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CSG SK-SSL-BOX-26 Mesquita,Alan 09-06-2024 10:12 PAGE 1 V-8.9 Safety-Kleen Systems, Inc, 42 Longwater Drive Norwell, MA 02061 CORPORATE: 000-669-5740 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) 2095451011 REFERENCE NBR. CUSTOMERq CA46227 Calififornia Highway Patrol 95250009 - 2404389096 2720 Wilcox Road SRVC WEEK: 2024-36 Stockton 6RvC DATE; 09-06-2024 CA 95215-2241 PHONE 209-938-4819 BILL TO CUSTOMER# BILL TO ADDRESS: CA46227 Calififornia Highway Patrol 2720 Wilcox Road Stockton CA 95215-2241 PHONE 209-938-4B19 PURCHASE ORDER# TAX EXEMPT# PRODUCT/SERVICES SERVICE/PRODUCT QTY UNIT PRICE TAX TOTAL CHARGE 8863 GAsTBC AQUEOUS PW SAMPLE TUBE 1.0 0.00 0.00 0.00 SERVICE TERM 1 WEEK Scanned: No 90837 MODEL 90 W/2387 6 6365 1.0 239.0 IR.52 257.52 SIN 8034100 TAG 000011705K08034100 CLERK 1.7 SPENT 0.0 SERVICE TERM 8 WEEK SCANNED YES PERC TEST: PASS 100005 CHEMISTRY FEE 1.0 0.00 0.00 0.00 TOTAL 5ERVICE/PRODUCTS ________________________________________________________________________________ 239.00 18.52 257.52 TOTAL CHARGE 257.52 CREDITS 0.00 -------------------------------------------______________________________ TOTAL DUE 251.52 RECEIPT ONLY-THIS IS NOT AN INVOICE UNPAID BALANCE THIS RECEIPT 257.52 Spent solvent meets acceptance criteria? Yes Local Phone No. Sticker Affixed to Machine Yes Machine properly grounded? Yes Emergency closing of lid unohstructed? 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 progzam to reduce the volume or quantity and toxicity of the hazardous waste to the degree to he economically practicable. 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 Transport sties (ii) n material change has occurred either in the characteristics of the waste/material or in the process generating the waste/material, and (iii) the aboverefer ced Generator status i rect. Custom agrees to pay the above charges and to be bound by the terms and conditions {11 set forth in (a) the General Terms and Conditions provided separately to Customer or (b) any SK agreement signed by Customer and SK, and 121 incorporated herein by reference. Unless otherwise indicated in the payment xeceived section, SK is authorized to charge Customers account for this transaction. If Customer fails to make payment when due, a amount equal to the lesser of (i) 1.5% per month (18% per annum) or (it) 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 respans ible 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 par s/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 permits) for, and will accept, the waste the generator is shipping. Customet agrees that it is responsible for 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 n onforsdng substance into the SK Property, including, without limitation, any hazardous waste or hazardous waste constituent,�(i.e., polychlorinated biphenyls V'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 o rising from the proper management and disposal of the non-conforming waste, including the cost of equipment decontamination and