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CSG SK-SSL-BOX-23 Gomez,Raymond 07-11-2022 13:17 PAGE I V-6.8 Safety-Kleen Systems, Inc. 42 Longwater Drive Norwell, MA 02061 CORPORATE: 800-669-5740 24 HR EMERGENCY; B00--468-1760 (Safety-Kleen) 2095451011 REFERENCE NSR, CUSTOMERO CA46227 Calififornia Highway Patrol 89326466 - 2109720880 2720 Wilcox Road SRVC WEEK: 2022-28 Stockton SRVC DATE: 07-11-2022 CA 95215-2241 PHONE 209-938-4819 BILL TO CUSTOMERH BILL TO ADDRESS: CA46227 Calififornia Highway Patrol 2720 Wilcox Road Stockton CA 95215-2241 PHONE 209-938-4319 PURCHASE ORDERS TAX EXEMPT9 PRODUCT/SERVICES SERVICE/PRODUCT p^Y UNIT PRICE TAX TOTAL CHARGE 0863 GASTEC AQUEOUS PW SAMPLE TUBE 1.0 0,00 0.00 0.00 90837 MODEL 9D W/2387 E 6365 1.0 183,85 14.25 198.10 S/M 8034100 TAG 00001170SK08034100 CLEAN 2.0 $PENT 0.0 SERVICE TERM 8 WEEK SCANNED NO PERC TEST: PASS TOTAL SERVICE/PRODUCTS ----------------------..____--_--_..._.-------------------------------------___--- 183.85 14.25 198.10 TOTAL CHARGE 198.10 CREDITS 0.00 ----------------------------- TOTAL DUE 19B,10 ___________________----------- UNPAID BALANCE THIS RECEIPT 198.1 Spent solvent meets acceptance criteria? Yes Local Phone No. Sticker Affixed to Machine Yes Machine properly grounded? Yes Emergency closing of lid unobstructed? Yes Fusible link installed? Yes Decals in place and legible? Yes Lamp Assembly Condition Yes Machine clean and good condition? Yes GENERATOR STATUS 0-220 lbs/month 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 (lii) 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 of (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) 1.5k 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 I❑ 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 hiphenyls ;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.c., 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 remediatien 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