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CSG SK -5' 0%.- 21 Brandon . 3 Gaither 12 /12 /1 37 PAGE 1 Safety - Kleen Systems , Inc . 2600 N Central Expy , Suite 200 Richardson , TX 75080 CORPORATE : 800-669 - 5740 24 HR EMERGENCY : 800 - 468 - 1760 (Safety - Klcen) DUF'LiCATE TICKET2095451011 _ REFERENCE NBR . CUSTOMER # L024138 Lovelace Material Recycling Center 81823 WEEKt3'. 02019g50 2323 Lovelace Rd SRVC SJC LOVELACE MRF /TRANSFER STAT Manteca CA 95336 - 9233 SRVC DATE : 12/12 /19 2323 E . LOVELACE RD . PHONE 209 -610 - 2001 BILL TO CUS'NMER# BILL TO ADDRESS : MANTECA , CA . ( 209 ) 982-5770 L024138 Lovelace Material Recycling Center MON4RI 7-4 SAT -SUN 7-4 2323 Lovelace Rd Manteca CA 95336 - 9233 PHONE 209410 - 2001 TAX EXEMPT# Weighed : NANCY Pu);cHASE ORDER# PRODUCT / SERVICES Deposit : NANCY -SERVICE/ TOTAL BILL TOc U PRODUCT QTY UNIT PRICE TAX CHANGE R3383 DRUM , 55 wn> fE O . F . 3 . 000 55 . 0000 0 . 00 165 . 00 it RM 24 WEEK x coa u : s sUF : lilt) MANIFEST# : 007276677SKS FORM CO : US SHIP# 230147003 CNT# : 191204377115 QTY : 250 WT/VOL P PROF # 156033 SHOOT 7872676 c. Nl # : 191204380108 QTY : 250 Wi/V0L P PROF# 156033 SHOOT 7872676 lNf# : 191204x80109 QTY : 300 WT/VOL P PROF # 156033 SHOOT 7872676 Vehicle ID : W Rer' arence : 97443J2 898560 CARTRIDGE OIL FILTEflS SSG 1 . 000 150 . 0000 0 . 00 150 . 00 SERVICE TERM 8 WEEK FORM CD : US PHONE : FC 100 GAL # CONTSCNT# : 191204380110 QTY : 140 0WT/VOL 7PSKSPROF# 156777 SHIP #SKDOT47004 7OIZO03 Urlgil ? : SALVAGE 3383 DRUM , 55 GAL FOR O . F . 4 . 000 10 . 0000 0 . 00 40 . 00 SERVICE TERM 24 WEEK DATE IN : 12/ 12/2019 TIME iN : 12 : 52 : 51 . 100001 FEE , FUEL SURCHARGE 1 . 000 12 . 8100 0 . 00 12 . 81 DATE OUT : 12/ 12 /2. 019 TIME OUT : 13 : 44 : 38 323066 TAX HANDLING Fee z . oOO zo . 0000 0 . 00 40 . 00 3230 TAX HANDLING N/C DRUM DROP 30 4 . 000 0 . 0000 0 . 00 0 . 00 TOTAL SERVICE/PRODUCTS - - - - - - - - - - - - 247 . 81000 . 00 - - - - 407 . 81 '.. OUTBOUND TICKET Number : 51 - 01064 80 TOTAL CHARGE 407 . 81 CREDITS 0 . 00 SCALE 3 GROSS Wf . 2422i'• LB TOTAL DUE 407 . 81 SCALE 2 TARE WT . 24020 LB NET WEIGHT 800 LB UNPAID BALANCE THIS RECEIPT 407 . 81 ic* REPRINTED BY * NANCY at 13 : 46 : 23 GENERATOR STATUS Oty it : r. : !" iption Amount 220 - 2200 lbs/month 0 . 411 OIL FILTERS O . 00 Customer certifies that ( i) cite above - named materials are properly classified , packaged , market) anti labeled , and are in proper condition . 00 for transportation according to the applicable reuulatiolls of the 0 TICKET AMOUNT : Department of Transportation ( ii) no material change has occurred either in s6 % 1racteristics of the waste/material or in the Process generating I : to /material , and (iii) the above referenced Gene rdl u : .. orrtL L . Customer agrees to Pay the above charges anti to tine terms and conditions (1) set forth in (a) the Ge : . , . . . Conditions Provided separately to Customer or (b) any S sinned by Customer and SK , and (2) incorporated here i Ce . Unless otherwise indicated in the payment rece '. SK is authorized to charge Customer ' s account for this ; n . If Custooet• fails to make payment when due , all x almouni to the lesser of (i) 1 . 5% per month (18% per annum) or - - (ii) them jildxhoull, amount allowed by law , will be added to all unpaid amounts ontstandinu . Customer certifies that the individual signing this Service Acknowledgement is duly authorized to sign and bind Customer . Customer acknuwledues that it is responsible for maintaining its Generator Status and obtaining an EPA ID number if required by applicable lot . Tire following provision is applicable to Safety - Kleco ' � p .� ttr, cleaner and paint oun cleaner services : Customer agrees that it will nut introduce any substance into tine solvent or atp, cous cleaning solution , including without limitation any hazardous waste ur hereat . > v;aste cunstituent , except to the extent such Fnntroduction . the normal use of the machine . Customer further afire.- ; t . . • , .. t . lean par Ls/ ppint guns that -have,-been - Mit witilitt 1 •• d - 1 l +t • • u. . ruduce polychlorinated biphenyls (PCB ' s) , herbicides • pesticides , dioxins or listed hazardous waste into the solvent or aqueous cleaning solution . Safety- Kleen has Lite capacity and is pernn : tted to accept , store , and/or reclaim the spent Parts washer solvent , paint thinners , solvents and na; ntc I i