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CSG SK-SSL-UMO-01 Lima Jr,Joseph R 08-18-2020 06:52 PAGE 1 Safety-Kleen Systems, Inc. 42 Longwater Drive Norwell, MA 02061 CORPORATE: 800-669-5740 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) 2095451011 REFERENCE NBR. CUSTOMER# OR12254 O'Reilly # 3810 84075529 - 1551 W Main St SRVC WEEK: 2020-34 Ripon SRVC DATE: 08-18-2020 CA 95366-3012 PHONE 972-555-1640 BILL TO CUSTOMER# BILL TO ADDRESS: OR10217 O'Reilly Auto Parts 233 S Patterson Ave Attn John Bounds Springfield MO 65802-2210 PHONE 972-265-2485 PURCHASE ORDER# TAX EXEMPT# PRODUCT/SERVICES SERVICE/PRODUCT QTY UNIT PRICE TAX TOTAL CHARGE 156017 / 66668 DO-IT-YOURSELF OIL SERVICE 175.0 TIER1 TIER1 TIER1 HALOGEN/ CLOR-D-TECT TEST: PASS:PPM < 1000 TOTAL SERVICE/PRODUCTS ----------------------------------------------------------------------------- TIER1 TIER1 TIER1 TOTAL CHARGE TIER1 CREDITS TIER1 ------------------------------ TOTAL DUE TIER1 ------------------------------ UNPAID BALANCE THIS RECEIPT TIER1 If high risk source, rep. certifies that load specific PCB & Silicon testing have been completed prior to pumping this load. GENERATOR STATUS CESQG: Vehicle I have established a program to reduce the volume above-named materials are properly or quantity and toxicity of the hazardous waste to the degree to be economically practicable. labeled, and are in proper condition for transportation according to the applicable regulations of the Department of Transportation (ii) no material change has occurred either in the characteristics of the waste/material or in the process generating the waste/material, and (iii) the above referenced Generator Status is correct. Customer agrees to pay the above charges and to be bound by the terms and conditions (1) set forth in (a) the General Terms and Conditions provided separately to Customer or (b) any SK agreement signed by Customer and SK, and (2) incorporated herein by reference. Unless otherwise indicated in the payment received section, SK is authorized to charge Customers account for this transaction. If Customer fails to make payment when due, an amount equal to the lesser of (i) 1.5% per month (18% per annum) or (ii) the maximum amount allowed by law, will be added to all unpaid amounts outstanding. Customer certifies that the individual signing this Service Acknowledgement is duly authorized to sign and bind Customer. Customer acknowledges that it is responsible for maintaining its Generator Status and obtaining an EPA ID number if required by applicable law. The following provision is applicable to Safety- Kleens parts cleaner and paint gun cleaner services: Customer agrees that it will not introduce any substance into the solvent or aqueous cleaning solution, including without limitation any hazardous waste or hazardous waste constituent, except to the extent such introduction is incidental to the normal use of the machine. Customer further agrees that it will not clean parts/paint guns that have been contaminated with or otherwise introduce polychlorinated biphenyls (PCBs), herbicides, pesticides, dioxins or listed hazardous waste into the solvent or aqueous cleaning solution. Safety-Kleen has the capacity and is permitted to accept, store, and/or reclaim the spent parts washer solvent; paint thinners, solvents and paints generated by customer; or dry cleaning filter cartridges, powder, and still residues containing perchloroethylene, petroleum naphtha, or triflurotrichloroethane dry cleaning solvents. Customer agrees that it is responsible for properly classifying its waste streams as Used Oil or Nonhazardous Waste in accordance with the provision of 40 CFR 262.11 and applicable state laws. Customer agrees that it will not introduce any non-conforming substance into the SK Property, including, without limitation, any hazardous waste or hazardous waste constituent,(i.e., polychlorinated biphenyls ("PCBs"), herbicides, pesticides, dioxins, or listed hazardous wastes) except to the extent such introduction is incidental to the normal use of the SK Property. In the event of the introduction of such non-conforming hazardous waste, Customer agrees that it will be responsible for all costs and remediation expenses related to or arising from the proper management and disposal of the non-conforming waste, including the cost of equipment decontamination and subsequent disposal. Final invoicing will be based on the actual services provided, which may include additional charges for off specification waste and surcharges. Final invoice amount may be more than the amount listed on the printed receipt. If any legal action is commenced because of an alleged dispute, breach, default or misrepresentation, the Customer also agrees that the prevailing party will be entitled to recover reasonable attorneys fees and costs associated with the non-conforming contamination event. Safety-Kleens failure to screen Customers material or take a retain sample, in no way constitutes a waiver of Customers obligation to properly classify its materials. Safety-Kleen relies on Customers representations and Customer is responsible for informing Safety-Kleen of any process changes that may alter the characteristics of the materials provided. IN THE EVENT OF AN EMERGENCY CALL -24-HR NUMBER— 1-800-468-1760 (Safety- Kleen) A variable recovery fee that fluctuates with the DOE national average diesel price may be applied to your invoice. For more information regarding our recovery fee calculation please go to http://safety-kleen.com/ customer- service/environmental-fees/recovery-fees. Please note e-manifest fees applicable to this order may not be included in the total above and will be included in the final invoice or credit card statement. RECEIPT ONLY - THIS IS NOT AN INVOICE