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CSG SK-BWF-UMO-01 Lima Jr,Joseph R 06-28-2022 12:35 PAGE 1 V-6.7 Safety-Kleen Systems, Inc. 42 Longwater Drive Norwell, MA 02061 CORPORATE: 800-669-5740 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) 2095451011 REFERENCE HER. CUSTOMER# OR12254 O'Reilly # 3810 89193333 - 2109431538 1551 W Main St SRVC WEEK: 2022-26 Ripon SRVC DATE: 06-28-2022 CA 95366-3012 PHONE 209-599-1546 BILL TO CUSTOMER# BILL TO ADDRESS: OR10217 O'Reilly Auto Parts 233 S Patterson Ave Attn John Bounds Springfield MO 65802-2210 PHONE 417-520-4589 PURCHASE ORDER# 6/28/22 TAX EXEMPT# PRODUCT/SERVICES SERVICE/PRODUCT QTY UNIT PRICE TAX TOTAL CHARGE 2236 2236 220G OIL TANK 1.0 CP CP CP SIN 177043 TAG T0002236XX00350741 SERVICE TERM 2 WEEK SCANNED NO 66668 DO-IT-YOURSELF OIL SERVICE 180.0 CP CP CP HALOGEN/ CLOR-D-TECT TEST: PASS:PPM G 1000 TOTAL SERVICE/PRODUCTS CP CP CP TOTAL CHARGE CP CREDITS CP ------------------------------ TOTAL DUE CP ------------------------------ UNPAID BALANCE THIS RECEIPT CP If high risk source, rep. certifies that load specific PCB & Silicon testing have been completed prior to pumping this load. GENERATOR STATUS CESQG: Vehicle Customer certifies that (i) the above-named materials are properly classified, packaged, marked and 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. The receiving facility has the appropriate permit(s) for, and will accept, the waste the generator is shipping. 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