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C: 6G SK - .SSL-UP[0-0 " Onsurez , Miguel 11 - 16- 2020 15 : 30 PAGE 1 V- 3 . 7 . 1
<br /> Safety-Kleen Systems , Inc .
<br /> 41 Lung v✓ater Drive
<br /> Norwell , IIA 02061
<br /> CORPORATE : 800 -659 - 5- 40
<br /> 24 HP EMERGENCY : 800- 468 - 1760 ( Safety - Kleen )
<br /> 2095451011
<br /> REFERENCE NBR .
<br /> CUSTO1gER4 TIP ' 307 Certified Tire 1649 84446274 - 2005111271
<br /> 1131 Holly Dr SRVC WEEK : 2020 - 47
<br /> Tracy SRVC DATE : 11 - 16-2020
<br /> CA 95376 - 0000
<br /> PHONE 209 - 835- 6900
<br /> BILL TO CUSTO:1ER# BILL TO ADDRESS :
<br /> 1/025566 Monro Muffler Brake
<br /> 200 Holleder Pkwy
<br /> Attn : Accts Payable
<br /> Rochester
<br /> NY 14615 - 3808
<br /> PHONE 262 -542 - 1888
<br /> PURCHASE ORDER # TAX EXEMPT #
<br /> PRODUCT/ SERVICES
<br /> SERbICE / PRODUCT QTY UNIT PRICE TAX TOTAL CHARGE
<br /> 10 ^ 56 FEE , OIL SERVICE / STOP NON- PREQUAL CRANKC I . 0 CP CP CP
<br /> c6E36 USED OIL RECYCLE AUTOMOTIVE OIL 377 . 0 CP CP CP
<br /> HALOGEN / CLOR- D-TELT TEST : PASS : PPM < 1000
<br /> TOTAL SERVICE / PRODUCTS -- ----- ---- -- -- - ----- ---- -- - -- __ __ _ _ ______ ___------___ __ __ _ - -- ----
<br /> C' P
<br /> __ ____CP CP CP
<br /> TOTAL CHARGE CP
<br /> CREDITS CP
<br /> TOTAL DUE CP
<br /> UNPAID BALANCE THIS RECEIPT CP
<br /> s _ gi , r � .: _ .. _ , _ , rel: . rcertifie . that load , herific FCB r. Silicon
<br /> , 11 nu ". ave been completed prior to pumping this load .
<br /> GENERATOR STATUS
<br /> CESQG : Vehicle
<br /> I have established a program to reduce the volume above -named materials are properly or quantity and toxicity of the
<br /> hazardous waste to the degree to be economically practicable . labeled , and are in proper condition for transportation
<br /> according to the applicable regulations of the Department of Transportation ( ii ) no material change has occurred either
<br /> in the characteristics of the waste / material or in the process generating the waste /material , and ( iii ) the above
<br /> referenced Generator Status is correct . Customer agrees to pay the above charges and to be bound by the terms and
<br /> conditions ( 1 ) set forth in ( a ) the General Terms and Conditions provided separately to Customer or ( b ) any SK agreement
<br /> signed by Customer and SK , and ( 2 ) incorporated herein by reference . Unless otherwise indicated in the paylnent received
<br /> ; e ,. __ ,. , 9; K is aur. horized to charge Customers account for this transaction . If Customer fails to make payment when due ,
<br /> an amount equal to the lesser of ( i ) 1 . 54 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 this Service Acknowledgement is
<br /> duly authorized to sign and bind Customer . Customer acknowledges that it is responsible for maintaining its Generator
<br /> Status andibr_ aining an EPA ID number if required by applicable law . The following provision is applicable to Safety-
<br /> e , l rirr it will :not introduce am, .=_ ubstance into the
<br /> eint : r -igneous cie ;dninq solution , including without limitation any hazar( wus .waste or hazardous waste constituent ,
<br /> . . rept t ) the extent such introduction is incidental to the nornial use cf the machine . Customer- further agrees that it
<br /> will not clean parts / paint guns that have been contaminated with or otherwise introduce polychlorinated biphenyls ( PCBs ) ,
<br /> herbicides , pesticides , dioxins or listed hazardous waste into the solvent or aqueous cleaning solution . Safety- Kleen has
<br /> the capacity and is permitted to accept , store , and/ or reclaim the spent parts washer solvent ; paint thinners , solvents
<br /> _ i J - ❑ crated by cuL ao-er ; or dry cleaning filter cartridges , powder , and still residues containing
<br /> pe n. hluroethyle ne , petroleum naphtha , or triflurotrichloroethane dry cleaning solvents . Customer agrees that it is
<br /> responsible for properly classifying its waste streams as Used Oil or Nonhazardous Waste in accordance with the provision
<br /> :rf 40 = FR 262 . 11_ and applicable state laws . Customer agrees that it will notintroduce any non -conforming substance into
<br /> the SK Property , including , without limitation , any hazardous waste or hazardous waste constituent , ( i . e . , polychlorinated
<br /> i, nphei , yls 1 " Pc5s7zi1 herbicides , pesticides , dioxins , or listed hazardous wastes ) except to the extent such introduction
<br /> . c ia , ntal to h , nermrt use of the SF Property . In the event of the introduction of such non- conforming hazardous
<br /> waste , Customer agrees that it will be responsible for all costs and remediation expenses related to or arising from the
<br /> proper management and disposal of the non -conforming waste , including the cost of equipment decontamination and
<br /> iLsequent disposal Final invoicing will be based on the actual services provided , which may include additional charges
<br /> For off specification waste and surcharges , Final invoice amount may be more than the amount listed on the printed
<br /> receipt , if any legal action is r_onunenced because of an alleged dispute , breach , default or misrepresentation , the
<br /> r: usteme1 also agrees that the prevailing party will be entitled to recover reasonable attorneys fees and costs associated
<br /> th the non -conforming contamination event . Safety-Kiaens failure to screen Customers material or take a retain sample ,
<br /> . n uo way constitutes a waiver of Customers obligation to properly classify its materials . Safety-K Iem& on
<br /> Customers representations and Customer is responsible for informing Safety- Kleen of any process ch tn' a ■/��
<br /> the characteristics of the materials provided . IN THE EVENT OF AN EMERGENCY CALL " " 29 -HR NUMBER B 968 1 p
<br /> Kleen ) A variable recovery fee that fluctuates with the DOE national average diesel price may be applied to y10o/uriii�� is
<br /> For more information regarding our recovery fee calculation please go to http : / / safety- l:leen . conn/ customer-
<br /> APR 0 7 2022
<br /> ENVIRONMENTAL HEALTH
<br /> DEPARTMENT
<br />
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