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GENERATOR STATUS
<br /> Customer certifies that n ) ine i have established a program to reduce the volume
<br /> above-named materials are properly or quantity and toxicity of the hazardous waste
<br /> assified , packaged , marked and to the degree to be economically praclicaL. le . labeled ,
<br /> d are in proper condition for transportation according to the applicable regulations of
<br /> CSG SK-BWP-UNO-01 Lima Jr , jusepn ri 11-02-202 19 PAGE 1 e Department of Transportation ( ii ) no material change has occurred either in the
<br /> - aracteristics of the waste/ material or in the process generating the wastelmaterial , and
<br /> Safety-Kleen System , Inc$ i i ) the above referenced Generator Status is correct . Customer agrees to pay the above
<br /> 42 Longwatel Drive arges and to be bound by the terms and conditions ( 1 ) set forth in ( a ) the General Terms
<br /> Norwell , 'r . . 02061 d Conditions provided separately to Customer or ( b ) any SK agreement signed by Customer
<br /> CORPORATE : 800-669- 5740 d SK , and ( 2 ) incorporated herein by reference . Unless otherwise indicated in the
<br /> 24 HR EMERGENCY : 8UO-468- 1760 ( Safety-Kleen ) yment received section , SK is authorized to charge Customers account for this
<br /> 2095451011 ansaction . If Customer fails to make payment when due , an amount equal to the lesser of
<br /> REFERENCE NBR . ) 1 . 5°/: per month ( 18% per annum ) or ( ii ) the maximum amount allowed by law , will be
<br /> CUSTOMER# N027163 North County Recycling Center 87602376 - 2105595989 tied to all unpaid anounts outstanding . Customer certifies that file individual signing
<br /> And Sanitary Land fil is Service Acknowledge::-ent is duly authorized to sign and bind Customer . Customer
<br /> 17720 E Harney Ln SRUC WEEK : 2021-44 k:nowledges that it is responsible for maintaining its Generator Status and obtaining an
<br /> Lodi CA 9.5240-9623 SRUC DATE : 11-02.- 2021 A ID number if required by applicable law . The following provision is applicable to
<br /> PHONE 209-887-3868 rfety-Kleens parts cleaner and paint gun cleaner services : Customer agrees that it will
<br /> nt introduce any substance into the solvent or aqueous cleaning ' solution , including
<br /> BILL TO CUSTONERN BILL TO ADDRESS : iti-mt limitaticn any hazardous waste or hazardous waste constituent , except to the
<br /> H027163 North County Recycling Center And Sanitary < tr -t such introduction is incidental to the normal use of the machine . Customer further
<br /> Landfil s ees that it will not clean parts / paint guns that have been contaminated with or
<br /> 17720 E Harney Ln hgwise introduce polychlorinated biphenyls ( PCBs ) , herbicides , pesticides , dioxins or
<br /> Lodi CA 952411-9623 steel hazardous waste into the solvent or aqueous cleaning solution . Safely-Kieen has the
<br /> PHONE 209-887-3868 pacity and is permitted to accept , store , and/ or reclaim the spent parts washer solvent ;
<br /> PURCHASE ORDERN 63917 TAX EXEMPT # int thinners , solvents and paints generated by customer ; or dry cleaning filter
<br /> - tridges , powder , and still residues containing perchloroethylene , petroleum naphtha , or
<br /> TISERV ICES iflurolrichloroethane dry cleaning solvents . Customer agrees that it is responsible for
<br /> SERVICESIPRODUCT QTY UNIT PRICE TAX IOTALCHARGE rperly classifying its waste streams as Used Oil or Nonhazardous Waste in accordance
<br /> 66665 ANTIFREEZE 60 . 0 0 . 90 0 , 00 54 . 0 : h the provision of 40 CFR 262 . 11 and applicable state laws . Customer agrees that it
<br /> ( AUTOMOTIVE) ' I not introduce any non-conforming substance into file SK Property , including , without
<br /> SERVICE TERM 20 WEEK citation , any hazardous waste or hazardous waste constituent , ( i . e . , polychlorinated
<br /> HALOGEN/ CLOR-O- TECT TEST : PASS : PPM < 1000 Thenyls ( "PCBs " ) , herbicides , pesticides , dioxins , or listed hazardous wastes ) except to
<br /> r extent such introduction is incidental to the normal use of the SK Property . In the
<br /> - - - - - - -- - - - - - - - - - - -- - - - - - -- -- - - -- -- - - -
<br /> int of the introduction of such nonconforming hazardous waste , Customer agrees that it
<br /> fQTAi- S!:R'11i.L PR aJ f: 1S 0 . `Ji! 0 . 00 54 . 00 11 be responsible for all costs and remediation expenses related to or arising from the
<br /> )per management and disposal of the non-conforming waste , including the cost of
<br /> 1014AL CHARGE 54 . 00 ripment decontamination and subsequent disposal . Final invoicing will be based on file
<br /> C$EC! iTS 0 , 00 ual services provided , which may include additional charges for off specification waste
<br /> - - - - - - - - - - - - - - - - — - - - - - - - - I surcharges . Final invoice amount may be more than the amount listed on the printed
<br /> TOTAL DUE 54 . 00 :eipt . If any legal action is commenced because of an alleged dispute , breach , default
<br /> misrepresentation , the Customer also agrees that the prevailing party will be entitled
<br /> - - - - - - - - - - -- - - - - - - - - - recover reasonable attorneys fees and costs associated with the non-conforming
<br /> tamination event . Safety-Kleens failure to screen Customers material or take a retain
<br /> UNPAID BALANCE THIS RECE1 pie , in no way constitutes a waiver of Customers obligation to properly classify its
<br /> erials . Safety-Kleen relies on Customers representations and Customer is responsible
<br /> for informing Safety-Kieen of any process changes that may alter the characteristics of
<br /> the materials provided . In accordance with 40 CFR 263 . 21 ( b) ( 3) Clean Harbors and/ or
<br /> Safety-Kleen , as applicable , as the current transporter is expressly given agency
<br /> authority by the generator to act as the generator ' s agent and accordingly , Clean Harbors
<br /> and/ or Safety-Kleen , as applicable , may change the transporter ( s ) designated on the
<br /> manifest , or add a new transporter , during transportation without the generator ' s prior ,
<br /> explicit approval . IN THE EVENT OF AN EMERGENCY CALL ""24-HR NUMBER" 1100-468- 1760
<br /> ( Safety-Kleen) A variable recovery fee that fluctuates with the DOE national average
<br /> diesel price may be applied to your invoice . For more information regarding our recovery
<br /> fee calculation please go to http : lsafety-kleen . coml
<br /> customer -servicelenvirorunental - fees / recovery- fees . Please note e-manifest fees applicable
<br /> to this order may not be included in the total above and wi11 be included in the final
<br /> invoice or credit card statement . RECEIPT ONLY - THIS IS NOT AN INVOICE
<br /> CUST014ER I GENERATOR : corey chollins
<br /> TRANSPORTER : Lima Jr , Joseph "
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