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CSG St( - MIP - UMO - 02 MCCarroll , Davi. d 01 - 14 - 2021 08 : 50 PAGE 1 V- 3 . 9 . 1
<br /> Saf ety- K_een Systems , Inc .
<br /> 92 LDnwW8ter Drive
<br /> 11orwell , MA 020t1
<br /> CORPORATE : 800 - 669- 5 / 40
<br /> 24 HR EMERGENCY : 800 - 468 - 1760 ( Safety- K '_ een )
<br /> 2095451011
<br /> REFERENCE NBR .
<br /> Iv61EI- d . ., 7 ! Certified Tire Iii 85059692 - 2006505415
<br /> 1131 Hoily Dr SRVC [SEEK : 2021 - 3
<br /> Tracy SRVC DATE : C1 - 14 - 2021
<br /> CA 95376 - 0000
<br /> PHONE 209- 835 - 6900
<br /> BILI. TO L 'JS' Tr)IdER0 BILL TO ADDRESS :
<br /> 01025566 Monro Muffler Brake
<br /> 200 Hrclieder Pkwy
<br /> Atte : Accts Payable
<br /> Rochester
<br /> NY 14615 - 3808
<br /> PHONE 262 - 542 - 1882
<br /> JR 'vER4 1649 TAX EXEMPTS
<br /> PRODUCT/SERVICES
<br /> .SERVICE / PRODUCT QTY UNIT PRICE TAX TOTAL CHARGE
<br /> 10256 FEE , OIL SERVICE / STOP NON - PREQUAL CRANKC 1 . 0 CP CP CP
<br /> 66636 USED JIL RECYCLE AUTOMOTIVE 07 1C0 . 0 CP CP CP
<br /> HALOGEN / CLOR- D-TECT TEST : PASS : PPM < 1000
<br /> TOTAL SERVICE / PRODUCTS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
<br /> - - _ CP CP CP
<br /> TOTAL CHARGE CP
<br /> CREDITS CP
<br /> TOTAL CUE CP
<br /> - - -- - - - - --_ __ _ _ _ _ _ _ _ _ _ _ _ _ __ ___
<br /> UNPAID BALANCE THIS RECEIPT CP
<br /> r) : B G Lllicon
<br /> � srrngLiOve beer, oinpieted error t _ pump - ng this load .
<br /> GENERATOR STATUS
<br /> CESUG : Vehicle
<br /> 1 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 economica '_ ly practicable . labeled, and arc in proper condition for transportation
<br /> according to the applicable regulations of the Department of Transportation ( it ) no material chanye has occurred either
<br /> in the characteristics o the wastelimater '_ al 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 /> _ , ill s01` torU1 it le ) rh . C ' ncIrI Terms and renditions provided separately to Customer or ( b ) any SY agreement
<br /> signed by Customer and SK , and ( 2 ) incorporated herein by reference . finless otherwise indicated in the payment received
<br /> ., action , SK is authorized to charge Customers account fcr this transaction , If Customer fails to make payment when due ,
<br /> an amount equal to the lesser of ( i ) 1 . 5 ° per month ( 185 per annum ) or ( ii ) the maximum amount allowed by law , sill be
<br /> , ed to all unpaid conoonts outstanding . Customer cortitics that the individual signing this Service Acknowledgement is
<br /> Auly authurized to sign and bind CustQnier , Customer acknowledges that it is responsible for maintaining its Generator
<br /> 7tatus and obtaining an EPA ID numbet if required by aoplieabie law , The following provision is applicable to Safety-
<br /> . tis cleaner and paint g .. n cleaner servicuomene
<br /> es : Cstr agrees that it will not _ troducany substance into the
<br /> surf tqsueovs cleaning solution , including wrthour 1 citation any hazardous waste or hazardous waste constituent ,
<br /> _:sept tutire extent such introduction is incidental to the normal use of the machine . Customer further agrees that it
<br /> will not clean parts / paint guns thathave been contaminated with or otherwise introduce polychlorinated biphenyls ( PCBs ) ,
<br /> Yerbicides , pesticides , dioxins or listso 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 customer ; lir. dry cleaning filter cartridyes , powder , and still residues containing
<br /> perchloroethylene , petroleum naphtha , or tr_ fiurotnchlcroethane dry cleaning solvents . Customer agrees that it is
<br /> respcnsibie for properly classifying its waste streams as Used Oil or Nonhazardous Waste in accordance with the provision
<br /> of 40 CFR 262 . 11 and applieaole state lairs . Customer agrees that it will flat introduce any nor - corforil substance into
<br /> I:e tiY F .- . perty , rncluiieg , wirhout ♦ imi taY _ on , any ha a rduu ; waste Lir hazardous waste r '-) Est _ tuent , Ir . e . , pul ychlur mated
<br /> Cony ) ( " FCB s " ) , herhir_ i res , o �sr n lie dipxins , r listed hazardous wastes ) e :< cept to the sill such introduction
<br /> rirsrons i.b , e for 11 r
<br /> ,;a otos C _ tomee agrees that it will h . a cost and reme diat ' on excenser related -o or arising from the
<br /> l rope , ,1 er. er, t slid �Jir1uof , rfouiiny , aste , c _ lUlUding the cost of equipment. de ont3rn nation and
<br /> ni _ pr :, al Filial „ lol _ ii7 . ill le based of tis actual servicss provided , which inly '_ nCludv additionai C- harges
<br /> :asr sect sus srgea . Final in -� iCe _, mount may be more than the amount Lsted to Cha printed
<br /> receipt , IC any legal action is conrienced because of an alleged dispute , breach , default or misrepresentation , the
<br /> _ hnr , ,mer al t agr s that the orevarti7 rparty will b entitled to recover reasonable attorneys fees and costs associated /�
<br /> Jus - �.� nt rr ' ng cc carcina ti i , - vent . Lafety F. leens failure to screen Customers inaterial or to e FEE
<br /> - n np IV ■
<br /> in no via } constitutes a waiver of Customers obligation to properly classify its materials . Safety Kle on C
<br /> Customers representations and Customer is responsible for informing Safety- Kleen of any process chant' s n s
<br /> the characteristics of the materials provided . IN THE EVENT OF AN EMERGENCY CALL " 24 - HR NUMBER " _ - BOD - 468 - 1760 ( Safety-
<br /> Kieenl A variable recovery fee that fluctuates with the DOE national average diesel price may he applied to your invoice .
<br /> For more information regarding our recovery fee calculation please go to http : / / safety- kleen . coin / customer - Y11 0 7 2022 O2
<br /> ENVIRONMENTAL HEALTH
<br /> DEPARTMENT
<br />
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