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2323 Lovelace Rd Manteca CA 95336 - 9233 PHONE 209 - 610 - 2001 GENERATOR USEPA ID . CAL000289578 GENERATOR STATE CSG SK -SSL -UMO -01 Joseph R Lima Jr 01 /13/20 08 : 57 PAGE 1 X Safety - Kleen Systems , Inc . 2600 N Central Expy , Suite 200 Richardson , TX 75080 CORPORATE : 800 -669 - 5740 24 HR EMERGENCY : 800 - 468 - 1760 (Safety- Kleen) 2095451011 0000 = 1NnOWV 13NOI1 REFERENCE NBR . CUSTOMER# L024138 Lovelace Material Recycling Center 82168427 2323 Lovelace Rd SRVC WEEK : 2020 - 3 00 ' 0 3JVA ]vS ] IO CTS Manteca CA 95336 - 9233 SRVC DATE : 01 /13/20 junouiv u0pd posaa AID PHONE 209 -610 - 2001 BILL TO CUSTOMER# BILL TO ADDRESS : L02413fkti Lovelace Material Recycling Center 2323 Lovelace Rd 01 ' 8580 1a vial ] Manteca CA 95336 - 9233 * A8 a31NIIld3� * PHONE 209 -610 - 2001 PURCHASE ORDER# 54974 TAX EXEMPT# PRODUCT /SERVICES SERVICE/ TDTAL 81 0905 1HOI3M 13N PRODUCT QTY UNIT PRICE TAX CHARGE 10256 FEE , OIL SERVICE/STOP NON 1 . 000 120 . 0000 0 . 00 120 . 00 q ] 00H Elm AM e PUS SERVICE TERM 24 WEEK 91 09W ' IM SSOI10 8 31VOS 66636 USED OIL RECYCLE AUTOMOTI 665 . 000 0 . 0000 0 . 00 0 . 00 SERVICE TERM 4 WEEK HALOGEN / CLOR -D -TECT TEST RESULT PASS : PPM < 1000 geg08010- Ig : aaqtunN 13HOI1 WORM - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - TOTAL SERVICE/PRODUCTS 120 . 0000 0 . 00 120 . 00 TOTAL CHARGE 120 . 00 8E : g5 : 80 : 1n0 3WI1 om?./EI / 10 a1n0 31va CREDITS 0 . 00 EC : 69 : L0 ; NI 3WI1 HOZ / EI / 10 : NI 31Va - - - - - - - - - - - - - - - TOTAL DUE 120 . 00 39VA ]VS : u 161 _ 0 UNPAID BALANCE THIS RECEIPT 120 . 00 0113d 13NONd N331N A133vS ' ,INVdWOO 918 �0 �16 : aauaaaae8 M 0I 81111WA If high risk source , rep . certifies that load specific PCB & Silicon testing have been completed prior to pumping this load , GENERATOR STATUS CE CESaG : Vehicle n ' a .[ ] ] I9 customer certifies that (i) the above - named materials are properly 3SOP : 41SOdaa classified , packaged , marked and labeled , and are in proper condition for transportation according to the applicable regulations of the vlal ] : peg6laM Department of Transportation (ii) no material change has occurred either in the characteristics of the waste/material or in the process generating the waste/material , and (iii) the above referenced b-L NnS-1VS V "- L II13 -NOW Generator Status is correct , Customer agrees to pay the above charges OLLS -?86 ( 602 ) V fV031NVW 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) as 1OV13AO ] ' 3 M any SK agreement signed by Customer and SK , and (2) incorporated IVIS 2133SNvbV J W 33V 13A0 ] OCS 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 13)I3I1 31dOI ] dna (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 ID number if required by 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 L -