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CSG SK-BWP-UNO-01 Lima Jr , Joseph R 12- 13-2021 12 : 42 PAGE 1 <br /> Safety-Kleen Systems , Inc . <br /> 42 Longwater Drive <br /> Norwell , HA 02061 <br /> CORPORATE : 800-669-5740 <br /> 24 HR EMERGENCY : 800-468- 1760 ( Safety-Kleen ) <br /> 2095451011 <br /> REFERENCE NOR , <br /> CUSTOMER# L024138 Lovelace Material Recycling 87725847 - 2105916170 <br /> Center <br /> 2323 Lovelace Rd SRVC WEEK : 2021 -50 <br /> Manteca CA 95336-9233 SRUC DATE : 12- 13-2021 <br /> PHONE 209- 610-2001 <br /> BILL TO CUSfOMER# BILL TO ADDRESS : <br /> L024138 Lovelace Material Recycling Center <br /> 2323 Lovelace Rd <br /> Manteca CA 95336-9233 17 1 <br /> PHONE 209- 610-2001 DUPLICATE TICKET <br /> PURCHASE ORDER# 63917 TAX EXERPTI <br /> PRODUCTISERVICES SJC LOVELACE MRF/ TRANSFER STAT <br /> SERVICESIPRODUCT QTY UNIT PRICE TAX 10IALCHARGE 2323 E . LOVELACE RD , <br /> 10256 FEE , OIL 1 . 0 120 . 00 0 . 00 120 . 0 MANTECA , CA . ( 209 ) 982-5770 <br /> SERV I CEISTOP <br /> NON- PREQUAL CRANKC MON-FRI 7-4 SAT-SUN 7111-4 <br /> SERVICE TERM 2 WEEK <br /> 06636 USED OIL RECYCLE 505 . 0 0 . 35 0 . 00 176 . 75 Weighed : SABRINA <br /> AUTOMOTIVE OIL Deposi t : JOSE <br /> SERVICE TERM 2 WEEK BILL TO : <br /> HALOGEN/ CLOR-O-TECT TEST : PASS : PPH 1000 0 <br /> 56665 ANTIFREEZE 0 . 0 0 . 10 0 . 00 0 . 00 <br /> ( AUTOMOTIVE ) <br /> SERVICE TERN 4 WEEK <br /> CAUSE CODE VOIDHEADERAM)LINF - SERVICE NOT NEEDED <br /> - -- ------ - — Vehicle ID : 9F02816-0 <br /> TOTAL SERVICEIPRODUCTt 120 . 35 0 . 00 296 . 75 Reference : <br /> TOTAL CHARGE 296 . 75 COMPANY : SAFETY KLEEN <br /> CREDITS 0 . 00 PHONE : FC110 <br /> TOTAL DUE 29G . 75 Origin : SALVAGE <br /> DATE IN : 12/ 13/2021 TIME IN : 11 : 48 ; 37 <br /> - - - - - - - - - - - - - <br /> UNPAID BALANCE THIS RECEIPT 296 . 75 DATE OUT : 12/ 13/2021 TIME our : 12 : 45 : 09 <br /> If high risk source , rep . certifies that load specific PCD 8 Silicon OUTBOUND TICKET NUmbel" : 51 -01487901 <br /> testing have been completed prior to pumping this load . <br /> SCALE 3 GROSS WT , 40260 LB <br /> 3ENERATOR STATUS CESQG : Vehicle SCALE 2 TARE WT . 37000 LB <br /> NET WEIGHT 3260 LB <br /> ,ustomer certifies that ( i ) the I have established a program to reduce the volume <br /> above-named materials are properly or quantity and toxicity of the hazardous waste <br /> classified , packaged , marked and to the degree to be economically practicable . labeled , <br /> and are in proper condition for transportation according to the applicable regulations of * REPRINTED BY <br /> the Department of Transportation ( ii ) no material change has occurred either in the SABRINA at 12 : 47 : 50 <br /> characteristics of the wastelmaterial or in the process generating the wastelmaterial , and <br /> ( iii ) the above referenced Generator Status is correct . Customer agrees to pay the above Qty Description <br /> charges and to be bound by the terms and conditions ( 1 ) set forth in ( a ) the General Terms 1 . 63 OIL SALVAGE Amount <br /> and Conditions provided separately to Customer or ( b ) any SK agreement signed by Customer 0 . 00 <br /> and SK , and ( 2 ) incorporated herein by reference . Unless otherwise indicated in the <br /> payment received section , SK is authorized to charge Customers account for this TICKET AMOUNT : <br /> transaction . If Customer fails to make payment when due , an amount equal to the lesser of 0 . 00 <br /> ( i ) 1 . 5% per month ( 18% per annum) or ( ii ) the maximum amount allowed by law , will be <br /> added to all unpaid amounts outstanding . Customer certifies that the individual signing <br /> this Service Acknowledgement is duly authorized to sign and bind Customer . Customer <br /> acknowledges that it is responsible for maintaining its Generator Status and obtaining an <br /> EPA ID number if required by applicable law . The following provision is applicable to ` ' `•• <br /> Safety-Kleens parts cleaner and paint gun cleaner services : Customer agrees that it will J <br /> not introduce any substance into the solvent or aqueous cleaning solution , including X <br /> without limitation any hazardous waste or hazardous waste constituent , except to the <br /> extent such introduction is incidental to the normal use of the machine . Customer further ,, r <br /> agrees that it will not clean parts /paint guns that have been contaminated with or <br /> otherwise introduce polychlorinated biphenyls ( PCBs ) , herbicides , pesticides , dioxins or <br /> listed hazardous waste into the solvent or aqueous cleaning solution . Safety-Kleen has tine <br /> capacity and is permitted to accept , store , and/or reclaim the spent parts washer solvent ; <br /> paint thinners , solvents and paints generated by customer ; or dry cleaning filter — — <br /> cartridges , powder , and still residues containing perchloroethylene , petroleum naphtha , or <br /> triflurotrichloroelhane dry cleaning solvents . Customer agrees that it is responsible for <br /> properly classifying its waste streams as Used (til or Nonhazardous Waste in accordance <br /> with the provision of 40 CFR 262 . 11 and applicable slate laws . Customer agrees that it <br /> will not introduce any non-conforming substance into the SK Property , including , without <br /> limitation , any hazardous waste or hazardous waste constituent , ( i . e . , polychlorinated <br /> biphenyls ( "PCBs " ) , herbicides , pesticides , dioxins , or listed hazardous wastes ) except to <br /> t l... ..,. t ..., t ,.. .,.I, : .. t � ...l. ...t : .... : .. : .... : .I....t .. I t ., tl... ..... _.. I . ... .. .% f 4l... Qv o. ....... t . . I ., tl... <br />