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CSG SK-SSL-UMO-01 Joseph R Lima Jr 09/28/18 10:10 PAGE 1 CSG SK-SSL-BOX-23 Raymond Gomez 09/27/18 12:42 PRG Safety-Kleen Systems, Inc. Safety-Kleen Systems, Inc. 2600 N Central Expy, Suite 200 2600 N Central Expy, Suite 200 Richardson, TX 75080 Richardson, TX 75080 CORPORATE: 800-669-5740 CORPORATE: 800-669-5740 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) 2095451011 2095451011 REFERENCE NBR. REFERENCE NS CUSTOMER# M032001 Morada Farms 78056425-1804956793 CUSTOMER# M032001 Morada Farms 78056532-18049574 500 N Jack Tone Rd SRVC WEEK: 2018-39 SOO N lack Tone Rd SRVC MEEK: 2018- Stockton CA 95215-9725 SRVC DATE: 09/28/18 Stockton CA 95215-9725 SRVC DATE: 09/27/ PHONE 209-556-5000 PHONE 209-SS6-5000 BILL TO CUSTOMER#. BILL TO ADDRESS: BILL TO CUSTOMER# BILL TO ADDRESS: ST37094 Stockton Petroleum ST37094 Stockton Petroleum 1905 Navy Or 1905 Navy Or Stockton CA 95206-1141 Stockton CA 95205-1141 PHONE 407-428-3073 PHONE 407-428-3073 PURCHASE ORDER# 9-28-18 TAX EXEMPT# PURCHASE ORDER# TAX EXEMPT# PRODUCT/SERVICES PRODUCT/SERVICES SERVICE/ TOTAL SERVICE/ TOTAi PRODUCT QTY UNIT PRICE TAX CHARGE PRODUCT QTY UNIT PRICE TAX CHARGE 66636 USED OIL RECYCLE AUTU14071 25.000 0.5900 0.00 14.75 83383 DRUM,SS WASTE Q.F. 2.000 105.0000 0.00 210.04 SERVICE TERM 24 WEEK SERVICE TERM 24 WEEK HALOGEN /CLOR-D-TECT TEST RESULT PASS: PPM< 1000 #CONTS: 1 TSDF: TPO MANIFEST#: 006777979sks FORM CO: US SHIP#226598293 CNT#: 180927997544 QTY: 2SO WT/VOL P PROF# 156033 SKDOT 7872671 10256 FEE, OIL SERVICE/STOP NON 1.000 145.0000 0.00 145.00 3383 DRUM,55 GAL FOR O.F. 3.000 23.5400 0.00 70.6. SERVICE 7ER14 24 WEEK SERVICE TERM 24 WEEK 100030 RECOVERY FEE 1.000 0.0000 0.00 0.00 100030 RECOVERY FEE 1.000 25.2600 0.00 25.21 ----------------------------------------- 3230 TAX HANDLING N/C DRUM DROP 30 3.000 0.0000 0.00 0.1 TOTAL SERVICE/PRODUCTS 145.5900 0.00 159.75 ---------------------------------------- TOTAL SERVICE/PRODUCTS 153.8000 0.00 305.81 TOTAL CHARGE 159.75 CREDITS 0.00 TOTAL CHARGE 305.88 --------------- CREDITS 0.00 TOTAL DUE 159.75 -------------- --- -------------- - TOTAL DUE 305.88 UNPAID BALANCE THIS RECEIPT 159.7S UNPAID BALANCE THIS RECEIPT4C1S-18VED SE! 27 2018 1 If high risk source, rep. certifies that load specific PCB &Silicon I testing have been completed prior to pumping this load. GENERATOR STATUS 1 0-220 1 bs/nlonth t GENERATOR STATUS Customer certifies that (i) the above-named materials are properly CESQG: Vehicle classified, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the Customer certifies that (i) the above-named materials are properly Department of Transportation (ii) no material change has occurred i classified, packaged, marked and labeled, and are in proper condition either in the characteristics of the waste/material or in the process 1 for transportation according to the applicable regulations of the generating the waste/material, and (iii) the above referenced F Department of Transportation (ii) no material change has occurred Generator Status is correct. Customer agrees to pay the above charges either in the characteristics of the waste/material or in the process and to be bound by the terms and conditions (1) set forth in (a) the generating the waste/material, and (iii) the above referenced General Terms and Conditions provided separately to Customer or (b) Generator Status is correct. Customer agrees to pay the above charges any SK agreement signed by Customer and SK, and (2) incorporated and to be bound by the terms and conditions (1) set forth in (a) the herein by reference. Unless otherwise indicated in the payment General Terms and Conditions provided separately to Customer or (b) received section, SK is authorized to charge Customer's account for any SK agreement signed by Customer and SK, and (2) incorporated this transaction. If Customer fails to make payment when due, an herein by reference. Unless otherwise indicated in the payment amount equal to the lesser of (i) 1.5% per month (18%per annum or received section. SK is authorized to charge Customer's account for (ii) the maximum amount allowed by law, will be added to all unpaid this transaction. If Customer fails to make payment when due, an amounts outstanding. Customer certifies that the individual signing amount equal to the lesser of (i) 1.5% per month (18%per annum or this Service Acknowledgement is duly authorized to sign and bind (ii) the maximum amount allowed by law, will be added to all unpaid Customer. Customer acknowledges that it is responsible for maintaining amounts outstanding. Customer certifies that the individual signing its Generator Status and obtaining an EPA ID number if required by this Service Acknowledgement is duly authorized to sign and bind applicable law. The following provision is applicable to Customer. Customer acknowledges that it is responsible for maintaining Safety-Kleen's parts cleaner and paint gun cleaner services: Customer its Generator Strtus and obtaining an EPA ID number if required by agrees that it will not introduce any substance into the solvent or applicable law. tae following provision is applicable to aqueous cleaning solution, including without limitation any hazardous Safety-Kleen's part cleaner and paint gun cleaner services: Customer waste or hazardous waste constituent, except to the extent such agrees that it will not introduce any substance into the solvent or intradurtinn is ineidwntal to tho normal ucr of the machinp. Cuatnmor