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<br /> Safety-}{leen Systems , Inc .
<br /> 42 Longwater Drive
<br /> Nnrbtr _ _ ltb,
<br /> CORPORATE : .900- 659 - 5740
<br /> 24 HR EMERGENCY : H00- 468 - 1760 ( Safety-Klaen )
<br /> 2u95451011
<br /> REFERENCE NRR .
<br /> ' �. i3'i9ERq T123397 Certified Tire i649 84837693 - 2006007706
<br /> 1131 Holly Dr SRVC WEEK : 2020- 50
<br /> Tracy SRVC DATE : 12 - 11 - 2020
<br /> CA 95376 - 0000
<br /> PHONE 209 - 835 - 6900
<br /> BILL TO CUSTOMER# BILL TO ADDRESS :
<br /> Dlcnio Muffler Brant
<br /> 200 Holleder Pkwy
<br /> Attn : Accts Payable
<br /> Ru _he5ter
<br /> N"i . vv , .. -3806:
<br /> PHONE arc — — 1HLF
<br /> PURCHASE ORDER # TA;: EXEMPT #
<br /> PRODUCT/ SERVICES
<br /> SER'; ICE ; PRODUCT QTY UNIT PRICE TA\ TOTAL CHARGE
<br /> r-cl .. T E / sT?7f _ :! - TjPE .? CRAfii<C 1 . 0 CP CP CP
<br /> 6663E USED OIL RECYCLE AUT0I40TIVE OIL 70 . 0 CP OF CP
<br /> 11 T
<br /> , ..CGIII " Ep / � LOR- D-TEC'T TEST : PASS : PPM 1000
<br /> TOTAL SERVICE / PRODUCTS __ ___ ___ _ __ ____ _ _ -- -- _ _ __ ____ __ __ __ -_- __-_ ___ __ __ -_ _-__ __ __ ____ __ _
<br /> CP CP CP
<br /> TOTAL CHARGE CP
<br /> CREDITS OF
<br /> TOTAL DUE CP
<br /> UNPAID BALANCE THIS RECEIPT CP
<br /> If high risk source , rep , certifies that load specific PCB L Silicon
<br /> testing have been completed prior to pumping this load .
<br /> 'VENEPATOP 5TATilS
<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 wesre to Cha degree to be economically practicable . labeled , and are in proper condition for transportation
<br /> . rI cr the epplicabl _ ranulatiol of the Department of Transportation ( iii no inaterial changes_ 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 arid
<br /> dirt " 1 ill set forth in la1 the General Term 's and Conditicns provided separately to or ( b ) anv SK agreement
<br /> qued L \ �u , [ ir _ r an,l SF, and ( 2 ) incorporated herein by ieier ' Tce . Unless otherwise indl. _aced in the payment received
<br /> n - a n{ r ' � rML- , a , Coon ' for rt, i . r -, r :, ac ; ion . If [ ' stoner rails to riake payment when due ,
<br /> { . aL r . , per month per 71nnunri or ( ii ) the nolaximuni amount allowed by law , will be
<br /> � , i ; np � or _ unts u titan .r v , y . Customer certifies that the individual signing this Service Acknowledgement is
<br /> -.1111y auti ,cri - ed to sign and bind Customer . Customer acknowledges that it is responsible for maintaining its Generator
<br /> Status and obtaining till EPA. ID nurnber if required by applicable law . The following provision is applicable to Safety-
<br /> r : rens p r : cleaner and pains gun cleaner services : Customer agrees that it will not introduce any substance into the
<br /> solvent or aqueous cleaning solution , including without limitation any hazardous waste or hazardous waste constituent ,
<br /> except to the extent such introduction is incidental to the normal use of 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 /> I , e r6icides , 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 /> and paints generated by rustorrier ; or dry cleaning filter cartridges , powder , and still residues containing
<br /> perchloruethylene , petroleum naphtha , or triflurotrichloroethane dry cleaning solvents . Customer agrees that it is
<br /> ! - spunsible for properly classifying its waste streams as Used Oil or Nonhazardous Waste in accordance with the provision
<br /> of 40 CFR 262 . 11 and applicable state laws . Customer agrees that it will not introduce any non - conforming substance into
<br /> th ? $ F Property , including , without limitation , any hazardous waste or hazardous waste constituent , ( i . e . , polychlorinated
<br /> biphenyls ( " PCBs " ) , herbicides , pesticides , dioxins , or listed hazardous wastes ) except to the extent such introduction
<br /> 1i I , rr -rl - n the normal use of the SK Property . Ir. the event of the introduction of such non- conforming hazardous
<br /> , . ante , Customer agrees that it will be responsible for all costs and remediation expenses related to or arising from the
<br /> r Wp,,.� n ; ;, ii :ri . E , sa ! or tt -: non trinforring rjaste , ririu ;lrng the rust of equipment decontamination and
<br /> „- y , :, i . s {�„ mai . Final invoicing will be based on the actual services provided , which may include additional charges
<br /> es an he
<br /> for off i i. fication waste and surcharges . Final im sire amount may be ,c re than rhe mn unr, listed t printed
<br /> receipt . If any legal action is conmienced because of an alleged dispute , breach , default or misrepresentation , the
<br /> :ustomer also agrees that the prevailing partv will be entitled to recover reasonable attorneys fees and costs associated
<br /> kl1rh rni, n r k . nf rmin7 c ntaminati n ` vent Safety- iee tail t ;' re n Cast - oars m t sial or t 4:e a retain cam � l e ,
<br /> r Wil r tiz r s . . Choir of Customs rs obligation - . o i ro( arl ) cls ifw is materials . sf - ty [leen ie i on � �
<br /> t toner eE re gent riots and Customer is responsible for infoxnu rg Sa e y Eleer of r ' pro c s ch nges t a _ e
<br /> the _ hara _ teristr _ of rhe materials provided . IN THE EVENT OF All EMERGENCY CALL ' 24 -HR NUIdBER ” 1 900 - 4 „� - S t
<br /> ED
<br /> Klee-, ) A variallle recovery fee that fluctuates with the LOE national average diesel price may be applied to your invoice .
<br /> For inure information regarding our recovery fee calculation please go to http : / / safety- {; leen . conn/ customer -
<br /> APR 0 7 2022
<br /> ENVIRONMENTAL HEALTH
<br /> DEPARTMENT
<br />
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