customer and SK , and (2) incorporated TICKET AMOUNT : 0 . 00 herein by reference . Unless otherwise indicated in the payment received section , SK is authorized to charge Customer ' s account for this transaction . If Customer fails to make payment when due , an amount equal to the lesser of (i) 1 . 5% per month (18% per annum) or (ii) the maximum amount allowed by law , will be added to all unpaid amounts outstanding . Customer certifies that the individual signing this Service Acknowledgement is duly authorized to sign and bind Customer . Customer acknowledges that it is responsible for maintaining its Generator Status and obtaining an EPA III number if required by X applicable law . The following provision is applicable to Safety- Kleen ' s parts cleaner and paint gun cleaner services : Customer _ agrees that it will not introduce any substance into the solvent or aqueous cleaning solution , including without limitation any hazardous waste or hazardous waste constituent , except to the extent such introduction is incidental to the normal use of the machine . Customer further agrees that it will not clean parts/paint guns that have been contaminated with or otherwise introduce polychlorinated biphenyls (PCB ' s) , herbicides , pesticides , dioxins or listed hazardous waste — — C (DPY