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CSG SK-BNP-MO-01 Lima Or,Goseph R 04-19-2021 09:30 PAGE 1 V-5.4
<br /> Safety-Kleen Systems, Inc.
<br /> 42 Longwater Drive
<br /> Norwell, MA 02061
<br /> CORPORATE: 800-669-5740
<br /> 24 FIX EMERGENCY: 000-468-1760 (Safety-Kleen)
<br /> 2095451011
<br /> REFERENCE NOR.
<br /> CUST014ER4 ST37083 Stockton City Of Corp Yazd 86025762 -
<br /> 1465 S Lincoln St SRVC HERE: 2021-17
<br /> Stockton SRVC DATE: 04-19-2021
<br /> CA 95206-1941
<br /> PHONE 209-937-8731
<br /> BILL TO CUETGHMRE HILL TO ADDRESS:
<br /> ST37003 Stockton City of Corp Yard
<br /> 1465 S Lincoln St
<br /> Stockton
<br /> CA 95206-1941
<br /> PHONE 209-937-8731
<br /> PURCHASE ORDER# 4/19/21 TAX EXEMPT#
<br /> PRODUCTISERVICES
<br /> SERVICE/PRODUCT QTY UNIT PRICE TAX TOTAL CHARGE
<br /> 10256 FEE, OIL SERVICE/STOP NON-PREQUAL CPANKC 1.0 25.00 0.00 25.00
<br /> 66636 USED OIL RECYCLE AUTOMOTIVE OIL 155.0 0.60 0.00 93.00
<br /> HALOGEN/ CLOR-O-TECT TEST: PASS:PPM 1 1000
<br /> TOTAL SERVICE/PRODUCTS ---------------- --------
<br /> 25.60 0.00 118.00
<br /> TOTAL CHARGE 118.00
<br /> CREDITS 0.00
<br /> ------------------------------
<br /> TOTAL DUE 118.0
<br /> UNPAID BALANCE THIS RECEIPT 118.00
<br /> GENERATOR STATUS
<br /> SOG/LOG: Vehicle
<br /> Customer certifies that (i) the I have established a program to reduce the volume above-named materials are properly or
<br /> quantity and toxicity of the hazardous waste classified, packaged, marked and to the degree to be economically
<br /> practicable. labeled, and a n proper condition for transportation according to the applicable regulations of the
<br /> Department of Transportation(ii) an material change has occurred either in the characteristics of the waste/material or
<br /> in the process generating the waste/material, and (iii) the above referenced Generator Status is correct. Customer agrees
<br /> to pay the above charges and to be bound by the terms and conditions )1) set forth in (a) the General Terms and
<br /> Conditions provided separately to Customer or (b) any SK agreement signed by Customer rad SK, and (2) incorporated herein
<br /> by reference. Unless otherwise Indicated in the payment received section, SK is authorized to charge Customers account
<br /> for this transaction. If Customer fails to make payment when due, an aveont equal to the lesser of (i) 1.5% per month
<br /> (185 per, annum) or (ii) the ma ow
<br /> ...at allowed by law, will be added to all unpaid amounts outanding. Customer
<br /> certifies that the individual signing this Service Acknowledgement is duly authorized tosign
<br /> tsand hind Customer. Customer
<br /> acknowledges that it iresponsible for maintaining its Generator Status and obtaining an EPA ID number if required by
<br /> applicable law. The following provision Is applicable to Safety-Kleens parts cleaner and paint gun cleaner services:
<br /> Customer agrees that it will not introduce any substance into the solvent or aqueous cleaning solution, including without
<br /> limitation any hazardous waste or hazardous waste constituent, except to the extent such introduction is incidental to
<br /> the normal use of the mRobins. Customer further agrees that it will not clean parts/paint guns that have been
<br /> contaminated with or otherwise introduce polychlorinated biphenyls (PCBs), herbicides, pesticides, dioxins or listed
<br /> hazardous waste into the solvent or aqueous cleaning solution. Safety-Kleen has the capacity and is permitted to accept,
<br /> store, and/or reclaim the spent parts washer solvent; paint thinners, solvents and paints generated by customer; or dry
<br /> cleaning filter cartridges, powder, and still residues containing perahlaroethylene, petroleum naphtha, o
<br /> trifluratrichloroethane dry cleaning solvents. Customer agrees that it is responsible for properly classifying its waste
<br /> streams as Used Oil or Nonhazardous Haste in accordance with the provision of 4D CFR 262.11 and applicable state laws.
<br /> Customer agrees that it will not introduce any n - onforming substance into the SK Property, including, without
<br /> limitation, any hazardous waste or hazardous waste constituent,ji.s., polychlorinated biphenyls ("PCNs"), herbicides,
<br /> pesticides, dioxins, or listed hazardous wastes) except to the extent such introduction is incidental to the normal use
<br /> v
<br /> of the SK Property. In the event of the introduction of such n - onforming hazardous waste, Customer agrees that it will
<br /> be responsible for all castsand reskedi.tion expenses related to or arising from the proper management and disposal of
<br /> the non-conforming waste, including the cost of equipment decontamination and subsequent disposal. Final invoicing will
<br /> be based on the actual services provided, which may include additional charges for off specification wasteandc
<br /> surcharges. Final i amount may be more than the amount listed on the printed receipt. If any legal action Is
<br /> ....ed because of a calleged dispute, breach, default at representation, the Customer also agrees that the
<br /> prevailing party will be entitled to r reasonable attorneys fees and costs associated with the n - onfo rming
<br /> lure t rscre retain
<br /> on c
<br /> aiveminatius event. Safety-Kleens failure to screen Customers material or Cake a retain sample, i way constitutes atinsan a
<br /> Calver of is resp
<br /> obligation to properly classify its materials. Safety-thatm relies on Customers representations and
<br /> Customer i esponsible for informing Safety-Kleen of any process changes that may alter the characteristics of the
<br /> materials provided. In accordance with 40 CFR 263.21 (y)by Clean Harbors and/pr Safety-Kleen, a applicable, as the
<br /> W.res.t transporter is expressly given agency authority by the generator to act de the generator's ore's agent and accordingly,
<br /> ddhow
<br /> Clean Narbors and/or Safety-Xleen, a applicable, may change the eransporter(s) designated on the manifest, oadd a new
<br />
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