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CSG SK-SSL - UFI0 - 01 <br /> Joseph R Lima ] r <br /> 10107119 07 ; 91 PAGE 1 <br /> Safety _ KleQn S <br /> 2600 N Centra ) Ys t ems <br /> Richard spn Expy. Suite 200 1 Inc . <br /> 24 HR EA)fRGFRPORATE' 800 - 75080 <br /> NCy : 800- 669- 5740 <br /> 468 -1760 (Safety_Kleen) <br /> CUSTpFIER# L025322 2095451011 <br /> TRANS Lovelace Transfer Station <br /> 2323 East Lovelace Rd HEFEI? <br /> Flanteca CA 9533 81142174 -1g ENCE NOR . <br /> BILL TD CUSTDAIER# 6 -0000 04944006 <br /> SA32681 BILL TD PHONE 209- 982 - SRVC WEEK: 2019" 91 <br /> IRAN! ADORESSa 5770 SRVC DATE : 10/07/19 <br /> County of San Joaquin pPW/Solid <br /> US of 1810 E Hazelton Ave <br /> Stockton Waste <br /> PURCHASE ORDER# CA 9S20S -6232 <br /> NON - 54.947 PHONE <br /> NSE 9#.9 _ 947_9363 <br /> FEOEPRODUCT CE/ <br /> STA) PRODUCT PRODUCT/SERVICS TAX EXEMPT# <br /> TOT) C <br /> 0110256 FEE, OILQTY U <br /> NIT DES: 66636 SERVICE TEq�4F/STOP NON PRICE TAX TOTAL <br /> USED WEEK 1 . 000 BARGE <br /> SA S OIL RECyCLF AU 120 . 0000 <br /> 68 HER C TERM 4 W,EETM10TI 600 . 000 0 . 00 120 . 00 <br /> NE / CLOR -D _ o • aoop <br /> T5 TECT' TEST RESULT 0 . 00 0 . 00 <br /> TOTAL SERVICEIPRODUCTS - PASS : Pp" < <br /> FA( - - - - - - - - - - 1000 <br /> FA( 120 . 0000 _ <br /> 0 . 00 120 . 00 <br /> GEI TOTAL CHARGE <br /> CE: CREDITS 120 . 00 <br /> TOTAL DUE 0 . 00 <br /> UNPAID BALANCE THIS RECEIPT = <br /> 120 . 00 <br /> 120 . 00 - <br /> If high risk source , reps certifi <br /> testing have <br /> been completed priores to hat Pingdthpscific PCB & <br /> GENERA Sili <br /> TOR STATUS <br /> con <br /> CESQG : vehicle <br /> Customer certif 'classified, 7e5 that (i) the CIOPY <br /> anto0faTransed ding totheeledne nd are inProperare properly <br /> for trans marked mater ' <br /> Depart actor els <br /> either in the char Portat 'on ) np materials gin of°ndi <br /> applicabi <br /> generati acteris (' � re tion <br /> Generatorg the waste/mate tics Of the was change has the <br /> and to Status is real • and Ye/material s °cc°rred <br /> be bound h Correct . CK and <br /> the above <br /> General Y the agrees to referenced process <br /> any SK Temps and Condit ons and conditions Pay the <br /> herein by Provided (1) set above charges <br /> Y refer on <br /> by customer Ions forth in (a) the <br /> received encs . Unless Y to Customer or (b) <br /> this section , SK and <br /> d (2) incor <br /> transaction . If is authorized to POrated <br /> amount a max�mp the lessermpf fails to make <br /> Customer hs aCcYonent <br /> the <br /> amounts a amount (�) 1 • S% PaSment when dueundnfor <br /> this Outstanding all by law, Per month (i 8% <br /> Service Acknowledustomer certifi will Per annurt0 or <br /> Customer . gement es that the added to all <br /> its Gener Customer acknowled �s duly author ' individual unPaid <br /> applicable <br /> Status ges that 7zed to si signing <br /> Safet ° law. The fp�loobtaining an it s responsiblenford bind <br /> Y-that -t will cleaner and IszaPplicable re4uiredtbyning <br /> agrees that s par g Provision ifain <br /> aqueous cleanin not intrOducep'nt gun cleaner to <br /> waste Or hazard solute°d includin Y substance services : <br /> introduction dous 9 witho into customer <br /> waste constituent, out limitationea� olvent or <br /> further a is incidental tp except to the y hazer <br /> cont <br /> agrees that it will the normalean of the extent dous <br /> Q�COaminated with use such <br /> herbicidesr ° therwiset roduCerts/paint macthat Customer <br /> int o the pesticides Intro pOlychlorguns have <br /> capacitysolvent or a9ueous dioxins been <br /> PartsWash <br /> and is permitted cleaning sol or listed hazer biphenyls <br /> washer solvent; t° acts °t7pn • Safet hazardous waste <br /> customer ; Paint thinners store , Y-Kleen has the <br /> residues or dry cleanin . soly and/or reclaim the <br /> tri contain in g filter cartrid ents and spent <br /> flur° trichloroethane d� ° r0eth 1 9es , Ppivderpa �nts generated b <br /> is responsible for y ene , petroleumand still y <br /> Or Nonhazar Properly cleaning solvents . naphtha , or <br /> 262 . 11 and sous Waste ifya tomer <br /> pp 1 , Statee `lawsnce wi h the Provisaste ion <br /> agrees that <br /> Oil <br /> introduce any non confo <br /> custom er earns Used rrOtn9 substance agrees that of 4D CFR <br /> into t e S � t will not <br />