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f <br /> M <br /> BRANCH SSL CSG BOR-23 David L Buxton <br /> 10/14/15 13:21 PAGE 1 <br /> E.— <br /> Safety-Meen SyStems Inc . <br /> EL I 2600 N Central Ex 1P Ec py, Suite 200 <br /> Richardson, 0- 75080 <br /> CORPORATE: 800-669-'1740 _ <br /> 24 HR EMERGENCY: 800-468-1760 (Safety-Kleen) <br /> 2°95'51011 <br /> OCT 19 2015 <br /> CUSTOMER# OD09555 Odyssey Landscape Company REFERENCE NBR. <br /> 5400 W Highway 12 68133231 <br /> SRVENVIRONMENTAL Lad; CA 9PHONE 170 SWC DATE C10,;;;1s°13:11 <br /> BILL TO CUSTOMERt PHONE 209-369-61.97 <br /> HFA1Tu nCDQDTAACNT 0009555 BILL ey ADDRESS: <br /> Odyssey Landscape Company <br /> 5400 W Highway 12 <br /> Lodi CA 95242-9170 <br /> PURCHASE ORUERx PHONE 209-369-6197 ? <br /> PRODUCT/SERVICES TAX EXEMPT. <br /> SERVICE/ <br /> PRODUCT TOTAL <br /> QTY UNIT PRICE TAX CHARGE <br /> 90837 MODEL 90 W/2381 & 6365 <br /> 1.0800 <br /> SPY 11011802 TAG 00001170SK11011800°c'LEAN1; 00 2 .89 spEN1 09000 335.91 <br /> SERVICE TERM 8 WEEK SCANNED YES <br /> �R��� '���'�f•� "`� 3383 DRUM,55 GAL FOR O.F. <br /> rrSERVICE TERM 24 WEEK 1.000 20.0000 0.00 20.00 <br /> 83383 DHUM,55 WASTE O.F. <br /> SERVICE TERM 24 WEEK 1'000 25.0000 0.00 25.00 <br /> M l_tCAL- 706 PAIL, 5.5 GL BLACK POLY W 1.000 11.0000 0.88 11.88 <br /> p,p,L, b�(1" 3345 SERVICE TERM 24 WEEK <br /> DRUM, 30 GL BLACK S1EEL 0 1.000 68.0000 5,44 73.44 <br /> yJ fryi-L.. SERVICE TERM 24 WEEK <br /> 100001 FEE, FUEL SURCHARGE <br /> 3230 TAX HANDLING, N/C DRUM DROP 30 11.001 00 1005000 00.00 1134 <br /> 0.00 <br /> TOTAL SERVICE/PRODUCTS ---_ '-- <br /> ---445.5800 322.05.05 477.63 <br /> TOTAL CHARGE 477.63 <br /> CREDITS 0.00 <br /> _ ___-- <br /> TOTAL DUE <br /> 477.63-- <br /> UNPAID BALANCE THIS RECEIPT 477.63 <br /> Machine clean and good condition? Yes <br /> Lamp Assembly Condition Yes <br /> Decals in place and legible? Yes <br /> Fusible link installed? Yes <br /> Emergency closing of lid unobstructed? Yes <br /> Machine properly grounded? Yes <br /> Local Phone No. Sticker Affixed to Machine Yes <br /> Spent solvent meets acceptance criteria? Yes <br /> GENERATOR STATUS <br /> 0-220 lbs/month <br /> Customer certifies that (i) the above-nroned matzrials are properly <br /> classified, packaged, marked and labeled, and are in proper condition <br /> for transportation according to the applicable r•eyulations of the <br /> Drpartment of Transportativr+ and (ii) no "rater i.1 change hasnccurrell <br /> Cf� <br /> either in the characteristics of the waw e,4uaterial or in the process <br /> m 1 <br /> generating the waste aterial. Customer agrees to pay the db IJ <br /> charges and to be bound by the terms and Conditions (1) set forth in <br /> (a) the General Terms and Conditions provided separately to Costumer <br /> or (b) any SK agreement signed by Customer and SK, and (2) <br /> incorporated herein by reference. Unless athervise indicated in the <br /> payment received section, SK is authurized to charge custnrner's <br /> account for this transaction" If Customer fails to make payment r.hen <br /> due, an amount equal to the lesser of (i) 1.5% per month (18% per <br /> annum or (ii) the maximum rarount allvy:ed by lax, will be added to all <br /> unpaid arnOur+ts outstanJing. Customer certifies that the individual <br /> signing this Service Acknowledgement is July authorized to sign and ¢ <br /> bind Customer. The following provision is applicable to Safety-Kleen's <br /> ,,arts cleaner an.l paint gun cleanrr service_ [ustomrr agrees that it <br /> kill not introduce any substance into the snlvrnt <br /> or a.;urars clraning <br /> solution., including without limitation any <br /> hazardous waste constituent, hazardous waste yr <br /> except to the extent such introjuction <br /> is <br /> incidental to the normal use uF the machine. Custwuer• further agrees <br /> that it gill not clean 1+4rts/paint guns that have been contaminated <br /> with or otherwise introduce polychlorinated bip#renyls (PCB's), <br /> herbicides, pesticides, dioxins Or listed hazardous waste into the <br /> solvent ar aquvous cleaning solution. safety-Kleen has the capacity <br /> and is permitted to accept, store, and/or reclaim the spent parts <br /> washer Solvent: paint thinners, solvent, and paints generated by <br /> customer; or dry cleaning filter cartridges, ponder, and still <br /> residues containing perchloroethylene, petroleum naphtha, or <br /> triflurotrichloroethene dry cleaning Solvents. Cust.nner agrees that it <br /> is responsible for properly classifying its waste streams as Used Oil <br /> or Nonhazardous Waste in accordance with the pr.wision of 40 CFR <br /> .262.11 and applicable state laws. Customer agrees that it will not <br /> introduce any non-conforming substance into the Sk property, <br /> r including, without limitation, anti haiardnu. .-f. <br />