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CSG SK -SSL -UMO - o1 Joseph R Lima 1r
<br /> 11 /06/19 08 : 58 PAGE 1
<br /> Safety - Kleen Systems , Inc .
<br /> 2600 N Central Expy , Suite 200
<br /> Richardson , TX 75080
<br /> CORPORATE : 800 -669 - 5740
<br /> 24 HR EMERGENCY : 800 - 468 -1760 (Safety- Kleen)
<br /> 2095451011
<br /> CUSTOMERM L025322 Lovelace Transfer Station REFERENCE NBR ,
<br /> 2323 East Lovelace Rd 8138696497234
<br /> Manteca CA 95336 -0000 SRVC WEEEK :EK : 2 2019 - 45
<br /> SRVC DATE : 11/06/19
<br /> BILL TO CUSTOF1ER1lPNONE 209 - 982 - 5770
<br /> SA32681, RILL TO ADDRESS :
<br /> County of San Joaquin DPW/Solid Waste
<br /> 1810 E Hazelton Ave
<br /> Stockton CA 95205 -6232
<br /> PURCHASE ORDER# 54947 PHONE 909 - 947 - 9363
<br /> SERVICE/ PRODUCT/SERVICES TAX EXEMPT#
<br /> PRODUCT QTY UNIT PRICE TAX CHARGE DUPLICATE
<br /> DUPLICATE TICKET
<br /> 66636 USED OIL RECYCLE AUTOMOTI 640 . 000 0 . 0000 0 . 00
<br /> SERVICE TERM 4 WEEK 0 . 00
<br /> HALOGEN / CLOR -D -TECT TEST RESULT PASS : PPM < 1000 SJC LOVELACE MRF / TRANSFER STAT
<br /> 10256 FEE , OIL SERVICE/STOP NON 1 . 000 120 . 0000 0 . 00 120 . 00 2323 E . LOVELACE RD .
<br /> SERVICE TERM 4 WEEK - MANTECA , CA . ( 209 ) 982 - 5770
<br /> TOTAL SERVICE/PRODUCTS 120 . 0000 0 . 00 120 . 00 MON -FRI 7 -4 SAT -SUN 7 - 4
<br /> TOTAL CHARGE 120 . 00
<br /> CREDITS 0 . 00 Weighed : NANCY
<br /> TOTAL DUE 120 . 00 Deposit : NANCY
<br /> BILL T0 : �
<br /> UNPAID BALANCE THIS RECEIPT 120 . 00
<br /> Vehicle ID : W
<br /> If high risk source , rep . certifies that load specific PCB & Silicon Reference : 9F0281ti
<br /> testing have been completed prior to pumping this load .
<br /> PHONE : FC 110
<br /> GENERATOR STATUS CHECK 11 : OIL SAFETY KLEEN
<br /> CESQG : Vehicle
<br /> Customer certifies that (i) the above - named materials areOrigin :_ SALVAGE
<br /> classified , packaged , marked and labeled , and are in rproperly tion DATE IN : 11 / 06/ 2019 TIME IN : 08 : 18 : 25
<br /> for transportation according to the applicable regulations of the
<br /> Department of Transportation (ii) no material change has occurred DATE OUT : 11 / 06 /2019 TIME OUT ; 09 : 04 : 49
<br /> either in the characteristics of the waste/material or in the process
<br /> generating the waste/material , and (iii) the above referenced51 -01044450
<br /> Generator Status is correct , Customer agrees to pay the above charges OUTBOUND TICKET Number :
<br /> and to be bound by the terms and conditions (1) set forth in (a) the
<br /> General Terms and Conditions provided separately to Customer or (b) 31580 LB
<br /> any SK agreement signed by Customer and SK , and (2) incorporated SCALE 2 GROSS WT6
<br /> herein by reference . Unless otherwise indicated in the payment SCALE 2 TARE WT . 26700 LB
<br /> received section , SK is authorized to charge Customer ' s account for 4860 LB
<br /> this transaction . If Customer fails to make payment when due , an NET WEIGHT
<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 REPRINTED BY
<br /> Customer . Customer acknowledges that it is responsible for maintaining
<br /> its Generator Status and obtaining an EPA ID number if required by . COREY at 09 : 05 : 29
<br /> applicable law . The following provision is applicable to
<br /> Safety- Kleen ' s parts cleaner and paint gun cleaner services : Customer
<br /> agrees that it will not introduce any substance into the solvent orAmount
<br /> aqueous cleaning solution , including without limitation any hazardous Qty Description
<br /> waste or hazardous waste constituent , except to the extent such O . UO
<br /> introduction is incidental to the normal use of the machine . Customer 2 . 44 OIL SALVAGE
<br /> further agrees that it will not clean parts/paint guns that have been
<br /> contaminated with or otherwise introduce polychlorinated biphenyls TICKET AMOUNT : 0 . 00
<br /> (PCB ' 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 X
<br /> constituent , (i . e . , polychlorinated biphenyls C'PCBs,,) , 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 specification waste and surcharnes . F ;..mi
<br /> lnVairp am,.� � .. � ,.,- . . '' - - - - -
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