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CSG SK-SSL-13OX-23 Gomez,Raymond 07-10-2024 12;06 PAGE 1 V-8.8 Safety-Klee. Systems, Inc. 42 Longwater Drive Norwell, MA 02061 CORPORATE; 800-669-5740 24 HE EMERGENCY: 800-468-1760 (Safety-Kleen) 2095451011 REVERENCE NBR. CUSTOMER# CA46227 Calififornia Highway Patrol 94829153 - 2403276924 2720 Wilcox Road SRVC WEEK: 2024-28 Stockton SRVC DATE: 07-10-2024 CA 95215-2241 PHONE 209-938-4819 BILL TO CUSTOMER# BILL TO ADDRESS: CA46227 Calififornia Highway Patrol 2720 Wilcax Road Stockton CA 95215-2241 PHONE 209-938-4B19 PURCHASE ORDERfl TAX EXEMPT# PRODUCT/SERVICES SERVICE/PRODUCT QTY UNIT PRICE TAX TOTAL CHARGE 8863 GASTEC AQUEOUS PW SAMPLE TUBE 1.0 0,00 D,00 0.00 SERVICE TERM I WEEK Scanned: NO 90837 MODEL 90 W/2387 6 6365 1.0 239.0 18.52 257.52 SIN B034100 TAG 00001170SK08034100 CLEAN 1.7 SPENT 0.0 SERVICE TERM 8 WEEK SCANNED YES PERC TEST: PASS 100005 CHEMISTRY FEE 1.0 0.00 0.00 D.00 TOTAL SERVICE/PRODUCTS ________________________________________________________________________________ 239,00 18.52 257.52 TOTAL CHARGE 251.52 CREDITS 0.00 -------------------------------------------______________________________ TOTAL DUE 257.52 RECEIPT ONLY-THIS IS NOT AN INVOICE UNPAID BALANCE THIS RECEIPT 257.52 Spent solvent meets a ceptance 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 I have established a program to reduce the volume or quantity and toxicity of the hazardous waste to the degree to be .cotally practicable. Customer cextifies that (i) the above-named materials axe properly classified, packaged, marked and labeled, and are in proper condition for transportation according to the applicable regulations of the Department of Transpor to tion (ii) no material change has occurred either in the characteristics of the waste/material o n 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 hound by the terms and conditions (1) set forth in (a) the General Terms and Conditions provided separately to Customer or Ib) any SK agre ent signed by Customer and SK, and M incorporated herein by reference. Unless otherwise indicated in the payment received section, SK is to the lesser of (f) 1.5% per month (18t per annum) or (ii) the maximum authorized to charge customers account for this transaction. If customer fails to make payment when due, an amount equal .11 on all owed 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 In number if required by applicable law. The following provision is applicable to Safe ty-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, a ..pt to the extent such introduction is incidental to the normal use of the machine. Customer further agrees that it will not cle r an parts/paint guns that have been contaminated with a otherwise introduce polychloxiaated biphe nyls (PCBs(, herbicides, pesticides, dioxins or listed hazard... waste into the r s.lvent o aqueous cleaning solution. The receiving facility has the appropriate permits) for, and will accept, the waste the generator is shipping. Customer agrees that it is esp.nsible fox properly classifying its waste streams as Used Oil or Nonhazardous Waste in accordance with the provision of 40 CPR 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 c nstituent,(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 tesponsihle 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